Module 7 Ch18
1. Consider all the forms of communication in nursing practice: nurse-patient, nurse-nurse,
etc. Know the different styles of communication: assertive, aggressive, submissive,
conflictual, & educational.
Nurse to Patient Collaboration. Nurses coordinate with patients the many issues surrounding
health promotion and disease prevention, treatment methods, lifestyle changes, and end-of-life
decisions. Even Florence Nightingale taught collaboration with the patient, assessing what is
needed or wanted.
Nurse-Nurse Collaboration (Intraprofessional). Nurses work in teams in hospitals, in clinics, and
in communities that provide collaboration and support in patient caregiving. Nurses from
various units, fields, and with different experiences also collaborate: nurse managers, nurse
researchers, nurse educators, advanced practice nurses, as well as novice nurses with expert
nurses!
Mentoring is one example of this collaboration. Shift "hand-offs" are also exemplars.
Interprofessional Collaboration. This is the category that often comes to mind when thinking
about collaborative care. Nurses form partnership between a team of health providers from
medicine, pharmacy, occupational therapy, physical therapy, dentistry, social work, education,
and even law. The ANA code of ethics and QSEN both address interprofessional collaboration as
an important part of nursing care.
Interorganizational collaboration. Nurses must be aware of and utilize resources and
information between organizations which will benefit patients at the local, national, or global
levels. Examples of this are Hospice Care at the local level, and Health Care Consortiums at the
national level.
2. What is SBAR and why/how is it used? What are the barriers to effective communication?
● SBAR focuses on a method to provide information that honors the system in which
practitioners and medical providers learn to glean information and apply it to
decision- making
, ● Miscommunication is the most commonly occurring cause of sentinel events and
“near misses” in patient care
● Barriers to communication:
Distractions, inadequate knowledge, poor planning, differences in perception, emotions
and personality
3. Evaluate the differences between a group and a team.
● Group is a number of individuals assembled together or having some
unifying relationship.