SBAR 'flattens the hierarchy' among caregivers.

As a young ensign in the US Navy on a nuclear submarine, Doug Bonacum had to brief the captain of the ship following his night-time shift, reporting about potentially dangerous situations that might emerge. He described the "situation, background, assessment, and recommendation". This nascent SBAR communication tool served temporarily to flatten the hierarchy between the ensign and the ship's captain. Years later at KP, Bonacum developed SBAR for facilitating effective conversations between obstetricians and nurses. SBAR has been implemented in "real-world" environments with excellent results. We are implementing SBAR to facilitate communication in CliniSpace among caregivers in this 3D immersive, virtual learning environment.