Communication is a crucial part of being an effective nurse. As nurses we are constantly changing from one form of communication to another, whether it be verbal, non-verbal or written. As a group oriented profession, nurses must acquire good interpersonal communication for effective continuity and productivity (Marquis & Huston, 2015).
The SBAR is a verbal communication tool that I used in the NICU during shift change to convey a precise and clear report to the oncoming nurse. The SBAR is broken down into Situation, Background, Assessment and Recommendations for the patient. A small amount of pertinent information is covered in each heading and is updated throughout the shift in the hope that all the important information is included. The SBAR is an effective tool that has great potential to reduce communication errors (Marquis & Huston, 2015). In the unit I currently work, we use a modified SBAR that includes additional information about each patient including the patient’s lines, labs, past information. It is a tool that is easy to use, however, if a patient has been in the unit for an extended time then it is difficult to keep track of their history.
Another form of communication that was extremely important in my last job was voicera, a hands-free communication device (HFC). When our NICU transitioned from a large room to a single bed unit, there was a need for the nurses to have constant communication with the patients when they were not in the room. Voicera served as a way for the nurse to have a
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L., & Huston, C. J. (2015). Leadership Roles and Management Functions in Nursing: Theory and Application (8th ed.). Philadelphia, PA: Lippincott Williams and Wilkins.
Richardson, J. E., & Ash, J. S. (2010, Jan-Feb). The effects of hands-free communication device systems: communication changes in hospital organizations. Journal of the American Medical Informatics Association, 17(1), 91-98.
Leadership has many definitions. Chin, Desormeaux, and Sawyer (2016) define leadership as a relationship between followers and a leader with the intent to promote change through a mutual vision. Therefore, leaders are active influences in the outcome of organizations, through their decision-making, strategies, and influence on followers (Dinh et al., 2014). Additionally, in the nursing context, it has been documented that a leader 's style plays a factor in patient outcomes (Fischer, 2016). Indeed, in an ever-changing, complex health care environment, nursing leadership has become a crucial factor in managing challenges and maintaining patient safety (Fischer, 2016).
Hi Mia, It is interesting to read how SBAR is utilized in other areas. AT YRMC in Yuma we use SBAR, but is relayed face to face or via phone. I agree with you that although it is a convenience to have the patient’s information faxed from the ED to the floor the patient is going to, I can see where this can pose a problem. There are many obstacles that the nurse may face in receiving or relaying a patient hand-off, these being “communication challenges [which] can be a result of human factors, such as poor communication skills; lack of resources to support communication training; lack of support for active communication in the clinical setting; or an inappropriate environment for handoff due to interruptions” (Cudjoe, 2016, p.1) all factors
As I read the “Team STEPPS makes strides for better communication”, some of the tools like; (SBARQ) is used in many organizations, especially during patient hand-offs. It provides a systematic way to convey patient information, which is essential during high-stress situations. In a stress situation, taking responsibility to prevent human errors. As ANA code of
I enjoyed reading your discussion post regarding bedside reporting and agree bedside reporting is an excellent example of evidence-based practice. The SBAR tool was originally developed to improve communication between nurses and physicians (Cornell, Yates, &Vardaman, 2014). Moreover, given the impact SBAR had on nurse-physician communication, bedside reporting utilizing the SBAR tool is now evidence-based practice for nurses (Cornell, Yates, &Vardaman, 2014). Bedside reporting gives nurses and patients’ opportunity to set mutual goals.
The bedside nurse manages writing and updating the whiteboard each day using a templated board, the displayed information includes day and date, the names of the patient, bedside nurse, and primary and attending physician, family member 's phone number, diet, pain management and mobile numbers for Nurse, Charge Nurse and Nurse Assistant. This simple strategies is driving our thresholds to our benchmarks at an accelerated
Nursing, (21)6, 291-299. DOI: 10.1097/JTN.0000000000000090 Lencioni, P. (2002). The five dysfunctions of teams: A leadership fable. San Francisco: Jossey-Bass.
