APMAdvances in Precision Medicine2424-85922424-9106WHIOCE PUBLISHING PTE. LTD.10.18063/APM.v11i5.2022ArticleResearch on the Application of the PDCA Cycle Combined with the SBAR Model in Nursing Handover in Integrated Medical and Nursing Care Institutionshttps://artdesignp.com/journal/APM/11/5/10.18063/APM.v11i5.2022ShiMeilan,TongXiaoyan,YuanXiuhua20261152026-05-26 Purpose: To explore the effect of applying the PDCA cycle combined with the SBAR model in nursing handover in integrated medical and nursing institutions, so as to provide a basis for improving the quality of nursing handover and reducing the risk of care. Methods: Using the method of before and after self-control, 20 nursing staff, 30 elderly residents, and 30 main caregiver family members in a medical and nursing care institution were selected as the research subjects. The traditional handover model was adopted from October 2025 to December 2025, and the PDCA cycle combined with SBAR was implemented from January 2026 to April 2026. Model handover, compare the incidence of handover errors, execution rate of standardized communication processes, satisfaction of nursing staff, and satisfaction of the elderly and family members before and after the intervention. Results: The total incidence rate of handover errors after the intervention was 5.00%, which was lower than 30.00% before the intervention; the implementation rate of standardized communication processes increased from 75.00% to 95.00%; the satisfaction of nursing staff increased from 80.00% to 95.00%; the satisfaction of older people and their families increased from 76.67% to 93.33%, and the differences were statistically significant (p < 0.05). Conclusion: Using the PDCA cycle combined with the SBAR model in nursing handovers in integrated medical and nursing care institutions can effectively reduce handover errors, standardize the communication process, improve multi-party satisfaction, and play a positive role in improving the quality and safety of care.Integrated medical and nursing care institution,Nursing handover, PDCA cycle,SBAR model,Satisfaction

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