Date of Conferral

2022

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Robert Anders

Abstract

AbstractCommunication failures, especially inadequate hand-off communication, in U.S. hospitals has accounted for 30% of malpractice claims, resulting in 1,744 deaths over 5 years. This prompted the Joint Commission to recommend utilizing standardized communication tools to reduce the number of medical errors related to miscommunication. The Situation-Background-Assessment-Recommendation (SBAR) Communication Tool has been used to improve the effectiveness of communication among health care providers. The partner organization noted failures to communicate patient-care-related information between psychiatric mental health nurses (PMHN) during hand-off, given the absence of standardized communication. This project aimed to develop a program to educate PMHNs on the SBAR Communication Tool. Five experts used the Lynn model to evaluate the project’s educational program, learning materials, and pre-and post-test. The experts determined that the educational program and related materials met the validation criteria. The theoretical framework applied to this project was Malcolm Knowles’s adult learning theory. Five PMHN participants completed the educational activity. The pretest findings indicated that the PMHNs had insufficient knowledge of the course content, and the posttest data suggested that the educational activity met the lesson objectives and the PMHNs had increased knowledge and confidence in using the tool. The project has the potential to impact nursing practice given the improvement in communication during hand-off and reduce miscommunication patient care incidents.

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