What does sbar mean

A retrospective audit was undertaken at 1 st week referred to as A1 and 16 th week referred to as A2 respectively, post introduction of SIM. The audit checklist had 29 items in four areas. The number of items under each domain was a situation 10 , background 7 , assessment 7 , and recommendation 5.

The content of the SBAR format was verified with clinical record of the patient. Nurses opinion about the SBAR form was captured using a three point i.

The data were analyzed using descriptive frequency and percentage and inferential statistics nonparametric test: Wilcoxon signed rank test. The study included 20 nurses in the first audit and 19 nurses in the second audit. The survey on nurse's opinion was completed by 17 nurses.

There was an equal representation of qualifications, i. SBAR score was correlated with demographic variables. Nurses who were certified with a graduate degree showed a better score as compared to nurses who held a diploma in nursing [ Table 1 ]. Compliance to SBAR documentation was audited at 2 times points A1 first audit in 1 st week and A2 second audit in 16 th week.

This difference may be due to the routine use of the form. The difference can be attributed to simplicity and objectivity of the content in situation domain. There was an overall improvement in all sections of SBAR [ Figure 1 ] from first observation to second observation. Section wise distribution of observation scores-situation, background, assessment, recommendation. Item, wise comparison of A1 and A2, was carried out using McNemar test. Out of seven items in this domain, there was a significant difference in one item only, i.

Distribution of nurses based on observation of situation component of situation, background, assessment, recommendation. Injection clexane is a high alert drug and requires nursing assessment and observation for bleeding, petechiae, hematuria, and black tarry stools.

Transmission of this information is essential for patient care and safety [ Table 3 ]. Distribution of nurses based on observation of background component of situation, background, assessment, recommendation.

Pain is considered to be a fifth vital sign and as a routine 4 hourly assessments is carried out. The area where nurses do not pay much attention is on GCS and fall risk assessment. Both these areas are important especially in an oncology unit, where patients may have neurological problems, are in older age group and are on medications for comorbidities, and thereby prone to electrolyte imbalance or have gastrointestinal disturbances.

Distribution of nurses based on observation of assessment component of situation, background, assessment, recommendation. One area which needed improvement was in plan of care. Information related to 4 hourly mouth care, watch for the motor deficit, neurological monitoring, incentive spirometry, observation for bleeding, discharge plan, care of tracheostomy tube, pressure points, and use of thromboembolic deterrent stocking was not incorporated in plan of care.

This may be due to lack of clarity about information to be documented [ Table 5 ]. Distribution of nurses based on observation of recommendation component of situation, background, assessment, recommendation. This was consistent with a study by Velji et al. Item wise distribution of nurse's opinion about situation, background, assessment, recommendation.

This study aimed to examine the introduction of SBAR into nursing practice using a self-instructional method. With the advent to accreditation concept in India, where the focus is on patient safety, it has become essential for nurses to excel in the work they undertake.

Handover of the patient being an important area where information of the patient is transferred from one shift to another. The findings suggest that introduction of a standardized handover tool like SBAR helped nurses to capture all relevant information pertaining to the patient. The assessment us a precise statement based on the situation and background information. The assessment must be made by a qualified staff person. The qualified staff person makes a recommendation for resolving the issue based on the situation, background, and assessment.

Because of its simplicity and usefulness in crucial situations, SBAR has many implementations in healthcare. It can be used between professional staff such as nurses and physicians, and it also has value for hand-offs by nurses between change of shifts or patient transfers. Below is a basic example of how SBAR communication can be used in a healthcare setting, but SBAR can be used as a leadership communication tool in any industry.

Situation: The patient has been hospitalized with an upper respiratory infection. Respiration are labored and have increased to 28 breaths per minute within the past 30 minutes.

Usual interventions are ineffective. The company had identified communication problems arising from personal differences in communication styles. SBAR was found to flatten out those differences, allowing smooth, standardized communication that got the facts from person to person with minimal mistakes.

Here are three SBAR scenarios to make it easier to use this valuable tool more effectively. Note that SBAR can be used very formally, but it can also be used quite informally.

The key is to go through the thought process so all relevant details are included, and all superfluous details are left out. The goal with SBAR is to get someone to take action. That means the recommendation must be taken seriously. Here are some other critical words to use in SBAR communication:. The two videos in this section help with understanding SBAR communication.

It covers patient handoffs in terms of vitals situation , patient background, assessment, and recommendation. The next video is from Ashley Adkins, RN. Before SBAR, communication often failed in the medical world for several reasons.

Assessment : A statement of your professional conclusion. Leave Blog Comment Comment. This site uses cookies and other tracking technologies to assist with navigation, providing feedback, analyzing your use of our products and services, assisting with our promotional and marketing efforts, and provide content from third parties. Get more information about cookies and how you can refuse them by clicking on the learn more button below.

By not making a selection you will be agreeing to the use of our cookies.