Nursing staff’s instrument for change-of-shift reporting - SBAR (Situation-Background-Assessment-Recommendation): validation and application

Felipe, Tânia Roberta Limeira; Spiri, Wilza Carla; Juliani, Carmen Maria Casquel Monti; Mutro, Maria Eugênia Guerra

doi:10.1590/0034-7167-2021-0608

Brasil

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 75 (6) • 2022 • https://doi.org/10.1590/0034-7167-2021-0608 linkcopy

Nursing staff’s instrument for change-of-shift reporting - SBAR (Situation-Background-Assessment-Recommendation): validation and application

Instrumento del pasaje de plantón del grupo de enfermería - SBAR (Situation-Background-Assessment-Recommendation): validación y aplicación

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives: to validate and apply a change-of-shift instrument using the SBAR (Situation-Background-Assessment-Recommendation) tool.

Methods: methodological study for the validation of an instrument. It was validated by ten judges from the area of nursing teaching and care and applied in a surgical gastroenterology ward by 11 nursing technicians in February 2019. The analyses considered descriptive statistics.

Results: the judges analyzed the instrument with a content validity index of 91.7% and made suggestions, which led to the second version of the instrument. The participants reported that the predominant modality of shift handover is oral, in the nursing room, lasting six to ten minutes. Most pay attention during shift change, mention that delays and early departures interfere in the activity and believe that the instrument provides the necessary information and is viable.

Conclusions: the instrument built was validated, and its application proved relevant, as it was considered necessary and feasible.

Descriptors: Validation Studies; Hospital Communication Systems; Nursing Team; Professional-Patient Relations; Nursing Administration Research.

Item	n	%
Identification clarity	10	100
Identification pertinence	9	90
Identification appearance	8	80
Indicator clarity	8	80
Indicator pertinence	10	100
Indicator appearance	9	90
Situation clarity	10	100
Situation pertinence	9	90
Situation appearance	10	100
Background clarity	10	100
Background pertinence	9	90
Background appearance	10	100
Assessment clarity	8	80
Assessment pertinence	9	90
Assessment appearance	8	80
Recommendation clarity	9	90
Recommendation pertinence	9	90
Recommendation appearance	9	90
Mean		91.1

Item mentioned for improvement	n	%
Assessment	11	26.8
Background	7	17.0
Identification	6	14.6
Indicators	6	14.6
Recommendations	6	14.6
Situation	5	12.2
Total	41	100

Variable	n	%
Sex Female Male	10 1	90.9 9.1
Age	Mean 37.9 years
Professional Experience	Mean 10.3 years
Training Technical level Higher Level	9 2	81.8 18.2

Variable	n	%
Change-of-Shift Reporting Format Oral Written Oral and written	7 0 4	63.6 0.0 36.4
Location where the shift change occurs By the patient Unit’s corridor Nursing room Other	0 0 11 0	0.0 0.0 100.0 0.0
Time dedicated to shift handover Up to 5 minutes 6 to 10 minutes 11 to 20 minutes 21 to 30 minutes Above 30 minutes	2 8 1 0 0	18.2 72.7 9.1 0.0 0.0
Documenting of information in book/chart Yes No	6 5	54.5 45.5
Moment for clarifying doubts during handover Yes No	5 6	45.5 54.5
Colleague’s behavior during shift change Pays attention Side conversations Performs procedures	10 0 7	90.9 0.0 63.6
Delays, early departures interfering with shift change Yes No	8 3	72.7 27.3
Interferences during shift change Interruptions Side conversations Noises Questionings Need to repeat information Others	6 10 3 1 3 0	54.5 90.9 27.3 9.1 27.3 0.0
SBAR contains the necessary information Yes No	11 0	100.0 0.0
SBAR Evaluation for change-of-shift reporting Bad Regular Good Very Good Excellent	0 2 6 3 0	0.0 18.2 54.5 27.3 0.0
Necessary information for reporting during shift change Intercurrences Clinical conditions Administrative Matters Exams Medications Changes in treatment Patient identification Family and Companions Care and procedures Others	11 9 0 9 10 7 7 4 8 0	100.0 81.2 0.0 81.2 90.9 63.6 63.6 36.4 72.7 0.0
Feasibility of SBAR implementation in the unit Yes No	9 2	81.8 18.2

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