Perceptions, satisfaction, and barriers to SBAR communication among ICU and non-ICU nurses: a multicentre cross-sectional study in Palestinian Hospitals

Résumé fourni par la source

Patient safety depends on effective communication, particularly during handover, shift changes, clinical rounds, and multidisciplinary care. The Situation, Background, Assessment, and Recommendation (SBAR) framework provides a structured approach to communication among nurses and other healthcare professionals. This study examined nurses’ perceptions of, satisfaction with, and perceived barriers to using SBAR in intensive care unit (ICU) and non-ICU settings. This multicentre cross-sectional study included a convenience sample of 208 nurses from two Palestinian hospitals. Participants completed a previously developed questionnaire covering sociodemographic and professional characteristics, satisfaction, perceptions, and perceived barriers. Data were analysed using nonparametric tests and multiple linear regression. Overall, 208 nurses completed the questionnaire. The median age was 27 years (IQR 25.0–29.0). The median satisfaction score was 95 (IQR 89.0–102.0), and the median perception score was 36.0 (IQR 33.0–39.0); item-level responses varied across domains. In bivariate analyses, nurses aged 25–29 years and those with 3–5 years of professional experience had the highest median satisfaction scores ( p < 0.001 and p = 0.001, respectively). In the multivariable models, hospital and previous SBAR training were independently associated with both satisfaction and perception scores. Uncertainty about potential barriers was common: 42.3% selected ‘I do not know’ for time constraints and 41.8% for delayed physician responses. Nurses generally recognised the structured benefits of SBAR, but their experiences varied according to training exposure and institutional context. Practical training, integration into routine workflows, interprofessional engagement, and monitoring of communication-related patient-safety indicators may support more consistent implementation.

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