User talk:Rs13cs/SBAR

Welcome to your talk page. You can use the talk page for conversation and discussion and your sandbox to practice editing. --LynnMcCleary (talk) 21:28, 8 September 2014 (UTC)

Initial ideas and critiques

After reading and reviewing my groups Wikipedia assignment article entitled “SBAR”, I found several areas of the article that could be improved, and many aspects that need to be changed, added and or edited. The first thing I noticed about the article is that it has no introduction to what “SBAR” is, or how this procedure of communication was created. The topic in general does not go into great detail, which leaves the possibilty for leaving important information about "SBAR" out of the article. I believe having an introduction to the topic before it gets into the specifics of “SBAR”, would be appropriate for an article to be considered a “good” article. The introduction could include the history of "SBAR", and how the acronym and method of communication originated. Another aspect that I noticed about the article is that it only has one reference. I believe there should be more references to reference all of the information used to create this article. A third aspect I noticed about this article is that there are no pictures or colour at all to make the article more visually appearing and to create another way to learn about what “SBAR” is. I believe adding some pictures or colour into the article would provide the reader with a different way to understand what the article is really about, rather than just reading paragraphs strictly full of words. The last aspect I noticed about the article is that there are very few external li nks or words that you can click on within the article where you could find more information on the topic. It would be beneficial to have some more external links to help elaborate on the topic of “SBAR”. Overall, there are many things that I believe could be changed or improved in the article “SBAR”. Vs12vf (talk) 00:41, 16 September 2014 (UTC)

We'll learn about images later. You can also ask Giulia. There is a video about images on the student resources page (linked from the course Wikipedia page). --LynnMcCleary (talk) 02:31, 24 September 2014 (UTC)

I agree completely with all the aspects you have said about the article, there seems to be a lot of work that needs to be done before this article can be considered “good” under the eyes of Wikipedia. I have taken a look at Wikipedia’s criteria for a good article and I feel that the article does not meet any of them. To add to the aspects, I believe that the article needs to be re-worded in a lot of different places, especially due to the excessive use of point form. If we were to change the point form to paragraphs as to make the article “well-written” one of Wikipedia’s criteria for a good article. I also noticed the lack of references throughout this article, adding more would allow for a more verifiable article than the present one. This SBAR article, overall needs to be expanded on more thoroughly as well as adding more points of views and research as to how this communication system was developed and why it has become so pertinent in the medical world today. Under each element for the acronym SBAR, there is a lack of explaining, and the points are very much brief and to the point, here, the article could use more explaining. Overall, this article needs to be seriously revamped in order to meet Wikipedia’s high standards. I believe that by adding both my aspects and the ones stated above, will allow for the article to begin to develop into a poor article to an exceptional one. Vr13zk (talk) 01:14, 16 September 2014 (UTC)

I concur with both your points. This article needs a lot of work if it is to become a featured article. To start, I have noticed a couple grammar and punctuation mistakes that may cause confusion to the readers a specific example would be "List if any vital signs that are outside of parameters" (grammar). I believe that proper grammar is a necessity when it comes to becoming a proper article according to Wikipedia's set standards. Furthermore, vs12vf is right. We need pictures maybe even a group picture of the ones who adapted SBAR from being exclusively for naval military procedures to health care. This would not only put a face to the name but would also make our article a bit more visually appetizing to people. It's true that an article full of just words would be a boring article and may cause the reader to lose interest in the subject. Additionally, I have noticed their choice of words have been a bit weird specifically them naming the first section "Example points to include". It seems a tad bit out of place when compared to the rest of the article. I also think we should add more sections since the concept of SBAR is a bit hard to grasp and I believe we need to more comprehensive if we really want this to be an exceptional article. I do agree with what you said, vr13zk, and I have also noticed that they are very vague when it comes to the points on each element and it could use some examples such as the one they did for the other common uses of SBAR. With a little time and some good old fashioned hard work, we could turn this small article into something amazing. Rs13cs (talk) 21:10, 16 September 2014 (UTC)

I agree with all of the suggestions that have been given beforehand because they will help readers understand not only the text but will answer all their questions when it comes to communication in the health care organizations. When I first looked at this article I was completely shocked that how the format,layout and color was displayed. No effort was put in the pictures, color or even highlighting which represents carelessness.Even though SBAR represents communication in the health care organizations, i feel like as if this article makes it look like communication is not that necessary.Improving the format, text size and font will create a more interesting article to catch the readers eye. Also, including graphics on this article such as graphs to show a survey of what the patients in the hospital think about what the health care organizations should improve on and what we can do as a team to exceed their expectations when it comes to communication. This will let the public know that the health care organizations are caring and helpful because they are asking the public and their patients for advice.Next, there is a large amount of white space in this article which can easily lose focus of readers because there is nothing interesting to look at. Adding more information such as situations or stories people had dealt within a health care environment can give readers a more broad aspect in the workplace. For example, there is a certain way of communicating professionally when a patient is asking for advice. Instead of giving advice try to listen and keep good eye contact with the patient so they can release the tension off their body.Furthermore, there needs to be videos on this article to make it more visually appealing, interesting and informative. Including videos will make the readers understand better and not be able to get distracted as easily compared to white space and dull writing throughout the article.Including more references is definitely a must for readers to gain more depth and knowledge that this article doesn't have. Lastly, including modules on how to prepare for proper communication in the health care industry will be more eye appealing because there would be no reading involved, only listening. Which goes hand in hand when it comes to working in a health care environment, always listen. They also can provide different functions of communication ( each module) since it is a very broad topic and requires a lot reading which can be easily distracting. To conclude, this article definitely needs a lot of work done but as long as the group understands what we need to be improving on, then this situation can be successfully handled.Ns14cj (talk) 14:51, 18 September 2014 (UTC)

Moving forward and goals

Okay now that we established that our article needs some work, we should decide on who's doing what and make a clear plan on how to improve this article. Rs13cs (talk) 16:47, 20 September 2014 (UTC)

Agreed, i was thinking we should first figure out exactly what we want to fix, and then make some different headings for each section we want to edit. That way we can discuss each section under the specific heading, making it easier to understand! veronica 17:30, 23 September 2014 (UTC) — Preceding unsigned comment added by Vr13zk (talk • contribs)

I think that one of the major things we should focus on is the breakdown for each SBAR element, I find that it is really brief and doesn’t go into much detail at all. If we were to expand each element it will definitely help with the understanding of the SBAR concept itself. I also think that maybe adding some examples under each section will also provide a broader understanding of the concept. This also relates a lot to communication, which is relevant to what our course focuses on. Maybe we can put a heading for each section on our talk box and organize how we should edit each section that way. What do you guys think? veronica 17:58, 23 September 2014 (UTC) — Preceding unsigned comment added by Vr13zk (talk • contribs)

I agree with what Veronica has said above. I think by adding headings into the article will allow the reader to understand the concept of “SBAR” more easily and in the long run create a more effective article. I think another major topic we should focus on to improve our article is adding more references. I noticed that the article only has one reference. I believe there should be more references to reference all of the information used to create this article. I also noticed the majority of the information used in the “SBAR” was not referenced which creates a problem of its own. Therefore, I think we should find some more references to properly give credit to those sources that contributed to the article. What are your opinions guys? Vs12vf (talk) 21:34, 23 September 2014 (UTC)

I think those ideas are all great, we should all definitely start looking into references and resources to develop the article and improve the content presented. veronica 21:40, 23 September 2014 (UTC) — Preceding unsigned comment added by Vr13zk (talk • contribs)

