MHA 598 University of Phoenix Week 6 SBAR Proposal Paper - Science
Write a brief paper and provide an update on the progress of your SBAR submission to your employer.Review and incorporate Week 5 feedback from your instructor.Discuss the following in your paper:Has your SBAR been received by your employer?If so, how has your employer responded?If not, why?Are there any adjustments you need to make to your project?Format your assignment according to APA guidelines.No plagiarism No plagiarism No plagiarism No plagiarism No plagiarism
brandy_blue___sbar_proposal_feedback.pdf
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Running Head: SBAR PROPOSAL
1
SBAR Proposal
Brandy Blue
MHA/598
May 25, 2020
University of Phoenix
Instructor Name
SBAR PROPOSAL
2
SBAR Proposal
The purpose of the SBAR is to communicate ‘effectively’ the short-term idea/project that
supports Kaizen of the specific process selected for the Gemba walk to management.
• Situation
• Background
• Assessment
• Recommendations
** Refresh **
Communication is the transfer of messages between sender/receiver.
‘Effective’ communication is the transfer of ‘understood’ messages between
sender/receiver.
Your idea/project coming forth from the Gemba walk is ‘effectively’ communicated to
management via the SBAR tool.
The idea/project contributes to continuous Improvement (Kaizen) of the selected
process.
That idea/project contributes to continuous Improvement (Kaizen) of the selected room
cleaning process. 😊
Short-term Executable Project Supported by the Gemba and Data Collection
Environmental cleaning is critical in preventing healthcare-associated infections (HAIs)
and, in turn, save saves costs for hospitals. The Newborn/Infant Intensive Care Unit (N/IICU)
environmental hygiene in specifics to room cleaning entails appropriate cleaning and sanitization
of surfaces and equipment within the unit. Equipment and surfaces remain classified as critical,
semi-critical, and non-critical. Critical equipment touches the vascular system, and semi-critical
equipment is equipment that affects non-intact skin and mucous tissues (Allen, Hall, Halton, &
Graves 2018). Non-critical touches the skin, and they include environment surfaces such as
floors, furniture, walls, bedpans, intravenous poles, blood pressure cuffs, and stethoscopes.
This My short-term idea/project for supporting Kaizen efforts of the room cleaning
process involves implementing a multi-modal bundle strategy in the N/IICU at Children’s
SBAR PROPOSAL
3
Hospital of Philadelphia to improve the environmental hygiene of room cleaning as a measure to
prevent cross-transmission risk and ecological contamination. During the Gemba walk, a
takeaway uncovered revealed that the cleaning process within the unit could improve to achieve
Kaizen in efficiency. What about Kaizen in effectiveness?
Reflect on that knowledge of what effectiveness entails; what efficiency entails.
According to Allen, Hall, Halton, and Graves (2018), “the multi-modal bundle strategy
considers the five key variables needed to improve cleaning practices: the product used, the
procedure, equipment use, type of surface, and the contamination level of the room or unit.” In
addition to the five variables, effective communication with the personnel qualified for cleaning
is also a fundamental process requirement when implementing Kaizen. The bundle approach
entails specific components, including establishing policies and procedures for the operation of
room/unit cleaning, opting for proper cleaning, decontamination products, and educating staff
with SBAR while also executing no-touch unit disinfection (Lee, Dong, Lim, Poh, & Lim,
2016). The effectiveness of the strategy Kaizen efforts will be evaluated in termswith
measurements of changes in the rates of HAIs, cleaning performances based on UV lighting
emitting devices, staff awareness, and costs (Staines et al., 2018). The project will consist of a
30-days pre-invention phase and a three-month intervention phase.
You measure the difference between original outcomes of the process against Kaizen efforts of
the process where there are OUTCOMES PLUS
S
Situation
A cleaning bundle has been designed and implemented in the N/IICU
at Children’s Hospital of Philadelphia to reduce the risk of
transmission of HAIs and environmental contamination.
Situation - Provides a concise statement of the
opportunity/opportunities for KAIZEN of the process selected.
SBAR PROPOSAL
B
Background
4
👍
During the Gemba walk within the unit, observed takeaways reflected
ways to improve the cleaning process, and promote Kaizen. In effect,
a multi-modal bundle strategy will get implemented as a short-term
project to involve the units staff communication and improve the
cleaning process. The approach remains organized based on a
scientific structure to influence the shift from evidence into practice.
