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Strukturera mera: Hur SBAR påverkar patientsäkerheten i hälso- och sjukvården
Halmstad University, School of Social and Health Sciences (HOS).
Halmstad University, School of Social and Health Sciences (HOS).
2012 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Structure more : How SBAR influences patient safety in health care (English)
Abstract [sv]

De flesta vårdskador beror helt eller delvis på brister i kommunikation. Ett sätt att förbättra patientsäkerheten är att använda kommunikationsverktyg, där det vanligast förekommande kallas SBAR. En litteraturstudie gjordes där femton artiklar granskades med syftet att belysa hur SBAR påverkar patientsäkerheten. SBAR utövade sin påverkan på flera olika sätt. Kommunikationen mellan de olika professionerna gavs en enhetlig struktur där mindre information saknades. Sjuksköterskor och läkare upplevde en ökad trygghet i kommunikationssituationen. Teamsamarbetet påverkades positivt och vårdkulturen utvecklades mot en ökad problemfokusering och minskad personfokusering vid avvikelser. Sjuksköterskor upplevde en ökad säkerhetsmedvetenhet och fann att SBAR gav positiva bieffekter som utvecklade yrkesrollen. SBAR bidrog till att luckra upp hierarkierna i vården då alla i teamet tog ett jämbördigt ansvar för kommunikation. Mer forskning behövs från de europeiska länderna och inte minst Sverige. Det vore intressant att se vilken påverkan SBAR har på patientsäkerheten i ett land där teamarbete är mer vanligt förekommande än i många andra länder. Ett annat intressant forskningsområde är elektronisk användning av SBAR-verktyget.

Abstract [en]

Most health care damages are partially or totally caused by communication failures. One way to improve patient safety is to use a communication tool, of which the most common is called SBAR. A literature review was done where fifteen articles were reviewed with the aim to illuminate how SBAR influences patient safety. SBAR exerted its influence in several different ways. The communication between the different professions was given a standardized structure and less information was omitted. Both nurses and physicians experienced increased confidence in the communication situation. Teamwork was positively influenced and the care culture developed towards more problem focus and less of person focus at adverse events. Nurses experienced growing security awareness and found SBAR having positive side effects which developed the professional role. SBAR contributed to flattening of care hierarchies, by all team members assuming equal responsibility for communication. More research is needed from the European countries and not least Sweden. It would be interesting to learn what kind of influence SBAR has on patient safety in a country where teamwork is more common than in many other countries. Another interesting research topic is electronic uses of the SBAR tool.

Place, publisher, year, edition, pages
2012. , 19 p.
Keyword [en]
Communication, patient safety, SBAR, teamwork
Keyword [sv]
Kommunikation, patientsäkerhet, SBAR, teamarbete
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-17677OAI: oai:DiVA.org:hh-17677DiVA: diva2:526846
Subject / course
Nursing
Presentation
2012-04-26, R1104, Högskolan i Halmstad, Halmstad, 09:00 (Swedish)
Uppsok
Medicine
Supervisors
Examiners
Available from: 2012-05-22 Created: 2012-05-15 Last updated: 2012-05-22Bibliographically approved

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Lindahl Alarcón, ChristinaLinde, Maria
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