Both of you presented good points that would surely improve our article. I especially like the idea of putting a heading in the talk box for each specific section since this would really help organize our plans instead of just having one big discussion about the whole article which could become really messy and confusing in the long run. I also like idea of looking for more references. We need more content and to do this we need to look for more resources. I suggest we go to the library and use supersearch to find reputable resources that are relevant to our topic. There are a lot of sources out there in the internet but we need ones that are well-established since we need to get trustworthy sources so that we can make our article verifiable. That is actually one of the key criteria that we need to satisfy in order to become a good article and, in my opinion, the hardest to fulfill. Rs13cs (talk) 22:09, 23 September 2014 (UTC)

I agree, a big messy discussion will be difficult to follow and frustrating. I've added some headings. Headings might help you organize your talk - especially as you move ahead with subtopics for discussion. Threaded discussion of issues might be easier for you follow along. The talk page handout or video on the student resources page might help you to keep it easy to converse. LynnMcCleary (talk) 02:31, 24 September 2014 (UTC)

I think all the ideas presented so far are a great way to begin the process of improving the "SBAR" article! We defiantly should start looking into more resources to help with improving the content given in the article through library sources and any other source that is reliable and well established. Vs12vf (talk) 01:47, 24 September 2014 (UTC)

I agree with the everyone's opinions especially with the fact of including headings throughout our article so it can be easier for readers to read and know what's being read. Random information throughout the page will just show readers how disorganized and careless we actually are which will make them lose their train of thought easier.Secondly, including more references will get readers thinking that we didn't make this information up last minute but we actually have reliable sources which will make the article more eye catching and interesting if anyone is using this article as advice for a real life situation. We definitely have to include more information and go in depth throughout our article for a deeper understanding. Having little to none or minimal information is a sign that this article is basically useless if anyone wants to do some research or just wants to know what "SBAR" is. Lastly, after including information we definitely need to post some pictures so the audience can visualize what is going on throughout the article. This will make it an easier, interesting and a visually appealing read which will attract more readers. Overall, we need to do a lot of improvement on this article.However, it's nice to know that everyone's train of thought is similar to each others and the fact that we will have a lot of points to include in this article for further improvement and to be successful in the end! Ns14cj (talk) 16:21, 24 September 2014 (UTC)

Hey Guys, I am about to add some headings so that communication will be easier to understand on our talk page. Vs12vf (talk) 21:45, 29 September 2014 (UTC)

List of Possible Secondary Sources

Here are the 3 secondary sources that I think might be helpful when doing our Wikipedia assignment. Hopefully, it helps.

Nursing process & critical thinking / Judith M. Wilkinson, PhD, ARNP.

I think this would help define SBAR even further and may even help when trying to understand how to put SBAR into practice. This would be especially useful for nursing students to better understand the concept.

Leadership roles and management functions in nursing : theory and application / Bessie L. Marquis, RN, MSN, Carol J. Huston, RN, MSN, DPA, FAAN.

Just like the previous book, I feel this would help broaden our understanding of the SBAR process, both in paper and in real life practice.

Tips for introducing SBAR in the OR Groah, Linda

This would help our Wikipedia article be more helpful to people especially to fellow nursing students who are trying to integrate the SBAR process to their routine by providing tips and even examples of how to utilize it.

SBAR—It's Not Just Another Communication Tool An article that outlines SBAR's elements and provides an example of how to utilize the technique.

Raising the SBAR: How better communication improves patient outcomes A very comprehensive and well-detailed article about SBAR and its use.

Rs13cs (talk) 22:20, 29 September 2014 (UTC)

Rs13cs, please explain what part of the first book has information about SBAR. It doesn't seem intuitive to me that a book about nursing process would have much if any information about SBAR. I'm thinking you might need a different source but I don't know for sure which book you're using. Also, I think the second source is a book. I don't expect you to summarize a whole book. Please let the group know which chapter or chapters you'll be using. Please add complete references, to help the group identify whether or not there are duplicate sources within the group. LynnMcCleary (talk) 01:15, 7 October 2014 (UTC)

LynnMcClearyThanks for letting me know. You were right. The two books provided little to no useful information since the books only touched on the concept of SBAR and as such I have changed those first two sources into journal articles which I have found to be very pertinent to our topic.

Hey guys, so I also found three sources that i think could help develop our article as a whole as well as add to the individual SBAR headings already in the article.

Nursing Interventions & Clinical Skills 5th edition Anne Griffin Perry, Patricia A. Potter, Martha Keene Elkin

Unit two, procedural guideline 2.2 

This book outlines the basic process of SBAR communication, which could be used to help further explain what SBAR is in the opening paragraph.

Canadian Jensen’s nursing health assessment: a best practice approach Tracy C. Stephen Chapter 5 page 84 Reflects on nursing practices and can also be used to describe SBAR. We can take parts of this to help develop the introduction and develop other paragraphs that discuss SBAR more in depth.

The SBAR communication technique: Teaching Nursing Students Professional Communication Skills. Nurse Educator Defines SBAR in depth, while also giving applications of SBAR in general. This will definitely be able to be used to help enhance our article overall. We can also use this to ass to the SBAR individual headings. Vr13zk (talk) 14:24, 30 September 2014 (UTC)

Hey guys! Here are my three sources that i found that could be useful when editing our SBAR page.

Bedside Reporting and SBAR: Improving Patient Communication and Satisfaction

Author Information: Novak, Kathleen BSN, CPNa, Fairchild, Roseanne PhD, RN, CNE, NE-BC

http://eds.a.ebscohost.com/eds/detail/detail?vid=5&sid=e4fefa03-4703-4ee3-b3a7-9ba4d742368e%40sessionmgr4005&hid=4105&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#db=edsgao&AN=edsgcl.306570856

http://www.sciencedirect.com/science/article/pii/S0882596312002692#

I believe this online article will be a great source to help edit our SBAR page because it clearly outlines SBAR’s use in the communication process of how nurses communicate with patients. This article talks about the benefits of using SBAR with patients increasing and improving patient and family satisfaction. It also talks specifically about how SBAR could be useful when working with pediatric patients developing a trusting relationship with their nursing team as well as may other aspects allowing the room for patient and family satisfaction.

Using SBAR Communications in Efforts to Prevent Patient Rehospitalizations

Author Information: Narayan, Mary Curry MSN, RN, HHCNS-BC, COS-C

http://eds.b.ebscohost.com/eds/detail/detail?vid=4&sid=e1303599-47f6-4b9f-a99e-d5ba1ebd9727%40sessionmgr198&hid=120&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#db=cin20&AN=2012385449

I believe this online article will be a great source to help edit our SBAR page because it talks about the evolution of SBAR in communication and talks about how SBAR can be used to achieve effective communication within the health care system.

