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Improving shift report focus and consistency with the situation, background, assessment, recommendation protocol.
J Nurs Adm. 2013 Jul-Aug; 43(7-8):422-8.JN

Abstract

OBJECTIVE

The Situation, Background, Assessment, Recommendation (SBAR) protocol was used to improve shift reports in 4 medical-surgical units.

BACKGROUND

The SBAR protocol is increasingly advocated for use during shift reports, but data on the efficacy are limited.

METHODS

Nurses were trained on SBAR in 4 medical-surgical units in a tertiary care hospital. Nurse tasks, tools, and locations were recorded during observation audits.

RESULTS

The average time for shift reports did not decrease using SBAR. Nurses spent significantly more time on tasks specific to report. There was significantly more dialogue and less writing with SBAR.

CONCLUSION

The introduction of SBAR made reports more focused, with more time spent discussing the patient and less on transcribing information. The SBAR protocol provides a concise and prioritized structure that enables consistent, comprehensive, and patient-centric reports.

Authors+Show Affiliations

Practice Transformation, Dallas, Texas, USA. ptcornell@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23892308

Citation

Cornell, Paul, et al. "Improving Shift Report Focus and Consistency With the Situation, Background, Assessment, Recommendation Protocol." The Journal of Nursing Administration, vol. 43, no. 7-8, 2013, pp. 422-8.
Cornell P, Gervis MT, Yates L, et al. Improving shift report focus and consistency with the situation, background, assessment, recommendation protocol. J Nurs Adm. 2013;43(7-8):422-8.
Cornell, P., Gervis, M. T., Yates, L., & Vardaman, J. M. (2013). Improving shift report focus and consistency with the situation, background, assessment, recommendation protocol. The Journal of Nursing Administration, 43(7-8), 422-8. https://doi.org/10.1097/NNA.0b013e31829d6303
Cornell P, et al. Improving Shift Report Focus and Consistency With the Situation, Background, Assessment, Recommendation Protocol. J Nurs Adm. 2013 Jul-Aug;43(7-8):422-8. PubMed PMID: 23892308.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Improving shift report focus and consistency with the situation, background, assessment, recommendation protocol. AU - Cornell,Paul, AU - Gervis,Mary Townsend, AU - Yates,Lauren, AU - Vardaman,James M, PY - 2013/7/30/entrez PY - 2013/7/31/pubmed PY - 2013/10/18/medline SP - 422 EP - 8 JF - The Journal of nursing administration JO - J Nurs Adm VL - 43 IS - 7-8 N2 - OBJECTIVE: The Situation, Background, Assessment, Recommendation (SBAR) protocol was used to improve shift reports in 4 medical-surgical units. BACKGROUND: The SBAR protocol is increasingly advocated for use during shift reports, but data on the efficacy are limited. METHODS: Nurses were trained on SBAR in 4 medical-surgical units in a tertiary care hospital. Nurse tasks, tools, and locations were recorded during observation audits. RESULTS: The average time for shift reports did not decrease using SBAR. Nurses spent significantly more time on tasks specific to report. There was significantly more dialogue and less writing with SBAR. CONCLUSION: The introduction of SBAR made reports more focused, with more time spent discussing the patient and less on transcribing information. The SBAR protocol provides a concise and prioritized structure that enables consistent, comprehensive, and patient-centric reports. SN - 1539-0721 UR - https://www.unboundmedicine.com/medline/citation/23892308/Improving_shift_report_focus_and_consistency_with_the_situation_background_assessment_recommendation_protocol_ L2 - http://dx.doi.org/10.1097/NNA.0b013e31829d6303 DB - PRIME DP - Unbound Medicine ER -