Employing the SBAR Framework: The purpose of this assignment is for students to review and critique existing screening practices for a particular health condition or outcome that employed by the agency in which they have been placed for internship before. The critique should utilize the Situation, Background, Assessment, and Recommendations (SBAR) Framework and include a detailed description of all instruments utilized by the agency or recommended by the student. The paper should not exceed 4 pages (excluding reference page).
SBAR Assignment with prompts:
S: Situation (7 points): For this assignment, ‘situation’ should include:
a) your agency and its mission [requires citation]
b) the target population your agency serves
c) a description of the team with whom you work/who you collaborate with on a regular basis (their disciplines and the manner in which you communicate)
d) your roles and responsibilities as related to your patient population and your relationship to your team (including your supervisor and how you fit into the organizational infrastructure)
B: Background (7 points): For this assignment, ‘background’ should include: a) description of common social determinants of health, risk and protective factors related to your target population (not individual patients)—this should include citations and outside research about your population.
b) descriptions of how patients are referred to you in your role, any information provided to you about these patients in advance, what it is, and how you receive it [in integrated behavioral health, this is part of the ‘clinical pathway’]. This question is not asking who is eligible for services offered—this question is about how patients arrive in your care.
c) how you and your team decide if or when to refer patients to other services [in integrated behavioral health, this is also part of the ‘clinical pathway’– Please note that this question is not requesting a detailed description of information included in a standard biopsychosocial assessment, or the outcomes associated with it]. 14
d) notation of whether any screening instruments are used and how/when they are used/whois expected to administer them. [Please note that this question is not requesting a detailed description of information included in a standard biopsychosocial assessment. If you receive a biopsychosocial assessment or are responsible for conducting one, that is great! Remember, as discussed in class and is noted in the PPT posted for your review: a biopsychosocial assessment is not a screening instrument].
A: Assessment (7 points): For this assignment, ‘assessment should include:
a) a critique of whether the screening instruments used by your agency are adequate, given the population and mission of your agency, and a rationale for this critique [requires citations]
b) any additional concerns that you think your agency might wish to consider screening for [not assessing] for (and why) [requires citations]
c) any problems or barriers for the above
R: Recommendations (7 points): For this assignment, ‘recommendations’ should include: a) what the population served should be screened for, based on population-level needs [requires citations]
b) what your agency might consider screening for, given its mission and ways in which patients are referred [requires citations]
c) what your agency is able to screen for/what would be appropriate, given its capacity and mission
d) what specific screening tool(s) your agency does or should use, and why [requires citations]
e) what the ‘clinical pathway’ should be, if your agency does or will screen:
1. how does or should screening happen? Who does it/who will do it?
2. Who on the team gets/will get the results? How will they get them? What does that team member do with the results? If your agency does screen, can this be improved?
3. Does anyone outside the team get the results? Who? Under what circumstances? Is there room for improvement? How does it go, and how do you think it should go?
Conclusion (2 points): How will you communicate these findings to your agency, if you choose to do so? Which findings will you communicate? With whom will you discuss this? When? Will you submit a written report? Will it be in SBAR format? Extra Note (You could just write about any internship agency that you know they do screening.)