Enhancing Communication in Nursing Through SBAR: A Comprehensive Example

Consider a busy medical-surgical unit where a nurse, Sarah, is caring for a 65-year-old male patient named Mr. Johnson. Mr. Johnson was admitted for exacerbation of chronic obstructive pulmonary disease (COPD). The nurse identifies a change in his respiratory status during her routine asse

Introduction:

Effective communication is the cornerstone of patient care in the nursing profession. In healthcare settings, where timely and accurate information is crucial, the Situation, Background, Assessment, and Recommendation (SBAR) communication tool has emerged as a valuable asset. SBAR provides a structured framework for healthcare professionals to convey critical information in a concise and organized manner. This essay will explore the sbar essay example model through a detailed example in a nursing context, highlighting its significance in improving patient outcomes.

Example Scenario:

Consider a busy medical-surgical unit where a nurse, Sarah, is caring for a 65-year-old male patient named Mr. Johnson. Mr. Johnson was admitted for exacerbation of chronic obstructive pulmonary disease (COPD). The nurse identifies a change in his respiratory status during her routine assessments.

Situation:

Sarah begins the bedside report by clearly stating the situation. "I am calling about Mr. Johnson in Room 203. His respiratory rate has increased from 18 to 28 breaths per minute over the past hour."

Background:

Next, Sarah provides relevant background information to offer a comprehensive understanding of the patient's history and current condition. "Mr. Johnson has a history of COPD and was admitted three days ago. His initial oxygen saturation was 92%, and he was started on 2 liters of supplemental oxygen. He has been maintaining stable respiratory rates until now."

Assessment:

Sarah then articulates her assessment of the situation based on her clinical judgment. "Currently, Mr. Johnson appears more dyspneic, with increased use of accessory muscles for breathing. His oxygen saturation has dropped to 88%, even with 4 liters of supplemental oxygen. I've administered a nebulized bronchodilator as ordered, but there's minimal improvement in his respiratory distress."

Recommendation:

Finally, Sarah suggests a course of action based on her assessment. "Considering the decline in respiratory status, I recommend an immediate physician evaluation. Additionally, increasing the supplemental oxygen to 6 liters and initiating continuous pulse oximetry monitoring would be prudent. Shall I contact the respiratory therapist to assist with further interventions?"

Significance of SBAR in Nursing:

The example illustrates how SBAR serves as a structured communication tool, facilitating clear and effective transfer of information. This method enhances collaboration among healthcare team members, reduces the risk of miscommunication, and ultimately contributes to better patient outcomes.

Conclusion:

In the dynamic and fast-paced environment of healthcare, effective communication is paramount. The SBAR model exemplified in the nursing scenario provides a blueprint for conveying critical information in a concise and systematic manner. By adopting SBAR, nursing professionals can ensure that vital patient information is communicated accurately, leading to prompt interventions and improved overall patient care. As the healthcare landscape continues to evolve, the role of structured communication tools like SBAR becomes increasingly essential in promoting patient safety and enhancing the quality of nursing care.


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