ABSTRACT
Objective:
To study the clinical value of the ISBAR
communication model based on
nursing priorities in
nursing ward rounds.
Methods:
Using a quasi-experiment
method, 104
patients who received
secondary and
tertiary care from April to June 2020 were set as the
control group, and 122
patients who received
secondary and
tertiary care from July to September 2020 were set up as the experimental group, with non-randomized
method. The experimental group used the ISBAR
communication model based on
nursing priorities for
nursing ward rounds, and the
control group used the traditional
method for
nursing ward rounds. The
abilities of bedside
nurses collecting the
patients′condition, the bedside
nurses′ condition
observation and the
nurses′
critical thinking were compared between the two groups, and the
patients'
nursing quality and
satisfaction were also compared.
Results:
The scores of the bedside
nurses′
knowledge of the
patients′ condition were 81.14±3.09 in the test group and 75.90±2.84 in the
control group, with statistically significant difference ( t value was -12.88, P<0.01). The scores of the bedside
nurses′
ability in observing
patients′ condition were 140.50 (137.00, 144.50) in the experimental group and 135.50 (128.75, 139.00) in the
control group, with statistically significant difference ( Z value was -3.399, P<0.01). The scores of the
Critical Thinking Disposition
Inventory Chinese-version (CTDI-CV) were 309.82±36.33 in the experimental group and 286.86±33.54 in the
control group, with statistically significant difference ( t value was -2.177, P<0.05). The scores of
patient care quality evaluation were 62.50 (60.00, 64.00) in the experimental group and 59.00 (55.00, 61.50) in the
control group, with statistically significant difference ( Z value was -6.47, P<0.01). The
patient discharge satisfaction score of the experimental group was 53.00 (48.75, 55.00), and that of the
control group was 51.00 (44.00, 54.00), with statistically significant difference ( Z value was -3.56, P<0.01).
Conclusions:
The application of ISBAR
communication model based on
nursing priorities in
nursing ward rounds had a significant promotion effect on the improvement of
nurses'
abilities of collecting the
patients′ condition, observing
patients′ condition, and
critical thinking, and can effectively improve
nursing care quality and
patients′
satisfaction.