Structured Models: One Solution to Improve Communication in Health Care 🗣️
Structured models are one way that clinicians can navigate accountable conversations with empathy, respect, and a commitment to patient-centered care. In the context of accountable conversations in health care, a structured model is a systematic and organized approach for communicating information, addressing issues, and facilitating discussions.
One well-known example of a structured model is situation, background, assessment, and recommendation (SBAR). Here is an example of how SBAR might look like in the clinical setting:
• Situation: “Dr S, this is Kelli, the postanesthesia care unit RN caring for Mr X, your 45- year- old patient who underwent a left lower lobectomy this morning.”
• Background: “I wanted to let you know that his chest tube drainage exceeded 100 mL in the past 30 minutes.”
• Assessment: “IV fluids are running, and two units of packed red blood cells are available in the blood bank. His vital signs are stable with no drop in blood pressure or rise in heart rate.”
• Recommendation: “I recommend an order for a complete blood count. If you agree, I’ll notify you if his hemoglobin level decreases by more than 1 g.”
Do you practice communicating with SBAR or other structured models? What tips can you offer?
In a feature article in the September issue of the AORN Journal, Cheri Clancy, and Paige Clancy, provide an overview of how to navigate accountable conversations and the importance of structured communication models. https://lnkd.in/gNCmgQiP
#AORNJournal #Nursing #Nurses #ORNurse #NurseLife
Nurse Practitioner Clinical Advisor (Educator) with Home Based Medical Care at Optum
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