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- Paul Cornell, Mary Townsend Gervis, Lauren Yates, and James M Vardaman.
- Practice Transformation, Dallas, Texas, USA. ptcornell@gmail.com
- J Nurs Adm. 2013 Jul 1;43(7-8):422-8.
ObjectiveThe Situation, Background, Assessment, Recommendation (SBAR) protocol was used to improve shift reports in 4 medical-surgical units.BackgroundThe SBAR protocol is increasingly advocated for use during shift reports, but data on the efficacy are limited.MethodsNurses were trained on SBAR in 4 medical-surgical units in a tertiary care hospital. Nurse tasks, tools, and locations were recorded during observation audits.ResultsThe 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.ConclusionThe 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.
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