Loading...
Recommended Citation
Shafer P, Anderson T, Beach H, Hackelberg C, Lacombe K, Smale K, Wilke G. Ring the Doc; When Things Take a Turn. Professional Development poster presentation at Elevating Nursing Excellence: Purpose, Profession, Passion; Advocate Health Midwest Region Nursing Research & Professional Development Conference 2024; November 13, 2024; virtual.
Presentation Notes
Professional Development poster presentation at Elevating Nursing Excellence: Purpose, Profession, Passion; Advocate Health Midwest Region Nursing Research & Professional Development Conference 2024; November 13, 2024; virtual.
Abstract
Background/Introduction: The Rapid Response Nursing Team's submitted a request to Professional Governance to develop an education process for the novice inpatient nurses that seemed uncomfortable communicating patient condition changes with physicians.
Purpose: The purpose is to develop critical thinking and provide a template to guide communication between the novice inpatient nurse and the physician.
Method: The team, in a collaborative effort, decided to create a document to guide the novice nurse in communicating information to a physician concisely using the situation, background, assessment, and recommendation (SBAR) tool. After the development of the tool, the team, in another collaborative effort, worked with the simulation educator to create two different simulation scenarios to allow the novice nurses to identify the changes in the patient and then develop an SBAR with information the physician would need to guide the care of the patient, followed by a simulation call to the provider for orders. The exercise would take place in the simulation lab after four weeks of unit specific orientation to provide exposure to patient care and physician experiences prior to simulation. The participants were provided a copy of the SBAR tool at the end of the experience to use in practice.
Results: The outcomes of the project have been remarkably positive. Post-simulation, nurses reported a significant increase in confidence, with an impressive 92% feeling comfortable communicating with the physician using the SBAR template. Additionally, 91% felt confident in their critical thinking, 91% were aware of the information the physician needs to guide patient care, and 92% were comfortable making recommendations to the physician based on their assessment.
Implications for Practice: Developing the novice nurses in their critical thinking and communication skills, especially with communicating changes to physicians will increase safety, prevent patient deterioration, increase nursing confidence in their practice and develop the novice nurses to become competent in their practice.
Document Type
Poster
Publication Date
11-13-2024
Ring the Doc; When Things Take a Turn
Background/Introduction: The Rapid Response Nursing Team's submitted a request to Professional Governance to develop an education process for the novice inpatient nurses that seemed uncomfortable communicating patient condition changes with physicians.
Purpose: The purpose is to develop critical thinking and provide a template to guide communication between the novice inpatient nurse and the physician.
Method: The team, in a collaborative effort, decided to create a document to guide the novice nurse in communicating information to a physician concisely using the situation, background, assessment, and recommendation (SBAR) tool. After the development of the tool, the team, in another collaborative effort, worked with the simulation educator to create two different simulation scenarios to allow the novice nurses to identify the changes in the patient and then develop an SBAR with information the physician would need to guide the care of the patient, followed by a simulation call to the provider for orders. The exercise would take place in the simulation lab after four weeks of unit specific orientation to provide exposure to patient care and physician experiences prior to simulation. The participants were provided a copy of the SBAR tool at the end of the experience to use in practice.
Results: The outcomes of the project have been remarkably positive. Post-simulation, nurses reported a significant increase in confidence, with an impressive 92% feeling comfortable communicating with the physician using the SBAR template. Additionally, 91% felt confident in their critical thinking, 91% were aware of the information the physician needs to guide patient care, and 92% were comfortable making recommendations to the physician based on their assessment.
Implications for Practice: Developing the novice nurses in their critical thinking and communication skills, especially with communicating changes to physicians will increase safety, prevent patient deterioration, increase nursing confidence in their practice and develop the novice nurses to become competent in their practice.
Affiliations
Advocate Sherman Hospital