Structured Communication: Improving Patient Safety with SBAR

Author Information: Dunsford Jennifer RN, BN

http://onlinelibrary.wiley.com/doi/10.1111/j.1751-486X.2009.01456.x/full

I believe this online article will be a great source to help edit our SBAR page because it gives a general overview of what SBAR actually is, and how SBAR works as a communication tool, which could be helpful to add in to our introduction when it comes to editing our article. Vs12vf (talk) 22:33, 29 September 2014 (UTC)

I also think the references Rs13cs used will definitely be able to help us as well, good job guys! Vr13zk (talk) 22:26, 29 September 2014 (UTC)

Vr13zk, please provide the citations for your sources. At least one of the links doesn't work when not at Brock. I think one of the sources is a primary source (a research report), not a sectondary source. LynnMcCleary (talk) 22:53, 29 September 2014 (UTC)

LynnMcCleary thank you for the heads up, but i think you may have confused mine and Vs12vf resources, mine are above hers and do not have links.\

LynnMcCleary (talk) 22:53, 29 September 2014 (UTC)Thank you for the feedback! I found a new article and added citations! Hopefully the new article will be okay! Vs12vf (talk) 20:13, 1 October 2014 (UTC)

I also have more secondary sources that will help with our Wikipedia page! http://journals1.scholarsportal.info.proxy.library.brocku.ca/details/03009572/v84i0009/1192_sincarapapis.xml : This journal will help improve the SBAR wikipedia page because it gives evidence on how it improves communication between workers in a health environment ( nurse and physician)

http://www.ihi.org/resources/Pages/Tools/SBARToolkit.aspx: This article gives readers a general idea of SBAR communication and get the idea across easily with its simplicity.

http://ovidsp.tx.ovid.com.proxy.library.brocku.ca/sp-3.13.1a/ovidweb.cgi?QS2=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  : This article will give readers more depth about SBAR communication and how it affects patients Ns14cj (talk) 06:07, 25 October 2014 (UTC) Ns14cj (talk) 06:05, 25 October 2014 (UTC)

Ns14cj, these are secondary sources but I'm not sure about credibility. Please use academic sources or sources from credible government or non-governmental organizations. For example, at the bottom of one of the web pages you cite, there is a link to an SBAR toolkit from the Institute for Healthcare Improvement. I think the toolkit would be credible and quite relevant to your editing. LynnMcCleary (talk) 01:15, 7 October 2014 (UTC)

Lynn's early feedback

You're off to a great start. You clearly have lots of room to enhance this article and move it towards meeting good article criteria. I think getting there is beyond the scope of this assignment. There might be too much to add (though I could be wrong). I advise you to set a few goals of what you want to achieve and make sure they are manageable in the time that you have for this assignment - it shouldn't take over your lives. Hopefully you'll find out something about the problem that SBAR aims to address and more details about how it works. It would be interesting to know if there is evidence that it makes a difference. LynnMcCleary (talk) 02:31, 24 September 2014 (UTC)

I think you may need some help with finding secondary sources for your article. There will likely be more primary research articles than secondary sources (these could help you understand SBAR but they can't be used in the end for your Wikipedia edits as sources). I can help you, as could Elizabeth Yates.LynnMcCleary (talk) 02:31, 24 September 2014 (UTC)

Professor advice re: summaries and collaboration

Vr13zk, Rs13cs, Ns14cj, and Vs12vf , you’ve got some great sources. It’s great that you are already posting your summaries. I have some suggestions for you for your next steps – to help you keep your work manageable and within the scope of this assignment. Keep your expectations of yourselves reasonable and keep your focus. Thinking about the communication model we learned in the first week of class might be helpful.

See the course page for information about your tasks due October 22.

Your summaries should be between 250 and at most 400 words for each source. Try not to make them long. If there aren’t 250 words worth of information in your source, don't blather on to fill space – but I don’t think this will be the case for your sources. I am looking for summaries I can understand and that are logical and coherent. You'll need to really focus in on the heart of the relevant findings. You should be aiming to tell your group members what the key messages are in your sources and how you think the information fits or doesn't fit with the article (it's okay if you logically determine that it wouldn't add to the article). If there is repetition within your sources, you should note that. Hopefully there is. Each summary should have a citation that is acceptable for Wikipedia and that has the information needed for a reader to verify your interpretation by finding your source. Links that only work within the university aren’t user friendly for me or your group members. If there is information that you can’t paraphrase, indicate quotes with quotation marks and page numbers.

When you've got your summaries done, hopefully there will be some themes and repetition among your summaries. Your job then is to collaboratively decide on what deserves to be suggested as an edit for the article and craft summaries of what your group found that could be incorporated in the article. That might be citations for information that is already there or new information. Discuss why your new information is relevant to the article.

I can copy your article over to your sandbox so you can practice editing before you make any suggestions to the editors of the SBAR article. If you want me to do that, let me know by email or by using my user name in a response to this post. As always, I'm available to guide you.

Don't forget to sign your posts. I look up your contributions by user name for grading. If you don't sign your posts, you won't get credit for them when I'm grading.LynnMcCleary (talk) 01:15, 10 October 2014 (UTC)

Summary of possible sources

Nursing health assessment: A best practice approach Chapter 5 page 85' citation:Stephen, T. C., & Jensen, S. (2012). Canadian Jensen's nursing health assessment : a best practice approach / Tracey C. Stephen ... [et al.]. Philadelphia : Wolters Kluwer Health/Lippincott Williams & Wilkins, c2012.

This source gives an overall summary of SBAR. It outlines who first developed this approach, Kaiser Permanente, who supports the approach, Institute for Healthcare Improvement and gives the four SBAR steps. It also explains when SBAR should be used in clinical care. SBAR is a communication method more geared towards health care professionals communicating with each other rather than communication with patients. It also gives an example as to how SBAR should be used while communicating with other health care professionals. We could use this source to help clean up the introductory paragraph, by adding some background information to the concept of SBAR, as well as use the case study to help other readers understand exactly how and when SBAR communication should be used. Vr13zk (talk) 02:24, 14 October 2014 (UTC)

That's a great idea. This way we can introduce our concept better and maybe even interest the reader. Rs13cs (talk) 01:19, 20 October 2014 (UTC)

Nursing interventions and clinical skills; Perry. Potter. Elkin Page 24, procedural guideline 2.2 citation: Perry, A. G., Potter, P. A., Elkin, M. K., & Ostendorf, W. (2012). Nursing interventions & clinical skills / [edited by] Anne Griffin Perry, Patricia A. Potter, Martha Keene Elkin ; section editor, Wendy Ostendorf. St. Louis, Mo. : Elsevier/Mosby, c2012.

Also gives a brief summary of SBAR and when it can be used. However, what I find most useful about this source is that it gives a brief but informative breakdown as to steps to using SBAR communication and what to say for each stage using an example of transfer of care. We could incorporate this step-by-step example into the section after the breakdown of each individual SBAR step. This would allow the readers to better understand the SBAR communication procedure as well as put all four of the concepts into perspective. Vr13zk (talk) 02:24, 14 October 2014 (UTC)

I think examples are a great way to help our readers understand our concept. I actually have some perioperative examples from my source and maybe we could use both of them to allow for better understanding. What do you think? Rs13cs (talk) 01:19, 20 October 2014 (UTC)

Rs13cs yeah, i definitely think we should use the examples you have as well! The more examples we have the better the readers will understand how SBAR actually works in terms of communicating with health care professionals. Vr13zk (talk) 21:25, 21 October 2014 (UTC)

Vr13zkThat was exactly what I was thinking, awesome!! Great minds think alike ;) Rs13cs (talk) 16:02, 28 October 2014 (UTC)

The SBAR communication technique: Teaching nursing students professional communication skills Volume 34, no. 4, pp. 176-180 citation: Thomas, C., Bertram, E., & Johnson, D. (2009). The SBAR communication technique: teaching nursing students professional communication skills. Nurse Educator, 34(4), 176-180. doi:10.1097/NNE.0b013e3181aaba54 This source discusses in depth how SBAR works and the appropriate times to use them. It also gives a summary of the background of SBAR, being the military and how it was transferred over to the medical field. It also discusses the need for SBAR communication in our health care system as new nurses are lacking in the appropriate skills to communicate with physicians. It also goes on to describe each aspect of SBAR in depth: Situation: communicate what is happening Background: provide a structure of background information Assessment: formulating a complete health evaluation Recommendation: offering solutions We can use this to enhance each section of SBAR in our article, this will allow for a better understanding of each word and when to use it appropriately. So those are my summaries of each! Let me know what you guys think about these alright?! Vr13zk (talk) 21:31, 9 October 2014 (UTC)

Bedside Reporting and SBAR: Improving Patient Communication and Satisfaction: Author Information: Novak, Kathleen BSN, CPNa, Fairchild, Roseanne PhD, RN, CNE, NE-BC

Citation: Novak, K., & Fairchild, R. (2012). Bedside Reporting and SBAR: Improving Patient Communication and Satisfaction. Journal of Pediatric Nursing, 27(6), 760-762. Retrieved October 9, 2014, from http://www.sciencedirect.com/science/article/pii/S0882596312002692#

This article concisely talks about the findings and evidence involved in determining if nurses giving reports at the beside of a patient using the SBAR communication model provides for more effective and enhanced family and patient outcomes on pediatric units, when compared to nurses giving reports outside of the patients room using a format of the nurses choice.

