An Interactive Teaching Strategy Using I-SBAR-R to Improve Communication and Quality and Safety in Patient Care

Submitter Information

Author: Karen Rotolo, RN MSN
Title: Faculty
Institution: University of Pittsburgh Medical Center (UPMC) Mercy School of Nursing
Coauthors: Debbie Riggs, RN MSN CCRN and Renee N. Schneider, RN MSN CCRN

Competency Category(s)
Patient-Centered Care, Safety, Teamwork and Collaboration

Learner Level(s)
Pre-Licensure ADN/Diploma

Learner Setting(s)

Strategy Type

Learning Objectives

Discuss the importance of receiving and providing a shift report for the quality, safety, teamwork and collaboration in nursing practice. (KSA Patient Safety, Teamwork and Collaboration)
Demonstrate the appropriate use of I-SBAR-R to improve patient safety (KSA Patient Safety)
Evaluate if the report is sufficient to safely provide patient care

Strategy Overview

This teaching strategy encourages practice with I-SBAR-R so that students can develop communication skills that are necessary for safe practice. The purpose of this strategy is to 1) promote the use of I-SBAR-R, 2) use I-SBAR-R to communicate with peers and health care providers and 3) evaluate the importance of communication for the quality and safety in nursing practice.

This teaching strategy prepares novice students to provide safe quality care by embedding the QSEN competencies of safety, teamwork and collaboration in a conference setting. Students practice I-SBAR-R by receiving and providing a shift report and using communication effectively between multidisciplinary teams. In addition, the shift report encourages the student to develop clinical reasoning and skills in order to provide holistic patient centered care.

Submitted Materials


Additional Materials

Evaluation Description

A strategy evaluation was administered at the end of the activity. The questions listed below were used to evaluate the strategy:
A. The experience enhanced my communication skills
B. I feel more confident using I-SBAR-R
C. The information discussed today can be used in my nursing career
D. I understand the importance of clear and concise communication skills to ensure quality and safetyin patient care

In addition, student comments about participating in the learning activity included:
A. Made me confident in using I-SBAR-R
B. Really helped to learn the I-SBAR-R process in a very practical way
C. This was one of the best, most helpful wonderful thing we’ve done in this program.
D. This was a very good exercise
E. This was very helpful