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SBAR change
SBAR: Improving Communication Between Healthcare Providers

Abstract Verbal and nonverbal communications are essential components of nursing care. It is critical for patient care providers to ensure an accurate portrayal of the patient. The Situation, Background, Assessment, Recommendation (SBAR) protocol is a technique that provides a structure for communication between patient care providers. SBAR was a tool designed to promote efficient care that ensures patient safety.

SBAR: Improving Communication Between Healthcare Providers Missed or ineffective communication can be severe to the life of a patient. A patient’s clinical condition can deteriorate very quickly and the ability to communicate nursing assessment data rapidly and in a way that will be effectively received can mean the difference between life and death. Situation, Background, Assessment, Recommendation (SBAR) is a communication tool that can help patient care providers improve communication during information transfer. Effectiveness in information transfer is important and urgent in high acuity situations where clear and concise communication is critical to patient outcomes. According to Cinahl Information Systems (2012), SBAR has been adopted by many United States hospitals as the preferred form of communication between nurses and physicians.
Current process According to Hannibal Regional Hospital (2007), policy 503.077 patient care providers use a standardized approach when giving report/hand-off called, SHARED. “SHARED: the Situation, History, Assessment, Results/Request, Evaluate need to inform others, and Document technique to communicate patient specific information when transferring care of a patient between or among providers (Hannibal Regional Hospital, 2007).” Policy 503.077 states, the standardized SHARED format is to be used during the following interactions: nurse to nurse, nurse to physician,



References: Beckett, C., & Kipnis, G. (2009). Collaborative communication: integrating SBAR to improve quality/patient safety outcomes. Journal for Healthcare Quality, 31(5), 19-27. Cinahl Information Systems, a division of EBSCO Publishing. (2012). Communication: SBAR technique—using. Glendale, CA: Caple, C. Dunsford, J. (2009). Structured communication: improving patient safety with SBAR. Nursing for Women 's Health, 13(5), 384-390. Haig, K., Sutton, S., & Whittington, J. (2006). SBAR: A shared mental model for improving communication between clinicians. Joint Commission Journal on Quality and Patient Safety, 32(3), 167-175. Hannibal Regional Hospital. (2007). Hand-off communication (503.077). Retrieved from Employee Portal: Policy & procedure; Patient Care Manual: Care of the patient. Riesenberg, L. A., Leitzsch, J., & Cunningham, J. (2010). Nursing handoffs: a systematic review of the literature. The American Journal of Nursing, 110(4), 24-34.

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