護理師準備轉送病人至另一單位,SBAR 報告中必須包含哪些資訊?(選所有適合的)
A nurse is preparing to transfer a client to another unit. What information must be communicated in the SBAR report? (Select all that apply.)
- ACurrent primary medical diagnosis✓ 正解目前主要醫療診斷
- BRecent changes in vital signs✓ 正解近期生命徵象的變化
- CThe nurse's personal opinion about the client護理師對病人的個人看法
- DRecommendations for the next shift✓ 正解下一班的建議事項
- ERelevant lab results✓ 正解相關的檢驗結果
SBAR(Situation, Background, Assessment, Recommendation)是一種標準化溝通模式。診斷、生理數據、檢驗報告與後續建議皆為必須,而個人觀點(如對病人的主觀好惡)屬非專業且不相關之資訊,不應包含在內。
SBAR (Situation, Background, Assessment, Recommendation) is a standardized handoff communication tool. Required elements include the current primary diagnosis (Situation), pertinent history and lab results (Background), objective findings such as recent vital sign changes (Assessment), and the recommendations for ongoing care (Recommendation). Subjective personal opinions about the client are unprofessional and should not be communicated.
SBAR 在美已是全面性標準,台灣護理交班近年積極推動 SBAR,但習慣上仍常夾雜過多繁瑣描述,需持續調整。