Background – Includes pertinent and brief information related to
the situation.
1) Name of the process
2) Steps within the process
3) Outcomes of the process
A
Assessment
The situation assessesMy assessment is that the N/IICU cleaning
process does not match the best available evidence concerning
healthcare facility hygiene practices.
Other findings???????
Assessment - analysis and considerations of options — what
your preliminary analysis uncovered.
Clearly identify the above as opportunities for effectiveness; if
you have identified outcomes of the existing process, you then
can project outcomes Plus.
For efficiency, if you have identified steps/actions of the existing
process, you then can project revised steps/actions.
This is value-added information for management.
From your analysis of the process, you generate ideas for
possible short- and long-term projects that support the Kaizen
effort.
R Recommendation The multi-modal bundle strategy recommends that the units cleaning
SBAR PROPOSAL
5
programs should be planned and expedited at the hospital level,
including cleaning schedules that specify methods, frequency, and
staff responsibility. The strategy also recommends that high-touch
surfaces should be disinfected at least twice per day and low-touch
surfaces should be clean daily, after the discharge of patients.
What is the assertive recommendation here that management needs
to understand and hopefully buy into?
Is there multi-modal training to be provided to staff?
Are there costs of obtaining this multi-module strategy?
Recommendation/s - action requested — ideas turned into a
short-term project.
**** This is the most important part of the SBAR
communication****
What effects do the short-term ideas/projects have on resources
of the organization?
Be sure to associate with any of your recommendations, a
subsequent pull (strain) on resources of the organization. These will
draw keen attention from management who you are communicating
your ideas to.
Take the lead, clearly identify to management the specifics that
pull (strain) on resources!
Brandy,
Conducting a Kaizen effort on a selected process brings forth outcomes that result in
improvements (addressing effectiveness).
Conducting a Kaizen effort on a selected process brings forth steps/actions within the
process that can be improved (addressing efficiency).
The short-term ideas/projects support the Kaizen efforts of the process selected for the
Gemba Walk.
SBAR PROPOSAL
6
Grasping the understanding of SBAR knowledge positions you to ‘apply’ it to real
situations which is where the value emanates. Incorporating my feedback (assignments,
classroom) and using critical thinking skills, nurtures that application.
You need to provide concreteness and objectivity to this SBAR communication tool in
order for it to become an effective communication tool in communicating short-term
ideas/projects that will support Kaizen effort of the room cleaning process.
Reflecting on my constructive feedback (assignments, classroom messages), your
Gemba walk being conducted at the operational/tactical level will bring forth Kaizen
opportunity, and set the stage for a Capstone project bringing forth Kaizen opportunity at
the strategic level.
Possible topics to consider:
intrapreneurship, innovation, effective communication, customer service, transformation,
and carrying out the purpose/mission, core values of the organization.
You have the opportunity to engage in the actual real experience of conducting a Gemba
walk on a ‘specific’ process that supports a continuous improvement (Kaizen) effort. Been
there, done that!
You have the opportunity to engage in applying an effective communication tool (SBAR) by
communicating ideas/projects to management that support continuous improvement (Kaizen)
effort of the process selected.
These are real challenges confronting you.
KEEP GOING!
Page break formatting error. To insert a correctly formatted page break before the references
page, use the Insert menu, select Break, and select Page Break or press Control, Enter. This
will ensure your references begin at the top of a new page after I insert comments within your
paper.
References
Allen, M., Hall, L., Halton, K. & Graves, N. (2018, June). Improving hospital environmental
hygiene with the use of a targeted multi-modal bundle strategy. Infection, Disease & Health,
23(2), 107-113. http://doi.org/10.1016/j.idh.2018.01.003
Lee, S.Y., Dong, L., Lim, Y.H., Poh, C.H. & Lim, W.S. (2016, November). SBAR: Towards a
Common Interprofessional Team-Based Communication Tool. Medical Education, 50(11),
1167-1168. http://doi: 10.1111/medu.13171
SBAR PROPOSAL
7
Staines, A., Vanderavero, P., Duvillard, B., Deriaz, P., Erard, P., Kundig, F., Juillet, C., & Clerc,
O. (2018, October). Sustained improvement in hand hygiene compliance using a multimodal improvement programme at a Swiss multi-site regional hospital. The Journal of
hospital infection, 100(2), 176–182. https://doi.org/10.1016/j.jhin.2018.04.010
...
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