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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Robin Arends

Second Advisor

Thomas Stenvig


Introduction: High-quality communication of patient information during the nursing handover report (NHR) when a patient is transferring between units or healthcare facilities is a critical feature of safe nursing care provided to patients. To ensure a high-quality nursing handover report, acute care nurses should utilize an appropriate and evidence-based communication tool.
Methods: CINAHL, Cochrane, EBSCOhost, Google Scholar, and PubMed databases were searched to identify and analyze evidence about the Situation- Background-Assessment-Recommendation (SBAR) communication tool. Evidence Summary: Many studies support using the SBAR tool for efficient, high-quality communication to ensure patient safety during the NHR. In addition, it increases nursing staff satisfaction with the quality of the NHR.
Gaps in Evidence: The evidence lacked in-depth discussion of the sustainability and generalizability of the SBAR tool to medical specialties other than acute care. Recommendations for Practice: Implementation of a protocol for use of the SBAR tool is an important improvement in nursing practice. Registered nurses and licensed practical nurses working on an acute care units should use the SBAR tool when admitting patients from an external healthcare facility or the emergency department. The SBAR communication template should be accessible by all nursing staff members.

Library of Congress Subject Headings

Intensive care nursing.
Communication in nursing.
Nursing records.
Continuum of care.
Nursing care plans.
Patients -- Safety measures.
Hospitals -- Admission and discharge.

Number of Pages



South Dakota State University


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