Use of the SBAR tool in the care transition between the health team
Keywords:Communication; Continuity of patient care; Health education; Nursing; Patient assistance team.
Objective: to map care recommendations from the SBAR tool during the shift change by the health team in inpatient units to support the safety of adult patients in the transition of care. Method: this is a scoping review, carried out in six databases, including publications between January 2017 and January 2022. Based on recommendations from Preferred Reporting Itens for Systematic Reviews and MEta-Analyses extension for Scoping Reviews (PRISMA-ScR). Results: of the 17 studies identified, 35.3% were published in 2020, in the CINAHL database (29.4%). The country that stood out in number of publications was the United States with 41.20%. As for the recommendations for the development of handover instruments, it was identified that they should be clear, simple and sequential. The use of five domains is suggested: patient identity, current situation, clinical history, system status review and recommendations. With regard to the team that conducts the main strategies, its focus is on preparing the environment, training for the use of standardization and minimizing noise in communication. Conclusion: the study shows important recommendations capable of subsidizing the shift change and minimizing the risk of adverse events, in order to strengthen patient safety.
Achrekar, M. S., et al. (2016). Introduction of situation, background, assessment, recommendation into nursing practice: a prospective study. Asia-Pacific journal of oncology nursing, 3(1), 45-50. 10.4103/2347-5625.178171.
Alves, M., & Melo, C. L. (2019). Handoff of care in the perspective of the nursing professionals of an emergency unit. Rev Min Enferm, 23(1194), e1194. 10.5935/1415-2762.20190042.
Bonds, R. L. (2018). SBAR tool implementation to advance communication, teamwork, and the perception of patient safety culture. Creative nursing, 24(2), 116-123. 10.1891/1078-45220.127.116.11.
Bosco, P. S. (2019). Carga de trabalho, contexto organizacional e atuação da equipe de enfermagem na implementação de práticas voltadas para a segurança do paciente (Doctoral dissertation).
Burgener, A. M. (2020). Enhancing communication to improve patient safety and to increase patient satisfaction. The health care manager, 39(3), 128-132. 10.1097/HCM.0000000000000165.
Burgess, A., et al. (2020). Teaching clinical handover with ISBAR. BMC medical education, 20(2), 1-8. 10.1186/s12909-020-02285-0.
Conselho Federal de Enfermagem (2007). Resolução COFEN nº. 311/2007: Código de Ética dos Profissionais de Enfermagem. 2007.
Conselho Federal de Enfermagem (2021). Parecer da Câmara Técnica nº 0001/2021. Passagem de plantão aos profissionais de nível médio da Enfermagem. Brasília; 2021.
Cornell, P., et al. (2013). Improving shift report focus and consistency with the situation, background, assessment, recommendation protocol. The Journal of nursing administration, 43(7/8), 422-428. 10.1097/NNA.0b013e31829d6303.
Corpolato, R. C., et al. (2019). Standardization of the duty shift in a General Adult Intensive Care Unit. Revista Brasileira de Enfermagem, 72, 88-95. 10.1590/0034-7167-2017-0745.
Dalky, H. F., Al-Jaradeen, R. S., & AbuAlRrub, R. F. (2020). Evaluation of the situation, background, assessment, and recommendation handover tool in improving communication and satisfaction among Jordanian nurses working in intensive care units. Dimensions of Critical Care Nursing, 39(6), 339-347. 10.1097/DCC.0000000000000441.
Felipe, T. R. L., & Spiri, W. C. (2019). Construção de um instrumento de passagem de plantão. Enfermagem em Foco, 10(7). 10.21675/2357-707X.2019.v10.n7.2451.
Figueiredo, A. R., & Potra, T. S. (2019). Effective communication transitions in nursing care: a scoping review. Annals of Medicine, 51(sup1), 201-201.
Fochi, V., Miranda, A. V.S., Graf, M. M. T. (2019). A passagem de plantão como instrumento de uma assistência de enfermagem qualificada. Revista GepesVida, 5(11).
Ghosh, S., Ramamoorthy, L., & Pottakat, B. (2021). Impact of structured clinical handover protocol on communication and patient satisfaction. Journal of Patient Experience, 8, 2374373521997733. 10.1177/2374373521997733.
Gonçalves, M. I., et al. (2017). Patient safety and change-of-shift reporting in neonatal intensive care units. Rev Baiana Enferm, 31(2), e17053. 10.18471/rbe.v31i2.17053.