There is a secure texting and calling services that is a downloadable application for iPhone and android phones. Emails, voicemails, and actual phone calls are very common as well when an update or change is noticed with a patient. “An essential part of the acute care nurse’s role is to actively engage in the continuous process of keeping patients safe and preventing deterioration of their health” (Kelly, 2010). All types of discipline may have a certain philosophy they apply to their practice. Philosophy is a way one applies or practices their knowledge within a way of life or within their practice.
Proper communication skills can decrease stress related to the miscommunication of ideas. It has been shown that “communication plays a key role in the diagnosis, care and treatment of patients” (Khademi et al., 2021). Continuing with the angry family member scenario, the nurse should encourage the family members to express their feelings and the nurse should acknowledge what has been discussed. This shows that the nurse is displaying positive, interpersonal communication by providing compassion and active listening.
Outcome 5: Use Basic Communication and Collaborative Skills to Optimize Patient Outcomes Brenen Dapkiewicz NU 311 Fundamentals of Nursing Practicum Washburn University School of Nursing Knowledge Q1: Describe how you utilized several communication skills you were introduced to in class. During my long-term care experience last Friday, I was exposed to many forms of communication. There was non-verbal communication, where you could just see that a patient was maybe anxious or content.
The information is automatically gathered by the ICU information system; nurses have the option of either accepting or modifying the data. In typical clinical settings, nurses perform the selection and transfer of bedside monitoring data from the ICU information system to the EHR about once an hour. These ICU information systems typically retain the high frequency bedside monitoring data and can achieve near-real-time computerized decision support. In many cases, the nurse’s notes are also entered into the ICU information system-generally once per shift-and some summary vital sign information may find its way into those notes. Physician progress notes are also entered into ICU information systems in a similar fashion.
Introduction When receiving this assignment, my interest fell towards patient interactive systems. I am intrigued with advanced technology and its role in providing patient positive outcomes. In my current area of work, Labor and Delivery, we have come a long way over the years with technology. For patients, there is a wireless electronic fetal monitor called the Monica, which makes it easy for the mother to change positions while in labor, without her nurse adjusting the monitor (Monica Healthcare, 2015).
Shift change not only involves a changing of nursing staff but also includes a time when valuable communication between healthcare personnel occurs. A nursing process that is currently in place in my organization for patient handoff is the use of the Situation-Background-Assessment-Recommendation (SBAR) communication tool. This process has been the standard for communication across disciplines. Nurse report from shift to shift is done verbally at the nurse’s station or tape recorded in the employee lounge. A hand written report containing pertinent information about each patient is utilized for reporting.
The overall goal of a nurse is to be able to provide high quality patient care. As a student nurse, I need to be able to develop the skill of active listening to improve my patient interaction and overall patient experience. Through Driscoll's (2007) reflective framework, I have actively identified an area of communication that I wish to develop, which is active listening, and the impact it will have on my role as a student nurse. The what?
Beyond application, HMD can be used to send critical value to providers immediately negating the need to telephone several parties. The information acquired instantly can be used to boost patient safety. Safety concerns could be addressed by enhanced communication speed. Ultimately allowing the nurse to apply this information to give faster more effective interventions. Outside patient care, social media and HMD can be used for staffing communication, job postings, blogs and bulletin boards to foster unit communication (Piscotty, Martindell, & Karim,
Millions of years have passed since the first human appeared on Earth, natural and artificial selections have been abolishing countless behaviors and conducts towards evolution. Yet, there is one crucial action which has been, and will keep on existing without losing its value however much time pass: Communication. Defined as the act of sharing and receiving information by speaking, writing,... communication is known as the key factor of human life. As a Nursing student whose aim is to lead a good life and have a successful career, I have learned how important effective communication is, especially in Clinical Attachment(CA), while envisioning some of the possible challenges I might face along with the resolutions to them.