Download - 1. sbar technique in communication
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SBAR TECHNIQUE FOR COMMUNICATION
Presented by:PAMELA JOY BOCALANurse Educator-KKH
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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.
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COMMUNICATION
From Latin commūnicāre,
meaning
"to share“
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Encoder(sender)
Decoder(receiver)
message
Shannon-Weaver’s Model of Communication
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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.
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Ineffective Communication
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Assumptions & Hints
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Vagueness & shortage of data.
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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
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Welcome to SBAR
Situation, Background, Assessment and
Recommendation
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What about SBAR?
It is an effective mechanism to close the
traditional hierarchy between doctors and
other care givers.
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What about SBAR?
A shared mental tool around all patient handovers and
situations requiring escalation, or critical exchange of
information.
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What about SBAR?
A standardized well structured 4-steps method that clarifies WHAT and HOW information
should be communicated.
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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.
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MECHANISM TOOL STANDARDIZED INDICATOR
Effective Communication
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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.
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SBAR at the Information Level
• Reducing repetition.• The right level of
detail. • The right sequence of
flow.• Concise and focused
information.
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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
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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.
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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
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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
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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?
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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