Date of Conferral

2022

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Robert McWhirt

Abstract

Patient information transfer during nursing end-of-shift reporting remains a complicated process that lacks universal standardization. This lack of standardization was illustrated at the project site, a detention center in the northeastern United States. Deficiencies and gaps in the health care information of patients during end-of-shift reporting lacked consistence and congruency. This project was developed and implemented to educate the nursing staff at the project site on using the situation–background–assessment–recommendation (SBAR) tool during patient information transfer at cell-side in the facility infirmary. The practice-focused question that guided this project was whether a staff education on an SBAR communication tool designed to improve patient information transfer during cell-to-cell end-of-shift reporting would be perceived by staff as satisfactory and helpful in increasing their knowledge and likelihood of using the SBAR handout in practice. Knowle’s adult learning theory and its five assumptions were the structural foundation for the program. Participants (N = 14) were asked to complete a post training evaluation. The evaluation consisted of five topics to rated using numerical values (1 = strongly disagree to 5 = strongly agree). Results were collected and analyzed using SPSS software. The findings revealed the program enhanced nursing knowledge and increased the likelihood of future use of the tool (M = 4.76). Correctional health teams are challenged with providing safe, quality, efficient health care to a vulnerable population . Cell-side end-of-shift SBAR reporting with patient inclusivity can promotes positive social, accountability, and continuity of care when transitioning into the community health care system. This has potential implications for positive social change.

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