<unk>  communication encounters difficulties in certain situations which are: *If the recipient is unfamiliar with the concept of<unk> . *SBAR is a difficult concept to learn and practice and as such requires thorough education about the subject matter complete with necessary follow-up. A supportive environment, role-playing, and a skills assessment may help with the process. *Further emphasis must also be given on recommendation since it has been seen that the R in<unk>  has been the weak point of nurses. Giving advice to physicians on what to do is found to be intimidating for some nurses. * A disadvantage to using the<unk>  communication model within bedside reporting can be the issue of having to wake up patients and families when the practice of bedside charting occurs. Health care professionals and units must find an alternative way to deal with the patients and their families decisions if they chose not to be awakened and involved in bedside charting. *Another disadvantage to using<unk>  when bedside charting is the issue of disclosing sensitive topics or new information that has not been shared with the patient and/or family before or after the bedside charting takes place. An alternative to this can be for nurses to makes plans to share new or sensitive information before or after bedside report. *Using<unk>  communication when bedside charting causes a disadvantage for itself through the sharing of confidential information with the patient where it could be over heard by other patients. The effective communication that<unk>  promotes leaves room for confidential information to be disclosed when nurses and doctors have discussions with patients causing patients and their families having negative opinion about participating in bedside charting, ultimately interfering with the use of the<unk>  communication model.
SBAR
DRACO
BIRCH
DICOM
PATH 
CORE-OM
CAPOX
TOLAC