SIBR Readiness is the easy way to reveal frontline enthusiasm for a safer and more efficient team rounding process.
Unit staff watch a short video and answer 4 quick questions
Get a report revealing frontline enthusiasm and readiness
Share the consensus with leaders to support a pilot
SIBR Readiness 101
Gather frontline feedback about enthusiasm and readiness for the Nurses First program
We understand there are great benefits to engaging frontline staff in transformational change processes. And doing so can greatly increase the likelihood of success. The quantum of change needs to be understood to successfully launch of new program. That’s why we created the SIBR Readiness process – to give frontline staff a safe and anonymous voice about the care delivery on their unit.
Register your staff or share the course link via email, track completion rates for the Discovery video and readiness survey. When a minimum of six survey responses have been submitted, the SIBR Readiness report will become available, providing insights into the perceived benefits and potential challenges of implementation. Feedback is completely anonymous, providing the psychological safety needed for respondents to provide honest insights.
Select your role to see the reported benefits
-Loving SIBR rounds
-More engaged patients
-Opportunities to participate in decision making
-Getting questions answered
-Goal for the day discussed everyday
-Better informed, less uncertainty
-Increased family attendance at rounds with set time
-Discharge planning discussed daily
-Better communication with nurses and allied health
-Quicker resolution of issues
-Fewer calls, pages, and shoulder taps
-Remaining interruptions are efficient and short
-Less hectic shifts, less frustration
-Greater sense of control
-Shift usually ends on time
-Carrying less burden
-More efficient discharge coordination
-Less time calling family
–A more efficient clinical day
– Know when the doctor will come to see patients
– Efficient information exchange between team members
– Plan of care shared between team members
– No more guessing, no more uncertainty
– Better access and rapport with doctors
– Resolve issues and concerns efficiently
– Care team work and communicate like an actual team
– Higher job satisfaction
-Better integration into planning
-Better communication with physician and nurses
-Quicker identification of barriers to discharge
-Better able to support continuing care needs
-Higher work satisfaction
-More control on processes & operations
-Happier unit staff
-Happier patients and families
-Improved clinical, cost, and patient outcomes
-More time for interpersonal relationships
-Less time on administrative duties
-Streamlines other Performance Improvement projects
Frequently Asked Questions
What is SIBR?
Structured Interdisciplinary Bedside Rounds (or SIBR, pronounced “cyber”) is a team-based, patient-centered teamwork model. SIBR brings the bedside nurse, physician, and any available allied health & therapy professionals to the bedside. It creates the time, space, and scaffolding for team members to:
- Exchange updates and collaboratively cross check information with the patient, family, and one another
- Re-examine assumptions and identify closely held misinformation
- Hold each other accountable to a quality-safety checklist
- Synthesize a mutually supported plan of care; and
- Create the common ground needed to complete interdependent tasks efficiently the rest of the day
SIBR uses a 6-step communication protocol which outlines who says what, when, and in what sequence. It is designed this way for efficiency, but also for “sense-making.” Sense-making, of course, refers to how much easier it is to make sense of a myriad of data points when listeners know and can trust they will hear the same thing in the same order every time.
For SIBR to be operationally effective, staff must learn to arrive to SIBR prepared, respect punctual start times, and adhere to the 6-step communication protocol. Because they make sense but are also not obvious, these operational norms are taught and emphasized initially through online and onsite training, then reinforced through practice until they become routine.
What is clinically effective SIBR?
Clinically effective SIBR must be high-performance SIBR. The path to high-performance SIBR starts with online and onsite training to learn individual SIBR skills and team SIBR skills. Individual SIBR skills are verified through real-time, electronic assessment and feedback of individual performance. Verification is data-driven: when an individual demonstrates 9 of 10 discrete SIBR high-performance behaviors for 3 different SIBRs, “SIBR Certification” is earned and tracked through a data and analytics software platform.
Team SIBR skills are learned through practicing “orchestration,” a unique concept taught and emphasized initially through online and onsite training, then reinforced through deliberate SIBR practice. The hallmark sign of a SIBR team practicing great orchestration is when participants routinely notice the effectiveness of each step of SIBR and interact dynamically as self-aware team members to optimize it.
High-performance SIBR requires training and self-awareness, but it drives all the gains, from throughput and cost outcomes to clinical outcomes and, patient and staff satisfaction. Just showing up to go through the motions of interdisciplinary rounds is not enough. As with any other clinical competence, expertise matters – each SIBR participant should have individual skills and teams skills.
High-performance SIBR can be tracked across key criteria and reported to unit leaders, service line directors and hospital executives using the 1Unit Software Platform.
How is Nurses First™ connected to Structured Interdisciplinary Bedside Rounds (SIBR)?
Units that have already implemented Nurses First will have their nurses optimally set up to participate in SIBR rounds. The Nurses First Bedside Handover includes the quality-safety checklist items that the nurses will be sharing during SIBR.
Nurses should leave nursing bedside handover with >90% of the information they need for each of their patients for SIBR. Our handover process thus enables bedside nurses to continue with their other key tasks during the busy morning period, yet are always ready to present or advocate for their patients during the shift.
By aligning nursing handover with the nurse’s portion of SIBR, we reduce communication errors and elevate the preparedness and presentation skills of all bedside nurses, so that nurses can be fully recognized as being the experts on their patient.
We have numerous reports of new grad nurses handing over to specialist consultants or Rapid-Response Teams/Medical Emergency Teams with confidence, composure, and clarity.