Document Type

DNP - Open Access

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Brandi Pravecek

Second Advisor

Leann Horsley


SBAR, handover, handover time, efficacy, interfacility


Introduction: Patient handovers between healthcare providers during shift change or unit and interfacility transfers are a vulnerable time for inadequate communication. To ensure a handover is concise, healthcare organizations must implement and educate their staff on evidence-based communication tools.
Methods: SBAR is a communication tool commonly used during a handover. SBAR allows for a steady flow of report and a reduction of information missed. When nurses use SBAR, the efficiency of their report improves and handover time is decreased. By decreasing interfacility handover time, patients may be transferred to higher levels of care faster. By receiving more advanced care faster, patient safety may be enhanced. Gaps: There is a gap in the literature regarding SBAR report to interfacility transfer teams and decreased information is available comparing SBAR to other communication tools.
Recommendations for Practice: Implementation of the SBAR tool during interfacility patient handover may reduce transfer times and improve patient safety. The SBAR template must be customized to meet the needs of those utilizing it. It takes a team effort with solid leadership to implement and sustain the SBAR tool on a nursing unit.

Library of Congress Subject Headings

Patients -- Care.
Communication in nursing.
Continuum of care.
Evidence-based nursing.
Outcome assessment (Medical care)

Number of Pages



South Dakota State University


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