SBAR is a model used in communication that standardizes information to be given and lessons on communication variability, making report concise, objective and relevant.

Using SBAR when producing beside reports is said to increase patient and family satisfaction and also increases their level of comfort when dealing with outlying situations. Using SBAR allows patients to have the time to ask any questions that they might have, and allows patients to gain exact knowledge of information related to their plan of care. SBAR allows patients to be fully aware of whom there nurse is on every shift and gives patients a sense of comfort knowing that there will always be someone around looking after them during shift change. As a whole, using SBAR with beside charting provides many benefits for the patient and their families. Vs12vf (talk) 00:26, 11 October 2014 (UTC)

Vs12vf This is great. I definitely think we should make a section about the effects of SBAR use. What do you think? Rs13cs (talk) 16:26, 28 October 2014 (UTC)

Using SBAR Communications in Efforts to Prevent Patient Rehospitalizations: Author Information: Narayan, Mary Curry MSN, RN, HHCNS-BC, COS-C

Citation: Narayan, M. C. (2013). Using SBAR Communications in Efforts to Prevent Patient Rehospitalizations. Home Healthcare Nurse, 31(9), 504-515. Retrieved October 9, 2013, from http://eds.b.ebscohost.com/eds/detail/detail?vid=4&sid=e1303599-47f6-4b9f-a99e-d5ba1ebd9727%40sessionmgr198&hid=120&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#db=cin20&AN=2012385449

This article talks about the evolution of SBAR. The SBAR communication model was created in 2002, when the Kaoser Permanente Health Bonacum to investigate patient safety. To alleviate communication problems, the high-risk aeronautic industry adopted the Situational Briefing Model communication method from the nuclear submarine industry. After much research and experiments with the SBAR communication model, SBAR communication was later adopted by many health care organizations and it continued to demonstrate collaboration between health care professionals and strengthen relationships with patients and their families. Utilizing SBAR decreases incidents within healthcare and provides patients with enhanced patient care. Vs12vf (talk) 00:26, 11 October 2014 (UTC)

Structured Communication: Improving Patient Safety with SBAR: Author Information: Dunsford Jennifer RN, BN"'

Citation: Dunsford, J. (2009). Structured Communication: Improving Patient Safety with SBAR. - Nursing for Women's Health. Retrieved October 9, 2014, from http://onlinelibrary.wiley.com/doi/10.1111/j.1751-486X.2009.01456.x/full

SBAR is a model used in communication, most commonly used in a hospital setting between patients and the nurse. SBAR communication can also be used before high-risk procedures such as surgery or any or of care taken place in the hospital.

When SBAR is used in communication the first step is for the speaker to present the situation, by identifying her or himself, stating the patients name and describes the problem. The second step is when the speaker then provides the background to the patient’s medical history, diagnosis and reason as to why they are in the hospital. The third step used in SBAR is the assessment, where vital signs, qualitative and quantitative examinations and results are provided. The fourth and final step is the action step known as recommendation where suggestions and support is given to appropriately address the patient’s situation or problem. Although this model sounds complex, it is known to be very simple and a very effective way to communicate between the nurse and the patient and can serve its purpose as a checklist for information received by the patient or another party in high risk situations for nursing communication. Vs12vf (talk) 00:26, 11 October 2014 (UTC)

I think Veronica's summaries will be very helpful when we begin to edit our page! Let me know what you guys think about my summaries! Good job so far everyone! Vs12vf (talk) 00:15, 10 October 2014 (UTC)

Awesome job. We could definitely use your part about the evolution of SBAR when talking about the origins and history of out concept.Rs13cs (talk) 01:26, 20 October 2014 (UTC)

Tips for introducing SBAR in the OR

Differences in communication styles between different health care providers led to the introduction of SBAR by Kaiser Permanente. Physicians were straightforward and asked about the problem in contrast nurses utilize the gentle approach to encourage a therapeutic relationship and lessen stress. Tips to implement the concept of SBAR were offered both for the physicians and nurses.

Tips included preparation of the environment to allow better communication and to encourage learning and to not judge people by their mistakes but instead see mistakes as problems of the system that should be evaluated and rectified. Another tip is the incorporation of SBAR into a scheme to allow for opportunity for use. Furthermore, learning a new technique should be done as a team. Not only nurses but even physicians particularly should know SBAR especially since they would be one of the beneficiaries of the technique. Furthermore, physicians should be open-minded to the technique and would be nostalgic due to the similarities to SOAP (Subjective, Objective, Assessment, Plan), a technique for medical documentation. Scenarios and templates should also be developed. By making a template of likely questions physicians ask, nurses would be able to provide the necessary information to physicians and with continued practice be able to hone their skills and become more efficient as time comes.

QUESTION

Examples of how SBAR was utilized in perioperative situations were also provided although I'm not exactly sure if we should put that into our page. What do you guys think? Rs13cs (talk) 01:07, 20 October 2014 (UTC)

Rs13cs Like i said above, i think the more examples we have the better so yeah lets use them!Vr13zk (talk) 21:25, 21 October 2014 (UTC)

Vr13zk Alright that's a great idea but I also think that we should limit our examples too so that our whole article isn't just comprised mainly of examples. Rs13cs (talk) 16:06, 28 October 2014 (UTC)

Situation: "Mary, I'm going to be sending Mrs Porter over to you in a few minutes for repair of her fractured ankle. I want you to know what's going on with her. I'm concerned about her emotional status. I've also alerted Dr Anesthesia and Dr Surgeon about my concern, but they have agreed to go ahead with the surgery because she needs this procedure to salvage her foot."

Background: "She was in an auto accident last Friday, and her husband was killed. Her children are all at the j funeral home making arrangements for his burial. She's made some comments about not wanting to live. Her vital signs are stable; the foot is cool and slightly mottled. We've just given her some Versed."

Assessment: "I think her emotional status is such that this will be a very difficult period of time for her, especially during induction and awakening from anesthesia."

Recommendation: "I suggest that you meet her as soon as possible and j stay with her during induction and emergence from anesthesia."

Anesthesia provider to nurse in postanesthesia care unit

Situation: "Sue, this is Mr Smith. We've just completed a colon resection on him."

Background: "He's 72 years old, and the procedure was done for colon cancer. He also has emphysema and his O2 saturation has not been very good since extubation."

Assessment: "His current O2 saturation is 85%, with respirations of 6 per minute. Other vital signs are stable, dressings are clean and dry, and he's starting to respond to voices."

Recommendation: "Please put him on 5 liters of O2 and keep me informed of his O2 saturation and other vital signs."

Citation : Groah, L. (2006). OR Manager.ProQuest Nursing & Allied Health Source, 22(4), 12

http://search.proquest.com.proxy.library.brocku.ca/docview/213039707/fulltext?accountid=9744

Rs13cs (talk) 03:22, 20 October 2014 (UTC)

SBAR—It's Not Just Another Communication Tool

This article provides the basics about SBAR such as the definition of the acronym and questions as to what information should be in each element. This allows people to better understand the concept of each element and gives them the opportunity to utilize SBAR effectively. It also talks about the importance of introducing oneself and purpose before utilizing SBAR and reflecting whether the information is relevant and timely and not something people already know. It also provides an example of SBAR being utilized. SBAR is most appropriately used during a patient hand-off between a case manager, another unit, or another level of care. Through the use of SBAR, hand-offs would provide not only content but also context which might have been overlooked by general checklists or forms.

