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Lecture communication
- 1. COMMUNICATION ISBR Dr NisarAhmed Arain Assistant Professor Anesthesia/Critical care/ER
- 2. SBAR SBAR SBAR TECHNIQUEFOR COMMUNICATION
- 3. COMMUNICATION -Communication is theactivity of conveying INFORMATION through the exchange of ideas, Feelings, intentions, attitudes. Expectations Perceptions or Commands as by Speech, Non – verbal gestures writings, behavior and possibly by other means such as electromagnetic, chemical or physical phenomena and smell.
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- 5. Encoder sender Decoder Receiver messages Shannon – weaversModel of Communication
- 6. -Effective communication isnot only about conveying a message that you want to say. It is about conveying the message so that the other people understand and respond to it Effective communication
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- 9. VAGUENESS AND SHORTAGEOF DATA
- 10. WHAT WE NEEDFOR EFFECTIVE COMMUNICATION --Mechanism (established processes) to frame conversations --Tool (distinct design) to share concise and focused information. --Standard of Communication --Indicator of Effective Communication
- 12. What about SBAR Itis an effective Mechanism to close the traditional hierarchy between doctors and other care givers.
- 13. A shared mentalTool around all patient handovers and situations requiring escalation, or critical exchange of information. What about SBAR
- 14. - A Standardizedwell structured 4- steps method that clarifies WHAT and HOW information should be communicated What about SBAR
- 15. What about SBAR Easyto remember Indicator that you can use to frame conversations, especially critical ones, requiring a clinician's immediate attention and action.
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- 18. SBAR at thepersonal level -1-Communicate forcefully and effectively Self confidence -2-Close the traditional hierarchy between staffs relaxed work life -3-Encourage assessment skills positive Participation -4-Staff anticipate the information needed by colleagues, Trust building
- 19. SBAR at theinformation level -1-Reducing Repetition -2-The right level of detail -3-The right sequence of Flow -4-Concise and focused information
- 20. -1-To foster aculture of patient safety -2-To develop effective communication and teamwork -3-Easy to remember and can reduce the time spent on patient hand over -4-An ROP (Required organizational practice) requested by Accreditation body -
- 21. Why is improvingour Communication important -Patients care is dependent on effective communication INCLUDING a-Including Telephonic communication BETWEEN All staff involved in the care of patient -Effective communication has become more important as health care has become more complex and highly complex and Team based
- 22. Why do weneed a standard approach to verbal and written Communication -1-It is a daily task -2-It is rarely “explicitly” taught -3-Telephone referrals can be a source of frustration for both the “give” and the receiver -4-Ineffective telephone communication can compromise patient care
- 23. -1-People are busyand don’t want more work! It takes time and practice to plan a good handover of patient/client information -2-It can be difficult to summarize a complex case succinctly -3-The person making the referral -It is often asked about things they have already said -They may not get the help they were expecting -4-The person receiving the referral may -Interrupt mid sentence -Make assumptions about the capability of the caller Some of the challenges in good Communication
- 24. He was focused,but not well prepared….. -1-The Doctor clearly states what he wants --He wants the other Doctor to come and see the Patient -2-He checks he is talking to the right person but…He doesn’t have important information at hand -3-The main problem is lack of preparation --How long does it take to prepare ? --What things should be prepared