Haryono, M. H., Nursalam, N., & Hasinudin, M. (2019). Developing SBAR effective communication instrument in emergency handover at emergency department of hajj hospital in Surabaya return migration of Indonesian nurses view project. Artic Indian J Public Heal Res Dev, 10(10), 688. 10.5958/0976-5506.2019.02893.6.
Mendes J. L.V., et al. (2020). Importance of communication for quality nursing care: an integrative review. Braz J Surg Clin Res. 32(2):169-174.
Metilda, J. (2020). Effectiveness of self instructional module on knowledge regarding ISBAR clinical handover communication among ICU staff nurse in PESIMSR hospital at Andhra Pradesh. IJARIIT. 6(5):195-198
Nunes, R. S. O., et al. (2021). Padronização da passagem de turno e otimização da comunicação na enfermagem: Um relato de experiência Standardization of shift passage and optimization of communication in nursing: An experience report. Brazilian Journal of Development, 7(9), 90123-90132.10.34117/bjdv7n9-259.
Oliveira, J. G. A. D., et al. (2018). Interruptions in intensive care nursing shift handovers: patient safety implications. Enfermagem Uerj, 26, NA-NA.10.12957/reuerj.2018.33877.
Organização Mundial da Saúde. Más que palabras: marco conceptual de la Clasificación Internacional para la Seguridad del Paciente versión 1.1 Geneva: WHO; 2009
Padgett, T. M. (2018). Improving nurses' communication during patient transfer: A pilot study. The Journal of Continuing Education in Nursing, 49(8), 378-384. 10.3928/00220124-20180718-09.
Pakcheshm, B., Bagheri, I., & Kalani, Z. (2020). The impact of using “ISBAR” standard checklist on nursing clinical handoff in coronary care units. Nursing Practice Today.10.18502/npt.v7i4.4036.
Park, L. J. (2020). Using the SBAR handover tool. British Journal of Nursing, 29(14), 812-813. 10.12968/bjon.2020.29.14.812.
Pena, M. M., & Melleiro, M. M. (2018). Adverse events caused by communication failure: considerations about a model for care.
Peters, M. D., et al. (2017). Scoping reviews. Joanna Briggs Institute reviewer’s manual, 2015, 1-24. 10.46658/JBIMES-20-12.
Rosas, P. & Leandra, S. (2019). Cumprimento do relatório de enfermagem segundo a técnica SBAR na unidade de terapia intensiva em queimados de um instituto especializado Lima.
Simamora, R. H., & Fathi, A. (2019). The Influence of Training Handover based SBAR Communication for Improving Patients Safety. Indian journal of public health research & development, 10(9). 10.5958/0976-5506.2019.02755.4.
Smith, C. J., et al. (2018). Evaluation of a novel handoff communication strategy for patients admitted from the emergency department. Western Journal of Emergency Medicine, 19(2), 372. 10.5811/westjem.2017.9.35121.
Sotrati, L. A., et al. (2020). Conhecimento dos graduandos de enfermagem sobre a passagem de plantão. Revista Brasileira Multidisciplinar-ReBraM, 23(2Supl.), 6-16. 10.25061/2527-2675/ReBraM/2020.v23i2Supl.867.
Superville, J. G. (2017). Standardizing nurse-to-nurse patient handoffs in a correctional healthcare setting: a quality improvement project to improve end-of-shift nurse-to-nurse communication using the SBAR I-5 handoff bundle (Doctoral dissertation, The University of North Carolina at Chapel Hill).10.17615/8a1k-m551.
Temsah, M. H., et al. (2021). Adverse events experienced with intrahospital transfer of critically ill patients: a national survey. Medicine, 100(18). 10.1097/MD.0000000000025810.
Tricco, A. C.,et al. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Annals of internal medicine, 169(7), 467-473. 10.7326/M18-0850.
Usher, R., Cronin, S. N., & York, N. L. (2018). Evaluating the influence of a standardized bedside handoff process in a medical–surgical unit. The Journal of Continuing Education in Nursing, 49(4), 157-163.10.3928/00220124-20180320-05.
How to Cite
Copyright (c) 2023 Lorena dos Santos Cardoso; Neide da Silva Knihs; Keyla Cristiane do Nascimento; Aline Lima Pestana Guimarães; Ariadne Matzembacher da Silva; Gisele Martins Miranda
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.