Example

Situation: Mr. MacDuff is a Medicare patient who came into the emergency department (ED) with complaints of chest pain. In the ED, his findings from cardiac markers, electrocardiogram, and chest radiograms were normal. He was admitted to telemetry for further workup.

Background: He states that his chest pain has been on-and-off for over a week, starting from after his Thanksgiving festivities. He has a history of asthma, pneumonia, and gastroesophageal reflux disease.

Assessment: On Day 2, the findings from a stress test were also normal. I do not think Medicare will consider this inpatient admission appropriate.

Recommendation: I would like to change his status from inpatient to observation. I will have to initiate a form called a “code 44,” which will correct his admission status.

Citation

Powell, S.K. (2007). SBAR-It's Not Just Another Communication Tool. Professional Case Management 12(4), 195-196.

doi:10.1097/01.PCAMA.0000282903.67672.fa

Rs13cs (talk) 03:07, 20 October 2014 (UTC)

Raising the SBAR: How better communication improves patient outcomes

This article outlines problems between physicians and nurses due to differences in education. Nurses are taught to be detailed while physicians are taught to be brief. These differences lead to problems such as frustration and misunderstanding. It also talks briefly how SBAR came to be. Kaiser Permanente of Colorado adapted SBAR from the military to not only overcome communication barriers but also relay necessary information by providing a structure when conveying said information. It was first implemented to the rapid response teams(RRT) and was proven to be very effective.

Unlike the previous article, this article gives more comprehensive and detailed information about each element of the acronym. For situation, the main point would be to answer "what is the situation?" Then one identify oneself, patient's name and any other useful information such as room number(location) also answer when it occurred and how severe. All this information must be given in no more than 10 seconds. For background, one must provide more information such as the patient's admitting diagnosis and date of admission, any clinical information related to the current problem, most recent mental status, vital signs, pulse oximetry, current medications, allergies, intravenous (I.V.) fluids and lab results. Don't give unnecessary information that's not pertinent to the call. For assessment, think about the what you think is going on and even speculations are helpful. If unsure of the root cause, try to ascertain which body system might be associated with the problem and also state whether the said problem is life-threatening. Lastly for recommendation, one should state suggestions and what is required from the physician? Some examples are asking the physician to come and check on the patient, transfer the patient to a higher level of care, or give an order for medication. Be sure not to end the call until information about when to call back or when the physician is coming has been given.

Preparation is an integral part of SBAR and as such one must be ready for any question the physician may ask. Review the patient's medical record and read the notes. Discussion with another colleague may help. Be sure to have the patient's medical record, medication administration record, and patient flow sheet before calling a physician. Be ready with any other useful information such as lab results if pertinent.

SBAR can also be used in giving or receiving reports on patients, sending patients for a procedure or even bedside procedures. SBAR is a difficult concept to learn and as such requires thorough education about the subject matter complete with necessary follow-up. A supportive environment, role-playing, and a skills assessment may help with the process. Further emphasis must be given on recommendation since it has been seen the the R in SBAR has been the weak point of nurses.

Example ( I have another one but it might be too long )

S—You call the physician and give your name and your unit, then say, “I'm calling about Thomas Gee in room 1564. He's complaining of an itchy, maculopapular rash on his chest.”

B—“He was admitted 3 days ago for right lower lobe pneumonia and exacerbation of his COPD. He's receiving 5% dextrose in 0.45% sodium chloride solution at 100 mL/hr and cefazolin 500 mg I.V. every 8 hours.”

A—“His vital signs and pulse oximetry values are stable. His only complaint is the rash.”

R—“I'm concerned that he might be having an allergic reaction to the antibiotic, and he's due for another dose. I think this antibiotic should be discontinued and another ordered. He also needs something for the rash and his pruritus. Could you put the order in the computer now, so he can get an antibiotic when it's due, and also get relief for his rash?”

Citation

Pope, B. B., Rodzen, L. & Spross, G. (2008).Raising the SBAR: How better communication improves patient

outcomes.Nursing, 38(3), 41-43. doi:10.1097/01.NURSE.0000312625.74434.e8

Rs13cs (talk) 03:22, 20 October 2014 (UTC)

Rs13cs Good job! i really like your sources, i think we can use a lot of the last one to help describe what SBAR actually is! Vr13zk (talk) 21:25, 21 October 2014 (UTC)

Vr13zk Thanks, I think that last article was very informative too and even helped me have a better understanding of the concept. Rs13cs (talk) 16:06, 28 October 2014 (UTC)

Curry Narayan, M. (2013). Using SBAR Communications in Efforts to Prevent Patient Rehospitalizations. Home Healthcare Nurse, 31(9), 504-517. doi:10.1097/NHH.0b013e3182a87711

In this article, it tells us how difficult it is to get your message across when it comes to communication skills. Effective communication is needed in the home health care system to prevent hospitalizations and overall improve the patients health. However, the opposite is happening in hospital environments where the rates are too high and patient outcomes are lower. On top of that, the nursing and and physician education are taught in two different ways. Nurses communicate using a timeline descriptive communication method where physicians use bullet points to communicate.Since, there are two different communication methods both physician and nurse often get confused with the levels of communication in a hospital environment. To decrease communication problems, the aeronautic industry used a communication method called Situational Briefing Model from submarine industry. This model involves four steps: Communicate the problem, provide background information, state the analysis and give a resolution for the problem. This is also known as SBAR communication. After using this method in a real life situation Bonacum and his collegues realized that this same method could be used in hospital environments for communication purposes. After having this method used in many medical environments, it has proved to decreased incidents and provided better patient care. SBAR is used in home care, before making a phone call to the physician and giving the SBAR report.However, when SBAR communication fails then its time for the clinicians to opinion the concerns by using CUS. C:I am concerned because... U:I am uncomfortable because.. S: The safety of the patient is at risk because...

Clinicians should use this method when they feel as if the physician is not listening to their opinion or is making the wrong decision regarding the patient. Ns14cj (talk) 08:27, 26 October 2014 (UTC)

Good job Ns14cj. We could definitely use this when discussing the importance of SBAR. Rs13cs (talk) 16:26, 28 October 2014 (UTC)

De Meester, K., Verspuy, M., Monsieurs, K., & Van Bogaert, P. (n.d). SBAR improves nurse-physician communication and reduces unexpected death: A pre and post intervention study. Resuscitation, 84(9), 1192-1196.

In this article, it shows an example of how SBAR makes a big difference to working relationships in a medical environment. In a study, The Joint Commission International Patient Safety Goal states that communication between health care workers need to improve. So, SBAR was introduced to 16 nurses and used this method with physicians on patients that were getting progressively worse. A pre and a post study was created and a questionnaire was used to measure the communication and the involvement between the nurse and the physician. In the results, the total score on the questionnaire increased in nurses, number of planned ICU admissions increased and unexpected deaths decreased. Overall, an introduction to the SBAR method in medical services has completly changed the outlook of not only the health professionals on communication but the patients as well. Ns14cj (talk) 08:27, 26 October 2014 (UTC)

Ns14cjThis is amazing. This could be in the effects of SBAR use and would be a great addition to our article. Rs13cs (talk) 16:26, 28 October 2014 (UTC)

SBAR Toolkit. (2014). SBAR Toolkit. Retrieved October 24, 2014, from http://www.ihi.org/resources/Pages/Tools/S

SBAR was created from the US navy at Kaiser Permanente because physicians and nurses point of view of team work and communication was different.Creating a method that was similar for health professionals connect on got them thinking on the same base. SBAR is a useful and easy way to communicate information.

