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