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Res Gerontol Nurs. 2019 Mar 22:1-12. doi: 10.3928/19404921-20190315-01. [Epub ahead of print]

Creating Shared Meaning: Communication Between Nurses and Physicians in Nursing Homes.


The current study sought to obtain pilot data from a Situation, Background, Assessment, Recommendation (SBAR) communication intervention focused on the shared meaning construct of the sensemaking model and explore shared meaning in communication between nursing home (NH) nurses and physicians. The study design was an exploratory sequential mixed method with a pre/post quasi-experiment. Grounded theory was used to collect and analyze nurse and physician interviews and medical records. The Pathway to Shared Meaning model illustrating distinct processes supported use of the sensemaking model for understanding nurse-physician communication. Quantitative changes in communication were not significant. Shared meaning and training in SBAR for communication can be used to strengthen the design and use of structured communication in NHs.


Nurses and physicians providing direct care in NHs.


Stories describing nurse-physician sharing of resident information using SBAR.


Mutual understanding of one another's perspective enhances communication.


Communication openness and satisfaction. [Res Gerontol Nurs. 20xx; x(xx):xx-xx.].

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