PURE Communication: A Strategy to Improve Care Coordination for High-Risk Birth

Sheila M. Gephart, Meghan Cholette

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


High-risk birth can be an emotionally charged and, sometimes, emergent event that requires a cohesive multidisciplinary team. Communication breakdowns in perinatal emergencies are known to contribute to errors and adverse patient outcomes. One approach to breaching these barriers is the Purposeful, Unambiguous, Respectful, and Effective (PURE) process. The PURE process is a method of communication that emphasizes coordination and recognizes the contributions of each member of the team. The purpose of this article is to describe how the PURE process works and how teamwork strategies, group skills training, and structured communication techniques complement it.

Original languageEnglish (US)
Pages (from-to)109-114
Number of pages6
JournalNewborn and Infant Nursing Reviews
Issue number2
StatePublished - Jun 2012


  • Care coordination
  • High-risk birth
  • PURE communication
  • Perinatal-neonatal collaboration
  • SBAR

ASJC Scopus subject areas

  • Pediatrics


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