S= Situation ( statement of problem) B= Background ( brief information related to the situation) A= Assessment ( what you found/think) R= Recommendation ( what you want) Ns14cj (talk) 08:27, 26 October 2014 (UTC)

Hey Ns14cj great job summarizing the articles but if I may, I suggest you bold the titles to show where the summaries start and end so we can be more organized. Rs13cs (talk) 16:26, 28 October 2014 (UTC)

SBAR edits

Hey guys, I just copied the SBAR article into our sandbox so we can start editing and adding more information to it. I think we should divide the article into sections and structure the talk page into the same sections to discuss what we edited/added with others. This way we can stay organized and be able to collaborate easier. So what do you guys say? You ready to get this party started? ;) Rs13cs (talk) 16:14, 28 October 2014 (UTC)

Hey Jack and everyone!! :) Thats amazing, thank you so much for doing that! I agree with you, I think dividing the article into sections and dividing the talk page into the same sections will promote a more effective and easy way to communicate with each other to see what we have edited or added to the page. I'd say we are defiantly working in the right direction and I can't wait to begin to edit our article! :) Vs12vf (talk) 18:03, 28 October 2014 (UTC)

We should probably start incorporating all this information and moving it to our main sandbox page. Rs13cs (talk) 15:50, 3 November 2014 (UTC)

Thanks Jack for getting us started up ! We should definitely start putting our information up on our main sandbox page! Good luck everyone :) Ns14cj (talk) 16:27, 3 November 2014 (UTC)

Abstract

SBAR is a way for health care professionals to communicate effectively with one another, it allows for important information to be transferred accurately. The format of SBAR allows for short, organized and predictable flow of information between professionals, improving communication skills . Vr13zk (talk) 21:54, 2 November 2014 (UTC)

The SBAR communication model has become the standard for communicating across medical based professions such as nursing. SBAR communication has established its effectiveness at improving patient’s outcomes, enhancing the satisfaction of patients and clients and helping to stabilize and regulate healthcare costs. SBAR is also recognized for assisting home healthcare professionals with efforts to prevent hospitalizations when avoidable. SBAR allows health care professionals to effectively and efficiently communicate with one another, allowing for the promotion of better patient outcomes. Vs12vf (talk) 18:03, 4 November 2014 (UTC) This communication method can also be used in staff education, information on new procedures, team meetings and even email communication.Ns14cj (talk) 20:25, 4 November 2014 (UTC)

Situation-Background-Assessment-Recommendation (SBAR) communication has become the main standard for communication in different ways. SBAR is an advantage to communication because it improves the overall health of the patient, increases patient and medical environment satisfaction , controls health care costs and prevents hospitalizations. Getting your message across in not only hospitals but various medical environments is actually difficult. Basically, the higher the risk of communication means that the message is more important which leads to a difficulty of good communication in an environment. Effective and efficient communication is just as important in the home health care setting as it is in the medical environments because it prevents hospitalizations and increases the chances of improved patient health. Since, hospitalization rates are too high and are still increasing it is evident that there is a failure of communication in both home environments and medical environment ( acute) between physicians and other team members. Ns14cj (talk) 01:08, 5 November 2014 (UTC)

TO MOVE TO ARTICLE

The SBAR communication model has become the standard for communicating across medical based professions such as nursing. It is a way for health care professionals to communicate effectively with one another, and also allows for important information to be transferred accurately. The format of SBAR allows for short, organized and predictable flow of information between professionals, improving communication skills . This form of communication has established its effectiveness at improving patient’s outcomes, enhancing the satisfaction of patients and clients and helping to stabilize and regulate healthcare costs; it has also been recognized for assisting home healthcare professionals with efforts to prevent hospitalizations when avoidable .

-ready to move into article. Vr13zk (talk) 00:34, 5 November 2014 (UTC)

History

SBAR first was developed by the military, then adapted for the aviation industry then it was put into use in health care and adopted by the Kaiser Permente of Colorado (Thomas et al., 2009). Vr13zk (talk) 21:51, 2 November 2014 (UTC)

The SBAR communication model was created in 2002, when the Kaiser Permanente Health Bonacum to investigate patient safety. To alleviate communication problems, the high-risk aeronautic industry adopted the Situational Briefing Model communication method from the nuclear submarine industry. SBAR communication was later adopted by many health care organizations and it continued to demonstrate participation and teamwork between health care professionals and strengthen relationships with patients and their families. Utilizing SBAR decreases incidents within healthcare and provides patients with enhanced patient care. Vs12vf (talk) 18:09, 4 November 2014 (UTC)

The implementation of SBAR was traced from the differences in communication styles. The detailed approach by nurses and the brief approach by physicians was the root of the problems in communication.

SBAR was first implemented to the rapid response teams(RRT) and was proven to be very effective. Rs13cs (talk) 15:45, 3 November 2014 (UTC)

Kaiser Permanente regulated a communication tool that the US Navy has used (SBAR). This all started when they were confused and worried about how both nurses and doctors had a different point of view of teamwork. Doctors thought the medical environment was a great teamwork environment and goals were shared where nurses thought the exact opposite. Ns14cj (talk) 11:52, 5 November 2014 (UTC)

To move to the article:

SBAR was first developed by the military specifically the nuclear submarine industry, then the aviation industry adopted a similar model before it was put into use in health care where it was first implemented to the rapid response teams(RRT) .

It was then adopted by Michael Leonard, Doug Bonacum, and Suzanne Graham of the Kaiser Permanente of Colorado in 2002, to investigate patient safety. The main purpose was to alleviate communication problems traced from the differences in communication styles between healthcare professionals such as the detailed approach by nurses and the brief approach by physicians. SBAR communication was later adopted by many other health care organizations and it continued to demonstrate participation and teamwork between health care professionals and strengthen relationships with patients and their families .

It's so hard to summarize all this but tell me what you guys think? Rs13cs (talk) 23:44, 3 November 2014 (UTC)

Its really good, i just edited it and cut it down a bit more, its ready to move over to the article now! Vr13zk (talk) 00:44, 5 November 2014 (UTC)

Elements

Situation What is going on, and why are health care professionals needed? Vr13zk (talk) 21:47, 2 November 2014 (UTC)

• communicates what is happening

"Background What is the background of the patient? . Vr13zk (talk) 21:47, 2 November 2014 (UTC)

• provides structure

Assessment What is your survey of the situation? Vr13zk (talk) 21:47, 2 November 2014 (UTC)

• makes a complete health assessment

Recommendation How should the situation be corrected? Vr13zk (talk) 21:47, 2 November 2014 (UTC)

• offer possible solutions

SITUATION: become familiar with yourself, your surroundings and the patient. Identify the problem and your concern and provide a brief description of it. Be able to describe what is going on with the patient and why they are experiencing what is going on. During this stage of the communication, you should be able to describe the reason for presenting this type of communication. Vs12vf (talk) 00:58, 3 November 2014 (UTC)

BACKGROUND: you should be able to identify and provide the diagnosis or reason for the patient’s admission, their medical status and history. During this stage you should have the patients chart ready and provide as much important medical based information required for the set up of the assessment data. Vs12vf (talk) 00:58, 3 November 2014 (UTC)

ASSESSMENT: Be able to provide information on medical based aspects of the patient such as vital signs, recent labs and other quantitative or qualitative data that might be available. Determine whether or not a diagnosis at the time is appropriate. If it is appropriate, provide a temporary diagnosis, and if it is not, shows signs of empathy and concern. Vs12vf (talk) 00:58, 3 November 2014 (UTC)

RECOMMENDATION: give very precise and descriptive explanations on exactly what you need during that time frame. Be alert and be able to figure out what is needed as quickly as possible to fix the problem. Vs12vf (talk) 00:58, 3 November 2014 (UTC)

Additional information:

• Preparation is an integral part of SBAR and as such one must be ready for any question the physician may ask. Review the patient's medical record and read the notes. Discussion with another colleague may help. Be sure to have the patient's medical record, medication administration record, and patient flow sheet before calling a physician. Be ready with any other useful information such as lab results if pertinent.

