SBI Model (Situation–Behavior–Impact) [Neurosurgery Wiki]

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====== SBI Model (Situation–Behavior–Impact) ======

The **SBI Model** is a simple, effective framework for delivering **constructive feedback** in clinical, academic, or professional environments. It promotes clarity, respect, and impact-focused communication—especially valuable in high-stakes fields like neurosurgery.

===== 🔹 Definition =====

**SBI** stands for:

  * **S = Situation** – Describe the specific time, place, or context.
  * **B = Behavior** – Describe the observable action(s) without judgment or interpretation.
  * **I = Impact** – Describe the effect the behavior had on the team, patient, procedure, or environment.

> ''The goal is to make feedback objective, specific, and focused on improvement rather than blame.''

===== 🔹 Example in Neurosurgery =====

  * **Situation:**  
    ''“During the tumor resection yesterday afternoon…”''

  * **Behavior:**  
    ''“…you interrupted the scrub nurse twice while she was counting instruments.”''

  * **Impact:**  
    ''“…this caused confusion and delayed the final count, which increased stress in the OR.”''

  * **Optional Suggestion:**  
    ''“In future cases, consider letting her finish the count before requesting additional tools.”''

===== 🔹 Why Use SBI in Neurosurgical Teams? =====

  * Reduces [[defensiveness]]
  * Improves psychological [[safety]]
  * Makes feedback actionable
  * Prevents [[humiliation]]
  * Enhances team [[learning]]

===== 🔹 Tips for Effective Use =====

  * Deliver feedback **promptly** after the event
  * Focus on **specific behavior**, not personality traits
  * Ensure a **private** and respectful setting, if needed
  * Follow with **[[support]] or [[guidance]]** to improve

===== 🔹 Quote =====

> “With SBI, we stop saying ‘You’re careless’ and start saying ‘This specific action had this effect—let’s work on it.’”