| Objective: To build normative,scientific transfer receipt hospitalized patients with hemodialysis,perfect the transition process,improve the quality of shift nurse and the patient's satisfaction,reduce because improper communication occurrence of adverse events.Methods:(1)Using the Delphi method to the eight provinces and municipalities directly under the central government two rounds of expert enquiry for 19 nursing experts,according to each item after each round enquiry for the mean,standard deviation,coefficient of variation,filtered to entry,experts are calculated separately,and the positive coefficient of harmony coefficient,the degree of experts,the indicators.After two rounds of consultation,the experts' opinions are basically the same,which forms a pre-experimental version of ISBAR transhipment of hemodialysis patients.(2)Use hemodialysis patients ISBAR transfer receipt beta select 30 nurses on 30 patients with clinical experiment,the nurse can understand to each entry,after group discussion,form use hemodialysis patients ISBAR transfer receipt the final version.(3)The nurses were divided into two groups,and the experimental group was transferred by ISBAR framework and the control group adopted oral delivery.Compare the average shift time between the two groups of nurses,the score of the side of the bed,and the evaluation of the two groups of nurse nurses after the intervention(NASR).(4)The convenience sampling method is used to extract the chongqing a 3 armour hospital urology department of 190 hospitalized patients with hemodialysis,the experimental group accepted ISBAR framework transit transfer mode,the control group received verbal handover original way.A questionnaire survey was conducted one week after the intervention and the day beforedischarge,comparing the satisfaction of two groups of patients with bedside handover.Results:(1)This study selected the eight provinces and municipalities directly under the central government 19 nursing experts experts enquiry for two rounds of Delphi method,two rounds of expert positive coefficient Cj = 86.36%,100%,coefficient of experts Cr =0.78,0.80,Kendall concordance coefficient are: 0.2,0.1,P values were less than 0.05.Through statistical methods,the items were screened and formed by combining expert opinions to form the pre-experimental version,including 6 primary indexes and 34 secondary indexes.(2)The results of the preliminary experiment were better,and the nurses had better understanding of the items and did not modify the items.(3)One week after the intervention group compared with control group,total score(63.23±5.14,51.66±3.10),interactive transition(22.05±2.60,18.05±1.45),the respect and listen to(14.68±1.67,11.36±1.78),coordinate transition(26.49±2.63,22.25±1.87)three dimensions scores the experimental group were higher than the control group,p value is less than 0.05,the difference was statistically significant.(4)The experimental group compared with control group,the day before discharge total score(66.49±4.60,54.58±3.37),interactive transition(23.18±2.22,19.17±1.64),the respect and listen to(15.08±1.50,12.67±1.43),coordinate transition(28.23±2.83,22.74±2.05)three dimensions scores the experimental group were higher than the control group,p value is less than 0.05,differences,with statistical significance.(5)The experimental group and control group in the nurse satisfaction scores respectively(82.81±3.04,71.44±8.17),promote the efficiency of nurses in succession(9.88±0.34,8.81±1.33),ensure the safety of patients 9.88±0.34,8.50±1.83),promote the patients to participate in(9.88±0.34,8.56±1.37)points,enhance nurses supervision responsibility,cooperation(23.63±2.39,20.19±3.97)points,provide patients with the required information 29.56±0.73,25.38±2.78),the total score of five dimensions and nurse similar between the two groups,experimental group is better than that of control group,with statistical significance,p<0.05.(6)To compare two groups of nurses,succession for(493.77±35.50)seconds,while the control group(641.44±34.17)seconds,the result shows that the experimental group average delivery time is less than the control group,the difference statistically significant,p < 0.01.(7)The two groups of nurses were compared with the number of unqualified patients at the bedside of the nurses,1(2.1%)in the experimental group and 8 in the control group(16.7%).Conclusions: It is an important guarantee for the efficient and safe handover of patients to construct the transition mode of normative science.This study based on specialist ISBAR standard communication tool combined with hemodialysis patients condition transition characteristics of hemodialysis patients using Delphi method to construct ISBAR mode transfer receipt,the receipt contains two parts: the dialysis before handover section to fill in the ward nurses,the handover after dialysis section to fill in hemodialysis room nurses.Confirmed by clinical practice,the framework can effectively transfer of hemodialysis patients,improve nursing quality and work efficiency is presented,and improve the quality of patients and nurses in succession satisfaction,suitable for ward between patients with hemodialysis room transfer transition. |
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