Name of Activity: SBAR Video Team Reflection

Description of Activity:

The purpose of the SBAR Toolkit is to offer practical strategies to assist organizations to implement a non-hierarchical, structured communication tool, and evaluate its uptake and use. This Toolkit is specifically tailored for interprofessional teams in a rehabilitation or complex continuing care setting that involve both clinical and non-clinical service providers (e.g. housekeeping and portering staff), as well as managers and leaders. The inclusion of a broad set of participants, together with full endorsement and support from organizational leaders, will help ensure a successful implementation.

Learning Objectives:

To reflect on a team’s existing communication or rounding structures

Develop skills on how to use the SBAR tool through video scenarios, role playing and/or case studies.

Identify strategies for the implementation and sustainability of SBAR within their clinical environment.

Number of participants:

Ideally subgroups of 5-10 people depending on usual rounding attendance.

Amount of time needed: 20 minutes for Activity, 15 minutes for reflection..

Space /environment considerations:

Small room setting with a-v available for video clips

Instructions for Activity:

Facilitated Discussion (15 Minutes)

1. Introduce the CONTEXT of Video #1 Five members of an interprofessional stroke rehabilitation team, involving a physiotherapist (PT), occupational therapist (OT), nurse (RN), social worker (SW), and speech language pathologist (SLP) are discussing Mrs. Holmes during weekly patient care rounds. Mrs. Holmes is requesting to go home on her first weekend pass since her stroke five weeks ago. It is Tuesday morning.

2. Play Video #1 – Version A

https://www.youtube.com/watch?v=NBNrYOBFwDs

3. Pose the following questions to help the group analyze what they saw:

a. In Version A, what makes these team members ineffective communicators? For example, did they listen to each other? Were they respectful? How did they handle multiple sources of information?

b. What could have been done differently? c. Have you ever been on either side of a similar conversation? d. What is the role of critical language or communications phrases for this team?

4. Resume Video #1 and play Version B

https://www.youtube.com/watch?v=1r31pL1aZDQ

5. Summarize the TEACHING MOMENTS by posing the following questions:

a. What are some of the differences in individual and team communication styles between Version A and Version B?

6. Conclude Video #1

Reflection Questions:

Having watched the video, what are some of the enablers and challenges of using SBAR?

Can you think of clinical examples of when SBAR may or may not be appropriate to use?

How do you communicate as a team and how could you adapt or adopt the use communication tools such as SBAR in your team’s practice?

Additional References and Resources:

Individual and Team Based SBARhttp://www.uhn.ca/TorontoRehab/Education/SBARPages 12-13: Adapted SBAR ToolPages 18-24: SBAR Content InformationPage 29-30: SBAR Video 1 Instructions (as above)NOTE: Alternative SBAR Video 2 on Pages 31-32 can be used to consider SBAR on a team member to team member interprofessional communication