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Related Concept Videos

Barriers to Effective Communication II01:21

Barriers to Effective Communication II

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The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
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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.
Standardized methods of communication have been developed to ensure that information is...
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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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Healthcare Associated Infections II: Preventive Measures01:22

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
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Standard Precaution01:26

Standard Precaution

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Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
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Barriers to Effective Communication I01:30

Barriers to Effective Communication I

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A communication barrier is any distortion or interruption during a conversation, resulting in miscommunication of the message. A good communicator should know these barriers and continuously check for the listener's understanding by obtaining feedback.
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this...
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Using Kamishibai Cards to Identify Barriers and Display Adherence to the Central Line-Associated Bloodstream

Shelly L Brown1, Dori L Klemanski, Joni Tornwall

  • 1Author Affiliations: Clinical Nurse Specialist, Leukemia (Dr Brown), Chief of Advanced Practice Providers (Dr Klemanski), and Associate Chief Nursing Officer for Inpatient (Dr Ross), The Ohio State University Comprehensive Cancer Center-Arthur G. James Cancer Hospital and Richard J. Solove Research Institute; Associate Clinical Professor (Dr Tornwall), and Clinical Professor (Dr Browning), The Ohio State University College of Nursing; and Nurse practitioner, Cancer Supportive Care (Dr Browning) The Ohio State University Comprehensive Cancer Center-Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, Columbus.

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Summary

This study improved adherence to central line-associated bloodstream infection (CLABSI) prevention practices in nurses through targeted interventions. Kamishibai cards enhanced compliance and awareness of key CLABSI prevention elements.

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Area of Science:

  • Infection Control
  • Nursing Practice
  • Patient Safety

Background:

  • High rates of central line-associated bloodstream infections (CLABSI) persist in academic comprehensive cancer hospitals.
  • Nursing practices are crucial for CLABSI prevention bundles, yet barriers to adherence are often unaddressed.
  • Sustainable programs are needed to enhance nurses' skills and documentation of CLABSI prevention.

Purpose of the Study:

  • To increase adherence to nursing practices for CLABSI prevention.
  • To implement a sustainable program for improving nurses' skills and documentation of CLABSI prevention bundle components.
  • To identify and address barriers affecting compliance with CLABSI prevention protocols.

Main Methods:

  • A 9-week project involving pre- and post-implementation chart reviews and visual audits.
  • Nurse surveys were conducted post-project to gather feedback on barriers and interventions.
  • Kamishibai cards (K-cards) were utilized as evidence-based visual audit tools to monitor compliance.

Main Results:

  • Compliant documentation of daily chlorhexidine gluconate (CHG) bathing increased to 75%.
  • Inconsistent communication and knowledge gaps were identified as significant barriers to compliance.
  • 75% of nurses reported that the K-card display positively influenced their CLABSI prevention practices.

Conclusions:

  • The project successfully enhanced nurses' knowledge and adherence to CLABSI prevention practices.
  • Awareness of commonly missed CLABSI prevention bundle components was significantly improved.
  • The intervention demonstrated potential for creating a sustainable program to reduce CLABSI rates.