Implementing SBAR for Safety-Critical Communication During Shift Change

by | Sep 24, 2024 | Communication

 

Hospital administration has asked you to develop a memo explaining how to use the SBAR (Situation, Background, Assessment, Recommendations) as a tool for safety critical communication during shift change among healthcare professionals. In the memo that you will be preparing, remember to address the following:

The importance of critical safety communication
At least two principles of safety-critical communications
A description of the SBAR tool
A hypothetical example of how to use each element of the SBAR tool, meaning examples of each of the following:
Situation
Background
Assessment
Recommendations

 

 

 

 

 

 

Sample solution

Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell. 

In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.


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God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.

Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.

To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.

 

References

Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.

Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies, 4(8), 487.

Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.

Sample Answer

Sample Answer

Memo
To: Healthcare Team
From: [Your Name], [Your Position]
Date: [Insert Date]
Subject: Implementing SBAR for Safety-Critical Communication During Shift Change
Introduction
Effective communication during shift changes is vital in healthcare settings to ensure patient safety and continuity of care. This memo outlines the importance of critical safety communication, principles to guide this communication, and how to effectively utilize the SBAR (Situation, Background, Assessment, Recommendations) tool during shift changes.
Importance of Critical Safety Communication
In the fast-paced environment of healthcare, critical safety communication is paramount. Poor communication can lead to misunderstandings, medication errors, and adverse events, ultimately compromising patient safety. Establishing clear and concise communication protocols fosters a culture of safety and enhances teamwork among healthcare professionals.
Principles of Safety-Critical Communications
1. Clarity and Conciseness: Communication must be straightforward and direct to prevent misinterpretation. Using standard formats like SBAR can help streamline information delivery.
2. Timeliness: Providing information in a timely manner is crucial. Shift changes can be chaotic; therefore, having a structured approach ensures that all relevant details are communicated before the handover is complete.
Description of the SBAR Tool
SBAR is a standardized communication framework that promotes effective information exchange among healthcare professionals. It consists of four components:
– Situation: A brief statement of the current situation or issue.
– Background: Relevant clinical background information related to the situation.
– Assessment: The healthcare professional’s assessment of the situation.
– Recommendations: Suggested actions or interventions to address the situation.
Hypothetical Example of Each Element of SBAR
Situation:
“Good morning, I’m handing over patient Jane Doe, a 65-year-old female admitted for pneumonia. She currently has a temperature of 101°F and is experiencing increased shortness of breath.”
Background:
“Jane has a history of chronic obstructive pulmonary disease (COPD) and was started on antibiotics 24 hours ago. She has been receiving oxygen therapy at 2 liters per minute, which has helped maintain her oxygen saturation levels around 92%.”
Assessment:
“Her respiratory status is deteriorating; she appears more fatigued than when I started my shift. I am concerned that her pneumonia may be worsening due to her underlying COPD.”
Recommendations:
“I recommend that you consider increasing her oxygen flow to 3 liters per minute and re-evaluating her respiratory status in 30 minutes. Additionally, please review her lab results from this morning for any changes that might require an adjustment in her treatment plan.”
Conclusion
Implementing the SBAR tool during shift changes enhances safety-critical communication among healthcare professionals. By adhering to its principles and utilizing its structure, we can significantly reduce the risk of miscommunication and improve patient outcomes. Let us commit to using SBAR as a standard practice in our daily routines for improved clarity and efficiency in our communications.
Should you have any questions regarding the SBAR tool or its implementation, please feel free to reach out.
[Your Signature]
[Your Contact Information]

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