NUR 2571 Discussion I-SBAR-R Reporting         

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NUR 2571 Discussion I-SBAR-R Reporting         

NUR 2571 Discussion I-SBAR-R Reporting         

Think of a situation from clinical when the Provider needed to be informed of a change in patient condition. Using ISBARR write what you would report to the Provider. You can use the ISBARR form for guidance.

Learning Objectives

(Slight modifications of QSEN Competencies) 1) Adopt and practice communication techniques focused on patient safety. 2) Use appropriate strategies to reduce reliance on memory. 3) Demonstrate effective use of strategies to reduce risk of harm to patients or self 4) Utilize standardized communication formats to minimize risk at care transitions/handoffs 5) Develop collaborative team communication practices which focus on patient safety 6) Examine nursing roles in assuring coordination, integration, and continuity of care.

Strategy Overview

SBAR is a standardized communication format widely used in education and healthcare arenas to enhance patient safety and quality care delivery. Recent adaptation of SBAR-R (Situation, Background, Assessment, Recommendation and Readback) has been utilized in the curriculum at UPMC Shadyside School of Nursing for the past year to reinforce Joint Commission on Accreditation of Hospitals (JCAHO) initiatives regarding safety practices; this includes the 2007 update to Patient Safety Goal #2, indicating “Implementation of a standardized approach to handoff communications, including the opportunity to ask and respond to questions”.

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Students participated in varied levels of simulation exercises in which they practice the SBAR-R communication techniques. However, in some instances we found that the most basic of communications when initiating care of a patient were being neglected…identification of the nurse/healthcare provider as well as the patient. Students were videotaped during simulation exercises and upon debriefing review recognized this error. To promote safe practice, we have adapted SBAR to the I-SBAR-R format, indicating Identification of yourself and your patient (2 identifiers to be used), standard SBAR and finally Readback. The strategy is introduced in fundamental nursing courses and is implemented throughout the curriculum and clinical experiences via faculty and student education for reinforcement. Students are provided laminated pocket cards with the SBAR format for ease of reference. Clinical communications related to shift report, condition changes, or physician requests are formulated using the I-SBAR-R format. Simulated and observational experiences will continue to enhance the correct procedures so that upon transition to employment, the use of the mnemonic will be ingrained in the student/graduate nurse care delivery processes.

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