Effectiveness of sbar communication tool on patient safety: an integrative review

Tóm tắt

Objective: To evaluate the effectiveness of the SBAR (situation, background, assessment, recommendation) tool on patient safety. Method: The integrative review design used PRISMA protocol to select studies. The keywords “SBAR” and “patient safety” were used for searching in electronic medical databases of ScienceDirect, Academic Search Complete, CINAHL Plus, MEDLINE, APA PsycInfo and Cochrane libraryfrom 2015 to 2020. Results: Across studies in various healthcare settings conducted at the hospitals, nursing homes and home care center services. The results indicated the positive impact of SBAR communication tool in patient safety. Seven studies found an improving in communication and patient safety. One study described the improvement in safety climate and working conditions in the hospital, however, there was no notable change on patient outcomes. Only one study in nursing home reported no significant difference between before and after SBAR implementation on patient safety aspect. Conclusion: The findings highlighted the effectiveness of SBAR communication tool on the improvement of patient safety as well as the effectiveness of communication in medical centers. The limitations of these studies included small sample size and a small number of studies conducted regarding patient’s outcome with strong evidence.