Use The SBAR Communication Tool Samples †MyAssignmenthelp.com

Question: Discuss about the Use The SBAR Communication Tool. Answer: Literature search SBAR is a communication tool that is popular in health care settings for facilitation quick and proper communication. SBAR can be used as an acronym for Situation, Background, Assessment, and Recommendation. According to Achrekar et al., (2016) twenty nurses were selected for assessing the effectiveness of SBAR technique and it was found that SBAR technique has helped the nurses to have a focused and easy communication during the transition of care and it also brought about reduced number of sentinel events in health care settings. Standardized SBAR framework is a very useful tool for the bedside shift handover. A study conducted by (De Meester et al., 2013),shows that 16 hospital ward patients were trained to use the SBAR communication tool in case of the terminally ill patients which brought about better perception of effective communication and collaboration between the nurses, decreased ICU admissions and decrease of the unexpected avoidable deaths. According to De Meester et al. , (2013), nurses often tend to be more descriptive whereas the physicians prefer more brief statements in order to save time. Communication over the phone often makes communications error prone. About 65 % of the adverse events involve communication as the attributing factors. Narayan, (2013) has stated that there are several quality improvement projects that emphasizes on using the SBAR communication tool in home health care. Researchers have proved its use for preventing the avoidable hospitalizations and the hand on templates that the nurses and the physicians uses while calling upon a physician for an exacerbated patient to prevent hospital admissions. It has also helped to prevent the re-hospitalization of the patients with chronic illnesses who have already has earlier signs and symptoms of health ailments. It can be argued that the recommendations provided by the nurse in the previous shift might not appear to be suitable for the nurse in the next shift during a shift handover. But such risks can be avoided by consultation with the doctor before taking up any treatment. As opposed by Achrekar et al.,(2016), making recommendations in an SBAR template is a part of the collaborative process and hence is important for the nurse in charge to take important decisions. A study by Panesar, Albert, Messina Parker, (2016), have shown that electronic SBAR template can actually improvise and improve the documentation and communication between the nurses and the doctors in a pediatrics unit. The research conducted by the author have shown that documentation of the notifications by the physician and the bedside nurses reached 100 % when electronic SBAR notes were used for charting and improving the documentation of the clinical results. The study also found that about 100 % of the nurses attested t o the SBAR notes without miss which signified that there had been an increased communication between the nurses, attending physicians and the patients (Panesar, Albert, Messina Parker, 2016). It can be said from these studies that introduction of the SBAR tool had prepared the nurses better before calling for a doctor by using the SBAR parameters in a patient's records. SBAR communication has proven to be highly effective in the communication between the interdisciplinary teams. It is also useful in the organization of the care reports between the case managers and the members of the interdisciplinary team. The SBAR tool of communication is effective evidence based strategy that is normally used when the communications are made difficult by critical situations. In overall it promotes patient safety, enhance the patient outcomes, control the health care costs by avoiding repeated hospitalizations. Search terms Websites like CINAHL, PUBMED and MEDLINE have been brainstormed for searching the relevant data related to SBAR communication tool. Search terms that have been used for this search are SBAR, electronic medical record, pediatric, communication technique, Inter-professional communications, shift handover, nurse-patient communication. Inclusion criteria included full text peer reviewed journals not more than five years from now. Evaluation of the evidences The paper by Achrekar et al., (2016), belonged to the level of evidence II as the evidences are obtained from one well designed Randomised control trial and was successful in evaluating the compliance to the documentation of SBAR. The paper by De Meester, Verspuy, Monsieurs Van Bogaert, (2013), belongs to the hierarchy of evidence II as the evidence has been obtained from one well designed RCT and it could determine the effects of SBAR in the nurse patient interaction. The paper by Narayan, (2013) is a systematic review and belongs to the level I. The strength of this paper is that it could well establish the effectiveness of using SBAR is home care, in between the patient case managers and the members of the interdisciplinary team. The paper by Panesar, Albert, Messina Parker, (2016), belongs to the level II of the evidence based hierarchy as the evidences are based on a well developed RCT. The study focuses on the effectiveness of the electronic SBAR templates. In this paper three periods have been evaluated. 1. The electronic documentation 2. Paper documentation 3. Electronic documentation with an SBAR template. References Achrekar, M. S., Murthy, V., Kanan, S., Shetty, R., Nair, M., Khattry, N. (2016). Introduction of Situation, Background, Assessment, Recommendation intoNursing Practice: A Prospective Study. Asia-Pacific Journal of Oncology Nursing, 3(1), 4550. https://doi.org/10.4103/2347-5625.178171 De Meester, K., Verspuy, M., Monsieurs, K. G., Van Bogaert, P. (2013). SBAR improves nursephysician communication and reduces unexpected death: A pre and post intervention study. Resuscitation, 84(9), 1192-1196. DOI: https://doi.org/10.1016/j.resuscitation.2013.03.016 Narayan, M. C. (2013). Using SBAR communications in efforts to prevent patient rehospitalizations. Home Healthcare Now, 31(9), 504-515.doi:10.1097/NHH.0b013e3182a87711 Panesar, R. S., Albert, B., Messina, C., Parker, M. (2016). The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. American Journal of Medical Quality, 31(1), 64-68. https://doi.org/10.1177/1062860614553263