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Related Concept Videos

SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

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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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Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing01:23

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Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
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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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Methods of Documentation VI: Case Management Model01:15

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
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Nursing Clinical Information System01:27

Nursing Clinical Information System

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Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
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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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Improving Inpatient Consult Communication Through a Standardized Tool.

Sara Pavitt1, Anne McHugh2, Kevin Chi1

  • 1Department of Pediatrics, School of Medicine, Stanford University, Palo Alto, California sara.pavitt2@ucsf.edu.

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Summary
This summary is machine-generated.

A new communication tool significantly improved essential consult elements in pediatric inpatient consultations. This led to clearer questions, less miscommunication, and higher satisfaction for residents and fellows.

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Area of Science:

  • Medical communication
  • Pediatric hospital medicine
  • Quality improvement in healthcare

Background:

  • Inpatient consultations are crucial for pediatric care.
  • Essential consult elements (ECEs) are often missing in initial requests.
  • This gap can lead to miscommunication and suboptimal patient care.

Purpose of the Study:

  • To increase the inclusion of ECEs in pediatric inpatient consultations.
  • To implement and evaluate a novel consult communication tool.

Main Methods:

  • Identified 4 key ECEs through literature review and needs assessment.
  • Audited baseline consults to determine ECE inclusion rates.
  • Developed and implemented a modified Situation-Background-Assessment-Recommendation (SBAR) tool over three plan-do-study-act cycles.
  • Tracked adherence, ECE inclusion, and question clarity via audits.
  • Surveyed residents and fellows pre- and post-intervention.

Main Results:

  • Median ECE inclusion increased from 50% to 100% (P < .001).
  • Consult question clarity improved from 52% to 92% (P < .001).
  • Perceived miscommunication frequency decreased from 52% to 18% (P < .01).
  • Fellows' satisfaction significantly increased (51% to 91%, P < .001).

Conclusions:

  • A standardized communication tool effectively increased ECE inclusion in pediatric consultations.
  • The SBAR tool enhanced consult question clarity and reduced perceived miscommunication.
  • The intervention improved overall consult satisfaction, particularly for fellows.