目的描述低年资护士在电子现状-背景-评估-建议（situation-background-assessment-recommendation，SBAR）交班系统使用情境下的体验，归纳其关注焦点，为后续系统迭代提供线索。方法采用描述性质性研究方法，通过目的抽样选取上海市某三级甲等医院13名使用该系统≥6个月的低年资护士进行半结构式访谈，运用Colaizzi 7步分析法提炼主题。结果共析出3大主题：系统使用便利、系统应用困扰以及系统使用期待。结论院级自研电子SBAR系统在提升交班规范性的同时，仍须面向专科需求优化信息呈现与功能模块，并建立临床科室与信息科协同机制，减轻低年资护士认知负荷，推动护理信息化可持续落地。

Objective To describe the experiences of junior nurses using an electronic Situation-Background-Assessment-Recommendation (SBAR) handover system and summarize their primary concerns,providing insights for future system iterations.Methods With a descriptive qualitative research method,13 junior nurses who had used the system for 6 months or longer in a tertiary A hospital in Shanghai were selected through purposive sampling for semi-structured interviews.Themes were extracted using Colaizzi’s 7-step analysis method.Results Three major themes were identified: convenience of system use,challenges in system application,and expectations for system use.Conclusions While the hospital self-developed electronic SBAR system improves the standardization of handovers,it still requires optimization in information presentation and functional modules to meet specialized needs.It is essential to establish a collaborative mechanism between clinical departments and the information department to reduce the cognitive load on junior nurses and promote the sustainable implementation of nursing informatization.

R47

新华医院护理学科建设项目（HLXKRC2021003）；新华医院学科攀峰计划（XKPF2024C304）