Good afternoon everyone and welcome to my Collaboration and Leadership Reflection Video for NURS4010: Leading People, Processes, and Organizations in Interprofessional Practice. My name is Sanitria Remus.
During this video I plan to:
• Reflect on an interdisciplinary collaboration experience, n...
Good afternoon everyone and welcome to my Collaboration and Leadership Reflection Video for
NURS4010: Leading People, Processes, and Organizations in Interprofessional Practice. My name is
Sanitria Remus.
During this video I plan to:
• Reflect on an interdisciplinary collaboration experience, noting ways in which it
was successful and unsuccessful in achieving desired outcomes.
• Identify how poor collaboration can result in inefficient management of human and
financial resources.
• Identify best-practice leadership strategies from the literature that would improve
an interdisciplinary team’s ability to achieve its goals.
• Identify best-practice interdisciplinary collaboration strategies to help a team achieve
its goals and work together.
• I will cite and reference all literature used.
I will begin by providing an introduction and background.
In this video, I will share an experience that tells a story of an interdisciplinary collaboration that
occurred when I was asked to participate in developing an updated situation, background, assessment,
and recommendation communication tool. I will abbreviate situation, background, assessment, and
recommendation as SBAR.
I have been working in Women’s Services for a little over a year now. Our Women’s Services consist of
antepartum, labor & delivery (L&D), postpartum, and neonatal intensive care unit (NICU). I work on the
antepartum unit. As an Antepartum Nurse, my job is to monitor and care for pregnant patients who are
experiencing complications with their pregnancy but are not yet ready to delivery. In addition to
providing specialized care for high-risk pregnant and possibly postpartum women. Some common
responsibilities are, but not limited to bedside care in a primary care setting, assessments including
electronic fetal monitoring. Also, reviewing plan of care with patients and interdisciplinary teams as
needed.
Throughout each department within Women’s services, has been some controversy about the way
accurate communication is used during the process of transferring, whether it’s at the bedside or over
the phone. For example, it was brought forth in our committee meeting that concise and relevant
patient information was being left out during the transfer of a patient from one unit to the next, such as
a baby being transferred from NICU to the well-baby nursery. Therefore, the information the admitting
nurse was receiving was not the pertinent information needed to complete admission in a timely
manner. This caused the admitting nurse unnecessary time going through the patient’s EMR chart to
look for specific information concerning the patient’s history. Every department uses a specific SBAR
that is created based on the patient’s diagnosis. This communication issue caused a delay in patient
admission and care because accurate use of the SBAR tool technique, in addition to accurate
communication was not used according.
, The Women’s Services educator emailed a group message regarding the development of an updated
SBAR tool sheet that every unit will use and benefit from. In addition to the meeting information,
including an attachment of each units SBAR tool sheet. This message instructed each person to analyze
each SBAR tool sheet and write down ideas to bring to the meeting. This meeting included, the
educator, unit manager, PCC, and a nurse from each department. Everyone was provided three samples
of SBAR tool sheets. The educator had us look over the samples, we discussed the pros and cons of each
sample, chose a sample to be used, and made necessary changes that were needed. Within a week,
there was one SBAR communication tool sheet that was created for each department use.
The updated SBAR communication tool was a success in achieving most desired outcomes by—
promoting interprofessional collaboration between healthcare professionals, improved the framework
for effective communication between the departments, while minimizing the admission process and
delaying of patient care. In addition to, demonstrating repetitive effective communication that reduced
errors and protected the patients. This updated SBAR tool also, eliminated the use of multiple SBAR
tools that was the contributing factor for the controversy within the departments.
The idea of creating an SBAR tool did promote interprofessional collaboration and more. However, there
were unsuccessful ways that limited full achievement towards the desired outcomes, such as— not all
healthcare professionals of the interdisciplinary team were engaged in the planning and development of
the new SBAR tool. Therefore, not all healthcare professionals were easily acceptable and open to
adopting change to the new communication tool. Also, there wasn’t an in-service session or training
offered to the healthcare professionals so that communication and the use of the SBAR tool were well
understood. Another unsuccessful desired outcome was that most of the interdisciplinary team
described the new SBAR tool being too busy and difficult to understand. For instance, there were four
SBAR tools on one sheet.
The published evidence would support my idea. Quoting from a 2016 publication the Midwifery:
Clear and effective communication between collaborating professionals within maternity teams
is essential, since a woman's care will typically involve multiple transitions between different
care settings and different clinicians. Effective clinical handover is especially important when
care is escalated from a lower to a higher level.
As well as quoting from 2018 publication the Safety in Health:
SBAR is a reliable and validated communication tool which has shown a reduction in adverse
events in a hospital setting, improvement in communication among health care providers, and
promotion of patient safety.
Nurses can improve their critical thinking by applying reflective practices to help build a better
understanding of past experiences to improve future practice decisions. For example, after months of
evaluating the use of the new SBAR communication tool, the committee (with me being apart) decided
to reevaluate and make corrections based on the outcome and feedback from all interdisciplinary team
members from each department via a questionnaire about the likes and dislikes relating to the SBAR
tool. The revised SBAR tool consisted only of pertinent information pertaining to both mom and baby
for all departmental use. This ensured that the SBAR tool was designed with only the most significant
and similar information between the departments and it was easy to read and understand. The overall
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