Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Effect of Simulation Training applying SBAR for Nursing Students on Communication Clarity, Self-Confidence in Communication, and Clinical Decision-Making Ability

SBAR를 적용한 시뮬레이션 교육이 간호대학생의 의사소통명확성, 의사소통자신감, 임상의사결정능력에 미치는 효과

  • Cho, Hun-Ha (Department of Nursing, Kosin Univrsity) ;
  • Nam, Keum-hee (Department of Nursing, Kosin Univrsity) ;
  • Park, Jung-Suk (Department of Nursing, Kosin Univrsity) ;
  • Jeong, Hyo-Eun (Research Institute of Wholistic Nursing Science, Kosin Univrsity) ;
  • Jung, Yu-Jin (Research Institute of Wholistic Nursing Science, Kosin Univrsity)
  • 조헌하 (고신대학교 간호학과) ;
  • 남금희 (고신대학교 간호학과) ;
  • 박정숙 (고신대학교 간호학과) ;
  • 정효은 (고신대학교 전인건강간호연구소) ;
  • 정유진 (고신대학교 전인건강간호연구소)
  • Received : 2020.04.10
  • Accepted : 2020.07.03
  • Published : 2020.07.31
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Abstract

This study is a single-group study to check the effectiveness of nursing students on their communication credibility, communication confidence and clinical decision-making ability by implementing SBAR-applied simulation training to improve the difficulty of delivering clear information to medical personnel during transition. By combining simulation practices and SBAR training based on emergency situations of mothers and newborns, programs were developed and applied to communicate clearly and briefly to the medical staff about emergencies and to enhance communication skills. The subjects were 91 fourth-year nursing college students from one university in B metropolitan city. The data were collected from Feb. 18, 2019 to Feb. 28, 2019 and were analyzed using the SPSS/WIN 18.0 program as a paired t-test. The results revealed that the communication clarity measured after the simulation exercise (t=-3.99, p<.001), Communication Confidence (t=-8.60, p<.001), Clinical Decision Capacity (t=-4.66, p<.001) Statistically, it has increased significantly. Therefore, the purpose of this research is significant in that it seeks to promote the expertise of nursing college students by developing and applying simulation practical education programs to enhance the communication skills and clinical decision-making skills of nursing college students as prospective medical personnel.

본 연구는 간호대학생들이 의료인들과 인수인계 시 명확한 정보전달에 어려움이 있는 점을 개선하기 위하여 SBAR 적용 시뮬레이션 교육을 시행하여 그들의 의사소통명확성, 의사소통자신감, 임상의사결정능력에 미치는 효과를 확인하기 위한 단일군전후설계실험연구이다. 산모와 신생아의 응급상황을 기반으로 한 시뮬레이션 실습과 SBAR교육을 접목하여 의료진에게 응급상황에 대해 명료하고 간략하게 핵심을 전달하고, 의사소통 역량을 증진시킬 수 있도록 프로그램을 적용하였다. 대상자는 B광역시 소재 1개 대학의 4학년 간호대학생 91명이며, 자료수집기간은 2019년 2월 18일부터 2019년 2월 28일까지이었다. 수집된 자료는 SPSS/WIN 21.0 program을 이용하여 paired t-test로 분석하였다. 연구결과, 시뮬레이션 실습 후에 측정한 의사소통 명확성(t=-3.99, p<.001), 의사소통 자신감(t=-8.60, p<.001), 임상의사결정능력이(t=-4.66, p<.001) 통계적으로 유의하게 증가하였다. 따라서 예비의료인으로써 간호대학생의 임상현장에서의 의사소통능력과 임상의사결정능력을 증진시키기 위해 SBAR를 적용한 시뮬레이션실습 교육프로그램을 통해 간호대학생들의 전문성을 고취시키고, 임상현장에서의 적응력을 높이고자 한 점에서 본 연구의 의의가 크다. 또한 간호교육현장에서 의료인들 간의 의사소통을 체계화하기 위해서는 시뮬레이션 실습 뿐만 아니라 일반적인 임상실습에서도 SBAR보고방법이 숙련될 수 있도록 전략을 수립하여 간호대학생의 의사소통능력 향상에 기여해야 할 것으로 생각된다.

