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Improving Communication in Nursing Homes Using Plan-Do-Study-Act Cycles of an SBAR Training Program.
Samantha Kay1, Kathleen T Unroe1,2, Kristi M Lieb1,3
112250Indiana University School of Medicine, Indianapolis, IN, USA.
Summary
Implementing the OPTIMISTIC Situation-Background-Assessment-Recommendation (SBAR) tool in nursing homes improved staff communication and documentation quality for resident changes in condition (CIC). This enhanced collaboration benefits patient care and safety.
Area of Science:
- Healthcare communication strategies
- Nursing home quality improvement
- Patient safety protocols
Background:
- Inadequate communication between nursing home staff and healthcare providers can lead to adverse patient outcomes.
- The Situation-Background-Assessment-Recommendation (SBAR) tool aims to enhance communication regarding resident changes in condition (CIC).
- An adapted SBAR was developed for the OPTIMISTIC project to boost its utilization during CIC and improve documentation.
Purpose of the Study:
- To assess the impact of an adapted SBAR tool on communication and documentation quality in nursing homes.
- To evaluate the effectiveness of successive Plan-Do-Study-Act (PDSA) cycles in refining SBAR implementation.
Main Methods:
- Four nursing homes participated in four PDSA cycles to implement and refine the OPTIMISTIC SBAR protocol.
- Data collection included assessing SBAR usage, documentation quality, and participant feedback via surveys before and after the intervention.
Main Results:
- SBAR utilization and documentation quality saw improvements in three of the four participating nursing homes.
- Post-intervention surveys indicated enhanced collaboration between nursing staff and healthcare providers.
Conclusions:
- Iterative refinement of the OPTIMISTIC SBAR protocol through PDSA cycles successfully increased SBAR adoption.
- The intervention led to better documentation practices and improved interprofessional collaboration, positively impacting resident care communication.
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