NURSING 2L03 Lecture Notes - Lecture 1: Mohawk College, Situation Awareness, Hierarchical Organization
18 Nov 2017
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Communicate info so that all team members make appropriate decisions. Identify nursing diagnoses and health care problems related issues. Need to be objective, current, concise to provide baseline. Avoid using judgemental language (uncooperative, difficult, bad) Impact of sbar on nurse shift reports and staff rounding. 65% of sentinel events were result of communication problems. Not solved easily as they are embedded in organization"s processes, spanning social, cognitive, and technological factors. Sbar makes communication more consistent and predictable and promotes critical thinking skills: improves situation awareness and reduce issues related to organizational hierarchy, improve collaboration between nurses and physicians. Shift reports (uses sbar: verbal, tape recordings, phone calls, written reports, best information retention by staff with combined verbal and written reports but no one approach outperforms all others. Interdisciplinary rounds (uses sbar: access to multiple perspectives, schemas, knowledge, experience, rounds facilitated continuity of care and consistency of treatment, shift handoffs are most successful when interdisciplinary rounds also practiced.