Keywords

References

  1. M. Manojlovich, B. DeCicco, "Healthy work environments, nurse-physician communication, and patients' outcomes", American Journal of Critical Care, Vol.16, No.6, pp.536, Jan 2007. DOI: http://dx.doi.org/10.4037/ajcc2007.16.6.536
  2. Korean Accerediation Board of Nursing Education. Nurses' Core Competencies and Nursing Education Learning Outcomes [Internet]. KABONE, c2020[cited 2020 Jan 21], Available from : http://www.kabone.or.kr/HyAdmin/upload/filelinkFile/%A1%DA%B0%A3%C8%A3%B1%B3%C0%B0%C0%CE%C1%F5%C6%F2%B0%A1%20%B1%E2%C1%D8%C1%FD_%C8%A8%C6%E4%C0%CC%C1%F6%20%B0%D4%BD%C3(2017.3).pdf (accessed Jan., 21, 2020)
  3. K. S. Kesten, "Role-play using SBAR technique to improve observed communication skills in senior nursing students", Journal of Nursing Education, Vol.50, No.2, pp.79-87, Feb. 2011. DOI: https://dx.doi.org/10.3928/01484834-20101230-02
  4. K. R. Shin, J. W. Hwang, S. J. Shin, "Conceptanalysis on the clinical critical thinking ability in nursing", Korean Journal of Adult Nursing, Vol.20, No.5, pp.707-718, Oct. 2008.
  5. Y. S. Lee, Y. Eun, "The effect of the flipped learning on self-efficacy, critical thinking disposition, and communication competence of nursing students", The Journal of Korean Academic Society of Nursing Education, Vol.22, No.4, pp.567-576, Nov. 2016. DOI: https://dx.doi.org/10.5977/jkasne.2016.22.4.567
  6. M. S. Hyun, H. J. Cho, M. A. Lee, "Effect of SBAR-collaborative communication program on the nurses' communication skills and the collaboration between nurses and doctors", Journal of Korean Academy of Nursing Administration, Vol.22, No.5, pp.518-530, Dec. 2016. DOI: https://doi.org/10.11111/jkana.2016.22.5.518
  7. Y. H. Kim, Y. S. Choi, H. Y. Jun, M. J. Kim, "Effects of SBAR program on communication clarity, clinical competence and self-efficacy for nurses in cancer hospitals", The Korean Journal of Rehabilitation Nursing, Vol.19, No.1, pp.20-29, Jun. 2016. DOI: https://doi.org/10.7587/kjrehn.2016.20
  8. H. Y. Kim, Y. J. Jeong, J. Y. Kang, H. S. Mun, "The effect of SBAR reports on communication clarity and nurse-physician collaborative relationships: A one group pretest-posttest design", Journal of Muscle and Joint Health, Vol.23, No.2, pp.105-113, Aug. 2016. DOI: https://doi.org/10.5953/JMJH.2016.23.2.105
  9. G. O. Noh, H. K. Hae, D. H. Kim, "Effect of SBAR education program based on simulation practice on report clarity and confidence in nursing students", Korean J Health Commun, Vol.11, No.2, pp.145-153, Dec. 2016. DOI: http://dx.doi.org/10.15715/kjhcom.2016.11.2.145
  10. J. H. Yoon, E. J. Lee, "The effect of team based simulation learning using SBAR on critical thinking and communication clarity of nursing students", Journal of the Korea Academia-Industrial Cooperation Society, Vol.19, No.9, pp.42-49, Sep. 2018. DOI: https://doi.org/10.5762/KAIS.2018.19.9.42
  11. S. E. Lee, "Evaluation of the Standardized Patients(SP) Managed Instruction for a Clinical Maternity Nursing Course", The Journal of Korean Academic Society of Nursing Education, Vol.17, No.1, pp.14-24, April. 2011. DOI: https://doi.org/10.5977/JKASNE.2011.17.1.014
  12. J. Y. Do, S. J. Shin, "Development of handoff education program using SBAR for nursing students and its effect on self-efficacy, communication ability and clinical performance ability", Journal of Korean Academy of Fundamentals of Nursing, Vol.26, No.2, pp.117-126, May. 2019. DOI: https://doi.org/10.7739/jkafn.2019.26.2.117
  13. O. S. Lee, Y. G. Noh, "The relationship among knowledge of the SBAR, attitudes towards SBAR and critical thinking disposition for nursing students", Journal of Digital Convergence, Vol.17, No.9, pp.213-220, Sept. 2019. DOI: https://doi.org/10.14400/JDC.2019.17.9.213
  14. M. O. Kim, H. A. Nam, A. Y. Lee, "The effect of communication competence and problem solving process on clinical decision-making of nursing students in graduation year", Korean Association For Learner-Centered Curriculum And Instruction, Vol.19, No.5, pp.877-889, Mar. 2019. DOI: http://dx.doi.org/10.22251/jlcci.2019.19.5.877
