Abstract：Objective To explore the application effect of problem-based learning (PBL) teaching combined with standardized communication mode (SBAR) in bedside handover of critically ill patients.Methods A total of 120 critically ill patients admitted to Pingxiang People′s Hospital from November 2020 to February 2021 were selected as the research subjects.These patients were divided into the control group (n=60) and the observation group (n=60) according to random number table method.The patients in the control group adopted the SBAR model for nursing handover management, and the patients in the observation group adopted the PBL teaching combined with the SBAR model for nursing handover management.The nurses′mastery of the overall situation of critically ill patients before the intervention and 2 months after the intervention between the two groups were compared.The incidence of handover problems and patients′satisfaction with the handover mode during the intervention period were counted and compared.Critical thinking abilities of two groups of nurses [Chinese version of critical thinking disposition inventory （CTDI-CV）] before the intervention and at the end of the intervention 2 months were compared.Results After 2 months of intervention, the observation group′s nurses mastery scores and CTDI-CV scores of critically ill patients were higher than those of the control group, with statistical differences (P<0.05).During the intervention period, the observation group had a slightly lower rate of handover problems in the control group, without statistical significance (P＞0.05).After the intervention for 2 months, the observation group′s scores for completeness, organization, timeliness, focus and total satisfaction of the handover were higher than those of the control group, with statistical differences (P<0.05).Conclusion The combination of PBL teaching and SBAR mode can be used in bedside handover of critically ill patients.It can improve the patients′overall situation mastery and nurses′critical thinking ability, reduce the incidence of handover problems, and improve patients′ satisfaction with the handover model.
Yeh ML.Assessing the reliability and validity of the Chinese version of the California Critical Thinking Disposition Inventory[J].Int J Nurs Stud，2002，39（2）：123-132.
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