Evidence-Based Practice Poster Session (Posters #11-#20)
16 - Communication: The Effect of a Real Colors® Workshop & Bouffant Hat Trial
Description: Abstract: The purpose of this study was to improve communication and increase awareness of communication styles among Operating Room (OR) team members at UnityPoint Health St. Luke’s Hospital. By improving communication and increasing awareness among OR team members, the risk for adverse patient events is reduced, team members develop a deeper understanding of their peers, and the speak-up culture is embraced and promoted. The Association of PeriOperative Registered Nurses (AORN) supports improved communication that creates a patient safety culture and encourages individual team members to actively engage in and support the culture. St. Luke’s Hospital promotes communication by encouraging a speak-up culture, a culture of patient safety, and patient-centered practice. Further, in 2019, improving staff communication remains a top goal for the Joint Commission. Working with management, we ensured hospital employees, comprised of team members from all specialties within the OR, attended a Real Colors ® Workshop. A pre-Real Colors® workshop and bouffant hat trial questionnaire was completed by frontline OR team members. Supply distribution assisted in obtaining colored bouffant hats. A post-Real Colors® workshop and bouffant hat trial questionnaire was completed after colored hats were trialed for a one-week period. The goal was to answer the question, “What is the effect of wearing colored bouffant hats that represent team members primary communication style after attending a Real Colors® workshop?” Questionnaires in the week after colored bouffants showed barriers to effective communication in the OR included distractions, noise, cell phones, providers and environmental restrictions (sterile field limitations and personal protective equipment).
Results: 29 out of 32 showed improved communication skills. Post-survey we went from 9.4% to 58.1% on awareness of teammate communication style. Post-survey we went from 12.5% to 38.7% on ability to recognize communication characteristics. Limitations: relying on self-reported measures (voluntary response bias); questionnaires were completed anonymously, to reduce potential response bias; small sample size limited generalizations of findings; non-response bias present; gold bouffants small and tight; engagement: some team members did not participate or only participated for a day.Implications: Real Colors® characteristics will be posted at scrub sinks. New team members will attend a Real Colors® workshop as part of their orientation to the unit. Authors are working to obtain colored badge reels or cards to continue communication facilitation based on personal characteristics. Future expectation that Providers will attend a Real Colors® workshop. Real Colors® characteristics chart posted in the staff lounge (This includes traits and stressors, how to talk to different colors, and benefits of different colors to the team).