PMID- 28420502 OWN - NLM STAT- MEDLINE DCOM- 20171120 LR - 20171128 IS - 1875-6263 (Electronic) IS - 1028-4559 (Linking) VI - 56 IP - 2 DP - 2017 Apr TI - The impact of situation-background-assessment-recommendation (SBAR) on safety attitudes in the obstetrics department. PG - 171-174 LID - S1028-4559(17)30009-8 [pii] LID - 10.1016/j.tjog.2016.06.021 [doi] AB - OBJECTIVE: Previous studies evaluating the situation-background-assessment-recommendation (SBAR) have been shown to increase effective nurse-physician communication and collaboration. The purpose of this study is to evaluate the impact of the SBAR technique on safety attitudes in the obstetrics department. MATERIALS AND METHODS: This study implemented the SBAR Collaborative Communication Education course and was conducted in a medical center from February 2012 to March 2015, which included an educational session on fetal heart rate monitoring, a case-based discussion, and a video demonstration on traditional and SBAR communication. The nurses in the obstetrics department were requested to report their clinical findings and recommendations using a novel SBAR list when abnormal fetal heart beat tracings occurred. All obstetric nurses were requested to complete the Chinese-version of the Safety Attitudes Questionnaire before and after the SBAR educational course. The primary outcome was to evaluate the effect of the SBAR technique on the safety attitudes of the obstetrics department. The secondary outcome was to evaluate the effect of the SBAR technique on the 5-minute Apgar score for neonates. RESULTS: Most values, including teamwork climate, safety climate, job satisfaction, and working conditions, significantly improved at both postintervention surveys compared with the preintervention survey. There were no significant differences in the number of the neonates with less than seven 5-minute Apgar scores between the pre- and postintervention periods. CONCLUSION: The SBAR technique, which uses a novel structured handover list, is a feasible tool for nurse-obstetrician communication, and it may improve most dimensions of safety attitudes in the obstetrics department. CI - Copyright (c) 2017. Published by Elsevier B.V. FAU - Ting, Wan-Hua AU - Ting WH AD - Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Banqiao District, New Taipei, Taiwan. FAU - Peng, Fu-Shiang AU - Peng FS AD - Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Banqiao District, New Taipei, Taiwan. FAU - Lin, Ho-Hsiung AU - Lin HH AD - Department of Obstetrics and Gynecology, National Taiwan University College of Medicine and National Taiwan University Hospital, Taipei, Taiwan. FAU - Hsiao, Sheng-Mou AU - Hsiao SM AD - Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Banqiao District, New Taipei, Taiwan; Graduate School of Biotechnology and Bioengineering, Yuan Ze University, Taoyuan, Taiwan. Electronic address: smhsiao2@gmail.com. LA - eng PT - Journal Article PL - China (Republic : 1949- ) TA - Taiwan J Obstet Gynecol JT - Taiwanese journal of obstetrics & gynecology JID - 101213819 SB - IM MH - Adult MH - Apgar Score MH - *Attitude of Health Personnel MH - *Communication MH - *Education, Nursing, Continuing MH - Fetal Distress/diagnosis/physiopathology MH - Heart Rate, Fetal MH - Humans MH - Infant, Newborn MH - Middle Aged MH - Nursing Staff, Hospital/*education MH - Obstetrics and Gynecology Department, Hospital MH - Patient Care Team MH - *Patient Safety MH - Physician-Nurse Relations MH - Young Adult OTO - NOTNLM OT - SBAR OT - communication OT - fetal distress OT - obstetrics OT - safety attitudes EDAT- 2017/04/20 06:00 MHDA- 2017/11/29 06:00 CRDT- 2017/04/20 06:00 PHST- 2016/06/13 00:00 [accepted] PHST- 2017/04/20 06:00 [entrez] PHST- 2017/04/20 06:00 [pubmed] PHST- 2017/11/29 06:00 [medline] AID - S1028-4559(17)30009-8 [pii] AID - 10.1016/j.tjog.2016.06.021 [doi] PST - ppublish SO - Taiwan J Obstet Gynecol. 2017 Apr;56(2):171-174. doi: 10.1016/j.tjog.2016.06.021.