Communication Evaluation Tool

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Measure Interdisciplinary Critical Incident Verbal Reports by Jacqueline Guhde

The research article, "An Evaluation Tool to Measure Interdisciplinary Critical Incident Verbal Reports" by Jacqueline Guhde (2014) discussed and explored the use of an evaluation tool in assessing the communication effectiveness of nurses when relaying patient problem information to physicians in the hospital setting. In the research article, Guhde discussed the relevance of such an evaluation tool in improving effectiveness of communication between nurses and physicians. Further, the author also explained the rigor in analyses applied in the development of the evaluation tool, particularly on the reliability of scoring among assessors, which ultimately determines if effective communication was achieved or not.

The evaluation tool was developed based on a mix of simulation through tape-recorded cases and actual practices and assessed through content validity and inter-rater reliability (IRR) tests. The study's design is appropriate especially for the intended audience or users of the evaluation, the healthcare professionals. Through simulations in the form of assessments of tape-recorded cases and practice scenarios, the study was able to make the graduate students internalize the importance of the study's importance to their practice: that effective communication is a critical component to ensuring that patient problems and conditions are responded to appropriately and correctly.

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Supporting these simulation exercises are the statistical tests conducted to determine if the results generated from simulation/practice tests can be used in a general sense -- that is, across all health practitioners. The author even suggested the use of an evaluation tool across other disciplines as well, as the objective and framework from which the tool was anchored by is not unique to the hospital setting, but can be also applied to other workplace settings as well (180). Thus, the evaluation tool is useful and important not only to nursing practice, but to all other work practices wherein effective communication is critical, e.g., emergency response and crisis management situations.

The core of the evaluation tool comes from the SBAR tool, which follows the following protocol and order of verbally reporting a patient problem or condition: situation, background, assessment, and recommendation (180). However, what has evolved in the evaluation tool is that additional "categories" were included, specifically: providing a "situationer" to the physician, providing information in an "orderly sequence," and determining which information could be considered pertinent for the physician to use (180). What resulted is an evaluation tool based on the ISBARR….....

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