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AACN Standards for AACN Standards for
Establishing and Sustaining Establishing and Sustaining

Healthy Work Environments Healthy Work Environments
Skilled Communication Skilled Communication

Nurses must be proficient in communication skills as Nurses must be proficient in communication skills as
they are in clinical skills. they are in clinical skills.
True Collaboration True Collaboration
Nurses must be relentless in pursuing and fostering true Nurses must be relentless in pursuing and fostering true
collaboration. collaboration.
Effective Decision Making Effective Decision Making
Nurses must be valued and committed partners in making Nurses must be valued and committed partners in making
policy, directing and evaluating clinical care and leading policy, directing and evaluating clinical care and leading
organizational operations. organizational operations.
Appropriate Staffing Appropriate Staffing
Staffing must ensure the effective match between patient Staffing must ensure the effective match between patient
needs and nurse competencies. needs and nurse competencies.
Meaningful Recognition Meaningful Recognition
Nurses must be recognized and must recognize others for Nurses must be recognized and must recognize others for
the value each brings to the work of the organization. the value each brings to the work of the organization.
Authentic Leadership Authentic Leadership
Nurse leaders must fully embrace the imperative of a Nurse leaders must fully embrace the imperative of a
healthy work environment, authentically live it and healthy work environment, authentically live it and
engage others in its achievement. engage others in its achievement.
AACN Standards for AACN Standards for

Establishing and Sustaining Establishing and Sustaining
Healthy Work Environments Healthy Work Environments
Skilled Communication Skilled Communication

Nurses must be proficient in communication skills as Nurses must be proficient in communication skills as
they are in clinical skills. they are in clinical skills.
True Collaboration True Collaboration
Nurses must be relentless in pursuing and fostering true Nurses must be relentless in pursuing and fostering true
collaboration. collaboration.
Effective Decision Making Effective Decision Making
Nurses must be valued and committed partners in making Nurses must be valued and committed partners in making
policy, directing and evaluating clinical care and leading policy, directing and evaluating clinical care and leading
organizational operations. organizational operations.
Appropriate Staffing Appropriate Staffing
Staffing must ensure the effective match between patient Staffing must ensure the effective match between patient
needs and nurse competencies. needs and nurse competencies.
Meaningful Recognition Meaningful Recognition
Nurses must be recognized and must recognize others for Nurses must be recognized and must recognize others for
the value each brings to the work of the organization. the value each brings to the work of the organization.
Authentic Leadership Authentic Leadership
Nurse leaders must fully embrace the imperative of a Nurse leaders must fully embrace the imperative of a
healthy work environment, authentically live it and healthy work environment, authentically live it and
engage others in its achievement. engage others in its achievement.
SBAR SBAR
Communication Tool Communication Tool
Critical information needs to be Critical information needs to be

transmitted quickly and action taken. transmitted quickly and action taken.
S-Situation: Identify yourself and position, patients S-Situation: Identify yourself and position, patients
name and the current situation. Give a clear, concise name and the current situation. Give a clear, concise
overview of pertinent issues. overview of pertinent issues.
B-Background: State the relevant history and physical B-Background: State the relevant history and physical
assessment pertinent to the problem, treatment/clinical assessment pertinent to the problem, treatment/clinical
course summary and any pertinent changes. course summary and any pertinent changes.
A-Assessment: Offer your conclusion about the present A-Assessment: Offer your conclusion about the present
situation. Summarize facts and give your best situation. Summarize facts and give your best
assessment. What is going on? Use your best judgment. assessment. What is going on? Use your best judgment.
R-Recommendations: Explain what you think needs to R-Recommendations: Explain what you think needs to
be done, what the patient needs and when. be done, what the patient needs and when.
Follow-up Action Follow-up Action

What are the next steps? What are the next steps?
Who is responsible for follow-up? Who is responsible for follow-up?
Verify any critical information received, seek Verify any critical information received, seek
clarification, ask questions, and read back critical test clarification, ask questions, and read back critical test
results. SBAR does not replace verbal communication results. SBAR does not replace verbal communication
whether over the phone or in person. whether over the phone or in person.
SBAR SBAR
Communication Tool Communication Tool
Critical information needs to be Critical information needs to be

transmitted quickly and action taken. transmitted quickly and action taken.
S-Situation: Identify yourself and position, patients S-Situation: Identify yourself and position, patients
name and the current situation. Give a clear, concise name and the current situation. Give a clear, concise
overview of pertinent issues. overview of pertinent issues.
B-Background: State the relevant history and physical B-Background: State the relevant history and physical
assessment pertinent to the problem, treatment/clinical assessment pertinent to the problem, treatment/clinical
course summary and any pertinent changes. course summary and any pertinent changes.
A-Assessment: Offer your conclusion about the present A-Assessment: Offer your conclusion about the present
situation. Summarize facts and give your best situation. Summarize facts and give your best
assessment. What is going on? Use your best judgment. assessment. What is going on? Use your best judgment.
R-Recommendations: Explain what you think needs to R-Recommendations: Explain what you think needs to
be done, what the patient needs and when. be done, what the patient needs and when.
Follow-up Action Follow-up Action

What are the next steps? What are the next steps?
Who is responsible for follow-up? Who is responsible for follow-up?
Verify any critical information received, seek Verify any critical information received, seek
clarification, ask questions, and read back critical test clarification, ask questions, and read back critical test
results. SBAR does not replace verbal communication results. SBAR does not replace verbal communication
whether over the phone or in person. whether over the phone or in person.

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AACN Standards for AACN Standards for

Establishing and Sustaining Establishing and Sustaining

Skilled Communication Skilled Communication

AACN Standards for AACN Standards for

Skilled Communication Skilled Communication

Critical information needs to be Critical information needs to be

Follow-up Action Follow-up Action

Critical information needs to be Critical information needs to be

Follow-up Action Follow-up Action

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