A pilot study on the application of ISOBAR combined with case teaching method in pediatric resident nurses’ clinical handover

Abstract

Objective

To design and evaluate the model combining ISOBAR communication tool with case teaching method, and to explore its influence on the nursing handover level, clinical work ability, nursing teaching quality and nurses’ satisfaction of pediatric resident nurses.

Methods

A total of 84 pediatric resident nurses were selected by random sampling and divided into the experimental group (n = 40) and the control group (n = 44). The experimental group implemented the ISOBAR combined with case teaching method, while the control group adopted the traditional lecture method combined with case teaching method. After 2 months of pediatric standardized training, the nursing handover level was evaluated by the Nursing Assessment of Shift Report (NASR) scale, the clinical nursing ability was evaluated by the pediatric and hospital-wide standardized training assessment results, the teaching satisfaction and willingness to continue in nursing work were evaluated by a 10-point satisfaction questionnaire, and the incidence of nursing adverse events in the two groups was recorded.

Results

The experimental group was significantly better than the control group in dimensions (including patient safety assurance, patient participation promotion, enhancement of nurses’ supervision, cooperation and responsibility) and the total score of the NASR scale (P < 0.05). The experimental group also had significantly higher scores in the pediatric and hospital-wide standardized training assessment results and willingness to continue in nursing work (P < 0.05). However, there was no significant difference in the incidence of nursing adverse events and teaching satisfaction between the two groups.

Conclusion

The combination of ISOBAR and case teaching method effectively improves the nursing handover level and clinical nursing ability of resident nurses, and increases their willingness to continue in nursing work. Simple to implement, this model is well worth further promotion.

Clinical trial registration number

Not applicable, as the study is not a trial.