S - Should last no more than 10 seconds

B - Avoid impertinent information unless asked.

A - Speculations maybe useful when cause is undetermined.

R - Suggesting ideas to physicians are a weak point of nurses.

Rs13cs (talk) 15:10, 3 November 2014 (UTC)

S= Situation- Brief but comprehensive statement of the problem

B=Background- Appropriate and brief information that is related to the situation

A=Assessment- What information you found and what you think about it

R=Recommendation- What action should be taken place/ recommended ( What you want) Ns14cj (talk) 12:15, 5 November 2014 (UTC)

Summarized version:

The SBAR system is used to create a structured and standardized communication format between health care workers. Each element represents an integral part of the concept of SBAR. The following is a quick guide for things to remember for each SBAR element:

Situation

What is going on, and why are health care professionals needed? Vr13zk (talk) 21:47, 2 November 2014 (UTC)

• communicates what is happening

Note:

Identify the person to whom you are speaking

Identify yourself, occupation and where you are calling from

Identify the patient by name, age, sex, reason for admission

Identify what is going on with the patient (Chest pain, nausea, etc...)

Background

What is the background of the patient? Vr13zk (talk) 21:47, 2 November 2014 (UTC)

• provides structure/context

Note:

Give the patient's presenting complaint

Give the patient's relevant past medical history

Brief summary of background

Assessment

What is your survey of the situation? Vr13zk (talk) 21:47, 2 November 2014 (UTC)

• makes a complete health assessment

Note:

Vital signs: heart rate, respiratory rate, blood pressure, temperature, oxygen saturation, pain scale, level of consciousness

List if any vital signs that are outside of parameters

What is your clinical impression

Severity of patient, additional concern

Recommendation

How should the situation be corrected? Vr13zk (talk) 21:47, 2 November 2014 (UTC)

• offer possible solutions Note:

Explanation of what you require, how urgent and when action needs to be taken Make suggestions of what action is to be taken Clarify what action you expect to be taken

Additional information:

• Preparation is an integral part of SBAR and as such one must be ready for any question the physician may ask. Review the patient's medical record and read the notes. Discussion with another colleague may help. Be sure to have the patient's medical record, medication administration record, and patient flow sheet before calling a physician. Be ready with any other useful information such as lab results if pertinent.

S - Should last no more than 10 seconds

B - Avoid impertinent information unless asked.

A - Speculations maybe useful when cause is undetermined.

R - Suggesting ideas to physicians are a weak point of nurses.

SITUATION: Determine what is going on and why are health care professionals needed? One has to become familiar with oneself, surroundings and the patient. Identify the problem and concern and provide a brief description of it. Be able to describe what is going on with the patient and why they are experiencing what is going on. During this stage of the communication, one should be able to communicate what is happening. This element should last no more than 10 seconds

Note:

Identify the person to whom you are speaking

Identify yourself, occupation and where you are calling from

Identify the patient by name, age, sex, reason for admission

Identify what is going on with the patient (Chest pain, nausea, etc...)

BACKGROUND: One should be able to identify and provide the diagnosis or reason for the patient’s admission, their medical status, and history. One should also determine the background or context of the patient's visit. During this stage one should have the patients chart ready and provide as much important medical based information required for the set up of the assessment data.

Note:

Give the patient's presenting complaint

Give the patient's relevant past medical history

Brief summary of background

ASSESSMENT: Survey the situation to determine the most appropriate course of action. One must be able to provide information on medical based aspects of the patient such as vital signs, recent labs and other quantitative or qualitative data that might be available. Determine whether or not a diagnosis at the time is appropriate. If it is appropriate, provide a temporary diagnosis, and if it is not, shows signs of empathy and concern. Remember to try to avoid impertinent information unless asked.

Note:

Vital signs: heart rate, respiratory rate, blood pressure, temperature, oxygen saturation, pain scale, level of consciousness

List if any vital signs that are outside of parameters

What is your clinical impression

Severity of patient, additional concern

RECOMMENDATION: One must give very precise and descriptive explanations on exactly what you need during that time frame. Make sure to offer possible solutions that could correct correct the situation at hand to other health care providers. Notably, suggesting ideas to physicians are a weak point of nurses.

Note:

Explanation of what you require, how urgent and when action needs to be taken

Make suggestions of what action is to be taken

Clarify what action you expect to be taken

Important to remember

Preparation is an integral part of SBAR and as such one must be ready for any question the physician may ask. Review the patient's medical record and read the notes. Discussion with another colleague may help. Be sure to have the patient's medical record, medication administration record, and patient flow sheet before calling a physician. Be ready with any other useful information such as lab results if pertinent.

DONE Feel free to suggest ideas or voice any concerns BTW

Rs13cs (talk) 00:34, 4 November 2014 (UTC)

Effects of SBAR use

It is often difficult to determine if nurses giving reports at the beside of a patient using the SBAR communication model provides for more effective and enhanced family and patient outcomes on pediatric units, or if nurses giving reports outside of the patients room using a format of the nurses choice if more effective. SBAR is a model used in communication that standardizes information to be given and lessons on communication variability, making report concise, objective and relevant. Vs12vf (talk) 13:18, 4 November 2014 (UTC)

Using SBAR when producing beside reports is said to increase patient and family satisfaction and also increases their level of comfort when dealing with outlying situations. Using SBAR allows patients to have the time to ask any questions that they might have, and allows patients to gain exact knowledge of information related to their plan of care. SBAR allows patients to be fully aware of whom there nurse is on every shift and gives patients a sense of comfort knowing that there will always be someone around looking after them during shift change. Using SBAR with beside charting provides many benefits for the patient and their families. Vs12vf (talk) 02:02, 3 November 2014 (UTC

SBAR use has efficiently improved the nurse and doctor communication which lead to a reduction of unexpected deaths. The problem between the communication between nurses and doctors is that the levels of teamwork and interaction are way off. Nurses communicate using a timeline descriptive communication method whereas physicians just use bullet points. Nurses are also feel unsafe communication with a doctor because they feel as if they say something wrong they will get insulted or the fact it won't make a "difference". Well, SBAR has completely changed communication between these two health care workers because once this method used in the health care environment it not only improved the relationship between the doctors and the nurses but had a dramatic increase of overall health of patients and decrease hospitalizations and deaths.Ns14cj (talk) 12:34, 5 November 2014 (UTC)

SUMMARY: I was thinking that this should be the summary because all of the information here is relevant and different. Ns14cj (talk) 13:12, 5 November 2014 (UTC)

You didn't cite your article Rs13cs (talk) 15:08, 5 November 2014 (UTC)

Using the SBAR communication model provides for more effective and enhanced family and patient outcomes on pediatric units. Using SBAR when producing beside reports increases patient and family satisfaction and also increases their level of comfort when dealing with outlying situations. SBAR also allows nurses to be more effective when giving reports outside of the patients room. SBAR is a model used in communication that standardizes information to be given and lessons on communication variability, making report concise, objective and relevant.