  15. Y. G. Noh, I. S. Lee, "Effect of stepwise communication education program using SBAR among nursing students: focusing on scenarios and nursing case-based role playing", The Journal of Korean Academic Society of Nursing Education, Vol.24, No.2, pp.115-126, May. 2018. DOI: https://doi.org/10.5977/jkasne.2018.24.2.115
  16. H. M. Jenkins, "Improving clinical decision making in nursing", Journal of Nursing Education, Vol.24, No.6, pp.242-243, Jun. 1985. https://doi.org/10.3928/0148-4834-19850601-07
  17. S. Marshall, J. Harrison, B. Flanagan, "The teaching of a structured tool improves the clarity and content of interprofessional clinical communication", Quality and Safety in Health Care, Vol.8, No.2, pp.137-140, Apr. 2009. DOI: https://dx.doi.org/10.1136/qshc.2007.025247
  18. H. J. Cho, The effect of SBAR Program Education on a Nurse's Communication Clarify and Self Expression, Master's thesis, Yonsei University, Seoul, Korea, 2013.
  19. E. J. Kim, The Effect of Simulation-based SBAR Training Program on Nursing Students Communication and Clinical Judgement, Ph.D dissertation, Chonnam University, Gwangju, Korea, pp.46-54, 2018.
  20. M. K. Baek, Relationship Between Level of Autonomy and Clincal Decision-Makinging Nursing Scale of E.T Nurse, Master's thesis, Yonsei University, Seoul, Korea, 2005.
  21. Y. H. Park, A Study on the Communication System Model and Recognition Analysis of President-Staffs Communication in University, Ph.D dissertation, Wonkwang University, Iksan, Korea, pp.112-121, 2010.
  22. C. D. Beckett, G. Kipnis, "Collaborative communication :Integrating SBAR to improve quality/patient safety outcomes", Journal For Healthcare Quality, Vol.31, No.5, pp.19-28, Sept. 2009. DOI: https://doi.org/10.1111/j.1945-1474.2009.00043.x
  23. L. L. Hsu, Y. H. Huang, S. I. Hsieh, "The effects of scenario-based communication training on nurses' communication competence and self-efficacy and myocardial infarction knowledge", Patient Education And Counseling, Vol.95, No.3, pp.356-364, Jun. 2014. DOI: http://dx.doi.org/10.1016/j.pec.2014.03.010
  24. D. Doyle, H. L. Copeland, D. Bush, L. Sein, S. Thompson, "A course for nurses to handle difficult communication situations. A randomized controlled trial of impact on self-efficacy and performance", Patient Education & Counseling, Vol.82, No.1, pp.100-109, Jan. 2011. DOI: http://dx.doi.org/10.1016/j.pec.2010.02.013
  25. E. A. Seo, K. M. Park, B. S. Lee, "Relations between the types of communication and, job satisfaction and nursing performance in staff nurses", Journal of Korean Public Health Nursing, Vol.17, No.2, pp.317-332, Sept. 2003.
  26. E. L. Mitchell, D. Y. Lee, S. Arora, K. L. Kwong, T. K. Liem, et al, "SBAR M&M: A feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations", The American Journal of Surgery, Vol.203, No.1, pp.26-31, Jan. 2012. DOI: https://doi.org/10.1016/j.amjsurg.2011.07.008
  27. J. Compton, K. Copeland, K, S. Flanders, C. Cassity, M. Spetman, et al, "Implementing SBAR across a large multihospital health system", Joint Commission Journal on Quality and Patient Safety, Vol.38, No.6, pp.261-268, Jun. 2012. DOI: http://dx.doi.org/10.1016/S1553-7250(12)38033-1
  28. C. M. Thomas, E. Bertram and D. Johnson, "The SBAR communication technique: Teaching nursing students professional communication skills", Nurse Educator, Vol.34, No.4, pp.176-180, Jul. 2009. DOI: http://dx.doi.org/10.1097/NNE.0b013e3181aaba54
  29. M. S. Yoo, J. H. Park, S. R. Lee, "The effects of case-based learning using video on clinical decision making and learning motivation in undergraduate nursing students", Journal of Korean Academy of Nursing, Vol.40, No.6, pp.863-871, Dec. 2010. DOI: https://doi.org/10.4040/jkan.2010.40.6.863
  30. I. H. Cho, M. R. Park, "Comparison of problem solving ability according to degree of communication ability of nursing students", Asia-pacific Journal of Multimedia services convergent with Art, Humanities, and Sociology, Vol.7, No.7, pp.397-404, Jul. 2017. http://journal.hsst.or.kr/DATA/pdf/v7_7_37.pdf
  31. M. Y. Kim, K. S. Kim, "The effect of SBAR communication on nurse's perception about communication and attitudes toward patient safety", Journal of Korean Clinical Nursing Research, Vol.24, No.1, pp.23-33. April. 2018. DOI: http://dx.doi.org/10.22650/JKCNR.2018.24.1.23