[Sharon]

• Draft an email to your manager/supervisor/director with recommendations to address a clinical problem supported by your evidence using SBAR format.
• Include your prime articles to support your recommendations and reference in text.
• Recommend one of the three Knowledge Mobilization Frameworks Discussed in this week’s course in the recommendations section
• Use the previous slide as an example.
• Maximum of 500 words, excluding references.

[Jennifer]

Welcome to the end of week 6. Here you will post your 2-completed learning activities and respond to 1-other learners’ post. Remember your response to your peers should be reflective. Avoid brief acknowledgements and agreements.

Activity 1: Draft an email communication to your manager/supervisor/director with recommendations to address your research topic selected in week 1 using SBAR format. In your email, support your position and recommendations with references to the prime articles resulting from your literature search. Include recommendations for one of the three knowledge mobilization frameworks from this week’s readings. (Maximum of 500 words, excluding references)
Once this is completed, you move to the next discussion board to complete activity 2.

Jen C.

[Jennifer]

SBAR

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[Jennifer]

Hello Jennifer,
Excellent use of the SBAR format to communicate the clinical problem and recommendations. For your recommendations, the use of smart goal format could be helpful (e.g., specific, measurable, attainable, time-based).

How could you translate this SBAR information into an email communication to your manager to create solutions/program/resources for nurses when caring for residents who are refusing treatment?

[Jennifer]

Hello All,

I hope this message finds you well. I would like to bring to your attention an ongoing situation regarding a resident who is refusing bilateral leg dressing changes, which has raised several ethical concerns and highlights a need for enhanced support and resources for our nursing team.

Situation:
We are facing a challenge with a resident who disagrees with the necessary treatment decisions recommended by both our nursing staff and acute care medical team. Despite evidence suggesting that proper dressing care could significantly improve the resident’s condition, they are reluctant to proceed with the necessary care.

Background:
As noted in recent literature, ongoing support and education are crucial for patients to manage their care effectively. The resident’s refusal poses ethical dilemmas around capacity, consent, respect, and the potential for self-harm. The implications of inadequate wound care not only affect the resident’s health but also increase healthcare costs and impact our staff’s workload.

Assessment:
Poor wound care can lead to significant complications, which we must avoid. It is essential to ensure that our nursing team feels empowered to advocate for residents while navigating these complex situations. Addressing the ethical issues surrounding treatment refusals is paramount to providing the best possible care.

Recommendations:
To better support our team and improve care outcomes, I propose the following:

Meeting with Ethics Committee: To explore the ethical challenges in depth and develop guidance for similar situations.

Engagement with Wound Care Specialists: To provide expert insights and recommendations for effective treatment plans that we can communicate to residents and their families.

Chronic Wound Care Training for Nurses: Implementing a training program focused on knowledge translation, allowing our nursing staff to build skills in managing residents who refuse treatment.

I believe these initiatives could significantly enhance our ability to manage such cases and ultimately improve resident care.

I would appreciate the opportunity to discuss this further and explore how we can implement these recommendations in a timely manner. Thank you for your attention to this matter.

Best regards,
Jennifer Walker, RPN

[Attila]

Jennifer,

Great SBAR documentation! The issue you are addressing hits home for me. Wound care in long-term care homes is very important, especially leg wound care. A resident’s leg wound may limit their mobility, which can lead to several related issues that could lead to a decline in their health. It is not mentioned in your post, but residents with T2D have a significantly slower healing process, and they need additional attention to keep the wound from getting worse.

Attila

[Attila]

Please see the email attached.
Attila

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[Jennifer]

Hi Attila,

Good demonstration of the applying the different components of the Stetler Model to guide the process of developing and updating the pain management training and education program in your workplace.

When drafting an email to management (or writing professional and scholarly reports) it is helpful to maintain an objective position to represent facts about the problem/issue, why it’s important, and recommendations. The use of evidence from your literature search in your communication will help to support your position and recommendations.

[Author]

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