1. sbar technique in communication
TRANSCRIPT
SBAR TECHNIQUE FOR COMMUNICATION
Presented by:PAMELA JOY BOCALANurse Educator-KKH
COMMUNICATION
Communication is the activity of conveying information through the
exchange of ideas, feelings, intentions, attitudes, expectations, perceptions or commands, as by speech, non-verbal
gestures, writings, behavior and possibly by other means such as electromagnetic,
chemical or physical phenomena and smell.
COMMUNICATION
From Latin commūnicāre,
meaning
"to share“
Encoder(sender)
Decoder(receiver)
message
Shannon-Weaver’s Model of Communication
Effective CommunicationEffective communication is not only about conveying a message that you want
to say. It is about conveying the message so
that other people understand and respond
to it.
Ineffective Communication
Assumptions & Hints
Vagueness & shortage of data.
What we need for Effective Communication? • Mechanism (established
processes): to frame conversations
• Tool (distinct design) to share concise and focused information.
• Standard of Communication• Indicator of Effective
Communication
Welcome to SBAR
Situation, Background, Assessment and
Recommendation
What about SBAR?
It is an effective mechanism to close the
traditional hierarchy between doctors and
other care givers.
What about SBAR?
A shared mental tool around all patient handovers and
situations requiring escalation, or critical exchange of
information.
What about SBAR?
A standardized well structured 4-steps method that clarifies WHAT and HOW information
should be communicated.
What about SBAR?
Easy to remember indicator that you can use to frame
conversations, especially critical ones, requiring a clinician's
immediate attention and action.
MECHANISM TOOL STANDARDIZED INDICATOR
Effective Communication
SBAR at the Personal Level• Communicate forcefully and
effectively, Self-Confidence • Close the traditional hierarchy
between staffs, Relaxed Work life • Encourage assessment skills,
Positive Participation • Staff anticipate the information
needed by colleagues, Trust building.
SBAR at the Information Level
• Reducing repetition.• The right level of
detail. • The right sequence of
flow.• Concise and focused
information.
SBAR at the Organization Level
• To foster a culture of patient safety.
• To develop effective communication and teamwork
• Easy to remember and can reduce the time spent on patient handover.
• An ROP (Required Organizational Practice) requested by Accreditation Body
Why is improving our communication important?
• Patient care is dependant on effective communication - including telephone communication between all staff involved in the
care of the patient
• Effective communication has become more important as healthcare has become more complex, highly specialized and team-based.
Why do we need a standard approach to verbal and written communication?
• It is a daily task• It is rarely ‘explicitly’ taught• Telephone referrals can be a source of
frustration for both the ‘giver’ and the ‘receiver’
• Ineffective telephone communication can compromise patient care
Some of the challenges in good communication
• People are busy and don’t want more work! It takes time and practice to plan a good handover of patient/client information
• It can be difficult to summarize a complex case succinctly• The person making the referral: – is often asked about things they have
already said – may not get the help they were expecting
• The person receiving the referral may – interrupt mid-sentence – make assumptions about the capability of caller
He was focused, but not well prepared….
1. The doctor clearly states what he wants: – He wants the other doctor to come
and see the patient.
2. He checks he is talking to the right person but … - He doesn’t have important
information at hand
3. The main problem is lack of preparation - How long does it take to
prepare? - what things should be prepared
before picking up the telephone?
References • http://www.ihi.org/resources/Pages/Tools/SBARToolkit.aspx• http
://www.institute.nhs.uk/quality_and_service_improvement_tools/quality_and_service_improvement_tools/sbar_-_situation_-_background_-_assessment_-_recommendation.html
• http://www.institute.nhs.uk/safer_care/safer_care/situation_background_assessment_recommendation.html
• http://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Quality-And-Safety-of-Healthcare/Patient-Safety/Patient-Safety-Products-And-Services/Order-Patient-Safety-Materials
• http://www.health.mil/~/media/MHS/General%20Images/PSMaterials/SBAR_POSTER_border.ashx • http://en.wikipedia.org/wiki/Communication