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Do you a standard form of communication each time you interact with a clinical team member?
 
Yes, each interaction
 
Occasionally, only when I think about it
 
Only during critical situations
 
Never
 
 
 
Do you know what SBAR communication stands for?
 
yes
 
no
 
 
 
Have you ever been made to feel inadequate when asking for clarity by a peer or provider? If so please explain.
   
 
 
 
Do you feel clear communication is important?
 
yes
 
no
 
not sure
 
 
 
If you feel communication is important, why?
   
 
 
 
Are you hesitant to ask for clarity from a provider?
 
yes
 
no
 
 
 
Are you hesitant to ask for clarity from another nurse?
 
yes
 
no
 
 
 
If you are hesitant, why?
   
 
 
 
Do you feel communication is clear between nurse to nurse and nurse to provider?
 
yes
 
no
 
sometimes
 
 
 
If you answered sometimes, what triggers poor communication?
   
 
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