Another benefit of using SBAR is that it allows patients to have the time to ask any questions that they might have, and allows patients to gain exact knowledge of information related to their plan of care. SBAR allows patients to be fully aware of whom there nurse is on every shift and gives patients a sense of comfort knowing that there will always be someone around looking after them during shift change. Using SBAR with beside charting provides many benefits for the patient and their families.

SBAR use has not only improved the relationship between the doctors and the nurses but had a dramatic increase of overall health of patients and decrease hospitalizations and deaths efficiently improved the nurse and doctor communication which led to a reduction of unexpected deaths. The problem between the communication between nurses and doctors is that the levels of teamwork and interaction are different therefore causing ineffective communication. Nurses communicate using a timeline descriptive communication method whereas physicians just use bullet points. Nurses also feel uncomfortable communicating with a doctor because they feel as if I it won't make a "difference and if they say something wrong they will only get insulted . Well, SBAR has completely changed communication between these two health care providers. Ns14cj (talk) 12:34, 5 November 2014 (UTC)

I proofread your summary but we still need your reference. Rs13cs (talk) 15:20, 5 November 2014 (UTC)

FINAL SUMMARY:

Effects of SBAR use

Using the SBAR communication model provides for more effective and enhanced family and patient outcomes on pediatric units. Using SBAR when producing beside reports increases patient and family satisfaction and also increases their level of comfort when dealing with outlying situations. SBAR also allows nurses to be more effective when giving reports outside of the patients room. SBAR is a model used in communication that standardizes information to be given and lessons on communication variability, making report concise, objective and relevant.

Another benefit of using SBAR is that it allows patients to have the time to ask any questions that they might have, and allows patients to gain exact knowledge of information related to their plan of care. SBAR allows patients to be fully aware of whom their nurse is on every shift and this adds to the patients sense of comfort knowing that there will always be someone around looking after them during shift change.

SBAR use has not only improved the relationship between the doctors and the nurses but had a dramatic increase of overall health of patients and decrease hospitalizations and deaths efficiently improved the nurse and doctor communication which led to a reduction of unexpected deaths. The problem between the communication between nurses and doctors is that the levels of teamwork and interaction are different therefore causing ineffective communication. Nurses communicate using a timeline descriptive communication method whereas physicians just use bullet points. Nurses also feel uncomfortable communicating with a doctor because they feel as if I it won't make a "difference and if they say something wrong they will only get insulted . Well, SBAR has completely changed communication between these two health care providers. Ns14cj (talk) 18:04, 5 November 2014 (UTC)

Example

Situation: "Mary, I'm going to be sending Mrs. Porter over to you in a few minutes for repair of her fractured ankle. I want you to know what's going on with her. I'm concerned about her emotional status. I've also alerted Dr Anesthesia and Dr Surgeon about my concern, but they have agreed to go ahead with the surgery because she needs this procedure to salvage her foot."

Background: "She was in an auto accident last Friday, and her husband was killed. Her children are all at the j funeral home making arrangements for his burial. She's made some comments about not wanting to live. Her vital signs are stable; the foot is cool and slightly mottled. We've just given her some Versed."

Assessment: "I think her emotional status is such that this will be a very difficult period of time for her, especially during induction and awakening from anesthesia."

Recommendation: "I suggest that you meet her as soon as possible and j stay with her during induction and emergence from anesthesia."

This is a direct example that shows how SBAR communication is used in a hospital setting involving communication between two nurses to effectively assess and diagnose the patient and correct the problem. This example is between an preoperative nurse to operating room nurse. Vs12vf (talk) 01:42, 3 November 2014 (UTC)

Nicely done although I just have a couple concerns. I don't know how we're supposed to cite this since it's a direct quote and I would prefer not plagiarizing anything and also do we only want one example and do we want it to be this one? I just want to have a consensus on this. Rs13cs (talk) 03:32, 3 November 2014 (UTC)

Yes, i am not sure about how to cite this either because it is like a direct example from one of our sources and we do not want to plagiarize for sure! Maybe we could create our own example and use this one as a base for what to write? Vs12vf (talk) 16:26, 3 November 2014 (UTC)

Limitations

SUMMARIZED VERSION Some disadvantages to using SBAR communication are:

• Physicians are unfamiliar with the concept of SBAR. Since SBAR is based upon cooperation, physicians are required to be open-minded if SBAR is to work effectively

• SBAR is a difficult concept to learn and practice and as such requires thorough education about the subject matter complete with necessary follow-up. A supportive environment, role-playing, and a skills assessment may help with the process.

• Further emphasis must also be given on recommendation since it has been seen the the R in SBAR has been the weak point of nurses. Giving advice to physicians on what to do is found to be intimidating for some nurses.

Rs13cs (talk) 15:21, 3 November 2014 (UTC)

• A disadvantage to using the SBAR communication model within bedside reporting can be the issue of having to wake up patients and families when the practice of bedside charting occurs. Health care professionals and units must find an alternative way to deal with the patients and their families decisions if they chose not to be awakened and involved in bedside charting.

• Another disadvantage to using SBAR when bedside charting is the issue of disclosing sensitive topics or new information that has not been shared with the patient and/or family before or after the bedside charting takes place. An alternative to this can be for nurses to makes plans to share new or sensitive information before or after bedside report.

• Using SBAR communication when bedside charting causes a disadvantage for itself through the sharing of confidential information with the patient where it could be over heard by other patients. The effective communication that SBAR promotes leaves room for confidential information to be disclosed when nurses and doctors have discussions with patients causing patients and their families having negative opinion about participating in beside charting, ultimately interfering with the use of the SBAR communication model. Vs12vf (talk) 16:23, 3 November 2014 (UTC)

This is a more specific example of the challenges of SBAR use and bedside charting. Do you guys think this is okay to add still? Vs12vf (talk) 16:23, 3 November 2014 (UTC)

It's really specific and I would probably email Lynn first and ask if we have to go to that much detail. Rs13cs (talk) 23:21, 3 November 2014 (UTC)

Kaiser Permanente Building

I added a picture to sort of add color to our article BTW Rs13cs (talk) 03:44, 5 November 2014 (UTC)

Peer Editors

Our group has edited the entire article of SBAR, the only thing that was kept was the first sentence of the article. We found that our article was lacking immensely in information that could be provided for the topic, as well as lacking references. Therefore, we decided it would be best to edit the entire page and start from scratch. What we edited is not bolded because we have edited the entire thing. Thank you for taking a look and giving us feedback on our article :), if you head over to the actual article page you can give us feedback on the articles talk page because it is quite quiet on there. Vr13zk (talk) 15:09, 7 November 2014 (UTC)

We hope everyone enjoy's our article! Thank you for giving us feedback, we can't wait to here back from everyone! :) Vs12vf (talk) 22:27, 7 November 2014 (UTC)

First off, I wanted to congratulate all of you on the completion of the edits to your article! Overall, I think you all did a terrific job, especially considering that you had to basically start from scratch. There are very few things that I would suggest changing. I think that as this article continues to grow, editors need to elaborate a little bit more for each of the passages. What you have already, is great starting information and editors can continue to add on facts that can help the reader to better understand. Under the heading Elements of SBAR I think that you should add just a couple of introductory statements telling the reader what you are describing in the next subheadings before jumping right into it. I thought that your additions followed the good article criteria. It was well-written, broad, stable, and verifiable. I noticed that there is only one image though. I'm not entirely sure of what kinds of pictures can be found that will relate to using SBAR, however I think that if possible, adding a few more will help. Lastly, I thought it was neutral. You added both disadvantages as well as advantages so readers can see both sides of using this technique. Again, well done! Vw13mp (talk) 22:26, 11 November 2014 (UTC)