Avaliação do método Situation-Background-Assessment-Recommendation na transferência de pacientes da unidade de terapia intensiva

Dávila Rodrigues de Lima; Dayane dos Reis Araújo Rocha Holanda; Herbert Kauan Alves Martins; Camilo Reuber de Sousa Soares; Cristina Poliana Rolim Saraiva dos Santos; Viviane Martins da Silva

doi:10.36517/2175-6783.20252695479

Authors

Dávila Rodrigues de Lima Universidade Federal do Ceará https://orcid.org/0000-0002-5534-2249
Dayane dos Reis Araújo Rocha Holanda Universidade Federal do Ceará https://orcid.org/0000-0002-1902-5019
Herbert Kauan Alves Martins Secretaria de Saúde do Estado do Ceará https://orcid.org/0000-0003-1952-2960
Camilo Reuber de Sousa Soares Universidade Estadual do Ceará https://orcid.org/0000-0003-1183-2489
Cristina Poliana Rolim Saraiva dos Santos Universidade Federal do Ceará https://orcid.org/0000-0001-9643-0264
Viviane Martins da Silva Universidade Federal do Ceará https://orcid.org/0000-0002-8033-8831

DOI:

https://doi.org/10.36517/2175-6783.20252695479

Keywords:

Nursing, Team; Critical Care; Patient Handoff; Patient Transfer; Hospital Communication Systems; Patient Safety.

Abstract

Objective: to evaluate the completion of the Situation-Background-Assessment-Recommendation tool in the transfer of patients from the intensive care unit to wards. Methods: cross-sectional study. Medical records of patients transferred from the intensive care unit to the wards were analyzed. For data analysis, absolute and percentage frequencies, mean, and standard deviation were measured, and Fisher's exact test and Wilcoxon's test were applied. Results: 60 medical records were included. It was observed that important information, such as vital signs, presence of invasive devices, and clinical assessment, was often not recorded. Most of the transferred patients had complex conditions such as sepsis and multiple comorbidities, which were related to pending issues at discharge. Conclusion: the completion of the Situation-Background-Assessment-Recommendation tool during the transfer of patients from the Intensive Care Unit to the wards revealed gaps, mainly in fields related to vital signs, invasive devices, and pending care. These fields had the highest frequency of incomplete or missing records in the assessments performed. Contributions to practice: the findings contribute to clinical practice by highlighting specific areas that require attention, enabling nursing teams to identify and correct communication process flaws.

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