Sample size was a limitation of this study. While the sample size was sufficient to achieve significant results, the study was limited to a 2-week time period of data collection, and it was not possible to collect data from every member of the nursing staff. Though patients and families were surveyed, the 2-week period yielded only three surveys, and it was not sufficient for inclusion in the study. Additionally, the survey results may not be generalizable to all hospital types and settings. Further research should seek to explore what aspects of SIBR are most beneficial, and which aspects of communication are key to the significant results shown here. Further research should aim to tie these results to patient safety and quality data. The SIBR method seemed to also increase patient and family satisfaction, and future studies should seek to explore that effect as well.