Implications for Advanced Nursing Practice

Implications for Advanced Nursing Practice

The use of the SBAR tool helps to improve the coordination of prescribing and taking medications and reduce the frequency of adverse medical events. The introduction of the SBAR algorithm affected the increase in unplanned hospitalization in the intensive care unit and a significant decrease in the number of unexpected deaths of patients. Thanks to the CEX tool, it became possible to advance detection, launch, and response by improving communication between medical personnel. The structured SBAR protocol for the presentation of patient cases by nurses during interdisciplinary rounds has led to a reduction in medication errors and review time during multidisciplinary rounds.

Plan for Sustainability

Some patients have more complex needs and problems, so they are managed by an interdisciplinary team in a hospital setting. It promotes collaborative decision-making and conflict resolution between team members, likely improving patient satisfaction and outcomes. Clinical information about the patient plays a critical role in his treatment, so communication between medical personnel should be clear, consistent, and concise. The SBAR communication tool is the most effective means of maintaining a common language between team members.

To ensure the sustainability of structured SBAR communication, it is necessary to implement it in medical institutions and train staff to use it. The hospital management should arrange consultations and assist in mastering the SBAR algorithm. If it is possible to reduce errors in communication between medical workers to a minimum, then the safety of patients, the quality of medical care, and the condition of medical personnel will significantly increase. Ward training sessions and visual aids can offer practical and scalable methods to increase awareness and understanding of the SBAR communication tool for handover. Ultimately, strengthening communication requires the involvement of senior staff to promote an ethical culture of transmission.

Available Knowledge

In his article “The Impact of SBAR Communication Model on Observance of Patient Safety Culture by Nurses of the Emergency Department of Shahid Beheshti Hospital in Qom in 1396” (2020), Abbasi states the following. The author claims that ensuring patient safety is one of the most important goals of the healthcare sector. Careful attention to the phenomenon of professional communication skills can reduce the number of critical medical errors. The author talks about the importance of implementing the SBAR algorithm, which has qualitatively improved the culture of patient safety and the responsibility of medical workers. This study helped the authors of this work, as it contains results proving that the SBAR communication model is an effective means of improving the safety culture.

Hasan et al., in their article “Evaluating handoffs in the context of a communication framework” (2017), believe that the transfer of patient care services leads to increased opportunities for errors during this process. The authors of the article conducted a study that evaluated the process of transferring patients in the context of a specific communication system. This study identified assessment tools for the source, recipient, and observer to identify factors affecting the transmission process. In addition, the authors qualitatively assessed the relationship between the indicators. This study is of great value because it studies and analyzes the factors that worsen the communication process between medical personnel. The authors describe internal and external distractions and suggestions for improving the transfer process to improve overall efficiency and patient safety.