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Related Concept Videos

SBAR I: Understanding the Concept01:29

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Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
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Planning Nursing Care I01:21

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Types of Reports III: Telephone and Verbal Reports01:26

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Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
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Telephone Orders
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Role of Communication in the Nursing Process II: Planning and Implementation01:25

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Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
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Types of Reports I: Hands-off Report01:25

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Purpose and Process:
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SBAR II: Application of SBAR01:14

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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Related Experiment Video

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Improving Communication Between Nursing Staff and On-Call Residents via a Standardized Paging Protocol.

Philip B Cawkwell1, Maeve O'Neill2, Elisabeth L Hill2

  • 1McLean Hospital, Belmont, MA, USA. Cawkwell@Stanford.edu.

Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry
|December 13, 2019
PubMed
Summary

Implementing a standardized paging protocol significantly reduced difficult-to-triage pages between nursing staff and on-call psychiatrists. This quality improvement initiative enhanced patient care by minimizing disruptions from low-priority pages.

Keywords:
CommunicationPagingProtocolsQuality improvement

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Area of Science:

  • Healthcare Communication
  • Quality Improvement in Psychiatry
  • Nursing-Physician Collaboration

Background:

  • Effective communication between nursing staff and medical providers is crucial for quality healthcare delivery.
  • McLean Hospital experienced inconsistent use of alphanumeric paging, leading to difficulties in triaging page importance and potential care disruptions.
  • Numeric-only pages hindered efficient communication with the psychiatrist-on-call.

Purpose of the Study:

  • To improve communication between nursing staff and residents at a psychiatric hospital.
  • To decrease the number of difficult-to-triage pages sent to the psychiatrist-on-call.
  • To enhance the quality of patient care through optimized communication pathways.

Main Methods:

  • A quality improvement project was conducted at a stand-alone academic psychiatric hospital.
  • Pages were analyzed before and after implementing a standardized paging protocol.
  • The protocol included an updated online template for page submission and user dissemination.

Main Results:

  • A statistically significant decrease in difficult-to-triage pages was observed (22.1% to 15.0%; p < 0.05).
  • Variations in improvement were noted across hospital units, with reductions up to 40% and increases up to 11%.
  • The protocol aimed to standardize essential information in pages, including urgency, patient details, and sender identification.

Conclusions:

  • A standardized paging protocol can improve patient care delivery by reducing interruptions from low-priority pages.
  • The protocol has the potential to enhance communication quality between nursing staff and on-call physicians.
  • Improvements in communication can lead to better overall patient care and a more effective resident learning environment.