Journal of East-West Nursing Research (동서간호학연구지)

East-west Nursing Research Institute, Kyung Hee University (경희대학교 동서간호학연구소)
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Development of SBAR Simulation Training to Improve Patient Hand-off Communication among Nursing Students

간호학생의 환자인계 의사소통 향상을 위한 SBAR 시뮬레이션 교육의 효과

  • Ji, Eun Sun (Department of Nursing, Graduate School, Kyung Hee University) ;
  • Chung, Yoon Chung (Department of Nursing, Konkuk University Glocal Campus)
  • 지은선 (경희대학교 대학원 간호학과) ;
  • 정윤정 (건국대학교 글로컬캠퍼스 간호학과)
  • Received : 2024.08.14
  • Accepted : 2024.08.28
  • Published : 2024.11.30
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Abstract

Purpose: Effective communication is essential for the nursing profession. This study aimed to develop and investigate the impact of SBAR simulation training on nursing students' SBAR ability, hand-off confidence and communication confidence. Method: This study used a non-randomized, pre-post group design. Sixty nursing students were assigned to an experimental group and a control group. The simulation for SBAR training consisted of a 120-minute lecture, simulation, and debriefing for child with enteritis in neonatal intensive care unit. Data were collected from October, 2023 to April, 2024 and analyzed by the descriptive statistics, Chi square test, independent t-test, and paired t-test using the SPSS/WIN 24.0 program. Results: Upon completion of applying SBAR simulation training, the experimental group showed significantly higher SBAR ability (t=5.39, p<.001), hand-off confidence (t=2.58, p=.002) and communication confidence (t=3.12, p=.001) than those of the control group. Conclusions: SBAR communication simulation training for nursing student not only promotes communication skill among healthcare professionals, but also helps reduce communication errors for patient safety. For effective communication with healthcare professionals in neonatal intensive care unit, SBAR simulation training should be included in nursing education for communication.

Keywords

Acknowledgement

이 논문은 2023년 건국대학교 KU학술연구비 지원에 의한 결과임

References

  1. Gluyas H. Effective communication and teamwork promotes patient safety. Nursing Standard 2015;29(49):50-7. https://doi.org/10.7748/ns.29.49.50.e10042
  2. Korea Patient Safety Reporting & Learning System. Rules & Regulations; 2021 [cited 2024 September 04]. Available from https://www.koiha-kops.org/rules/rulesAndRegulations.do
  3. Raley J, Meenakshi R, Dent D, Willis R, Lawson K, Duzinski S. The role of communication during trauma activations: Investigating the need for team and leader communication training. Journal of Surgical Education. 2017;74(1):173-9. https://doi.org/10.1016/j.jsurg.2016.06.001
  4. Lee KR, Kim EJ. Relationship between interprofessional communication and team task performance. Clinical Simulation in Nursing. 2020;43: 44-50. https://doi.org/10.1016/j.ecns.2020.02.002
  5. Haig KM, Sutton S, Whittington J. SBAR: A shared mental model for improving communication between clinicians. The Joint Commission Journal on Quality and Patient Safety 2006;32(3):167-75. https://doi.org/10.1016/s1553-7250(06)32022-3
  6. Muller M, Jurgens J, Redaelli M, Klingberg K. Impact of the communication and patient hand-off tool SBAR on patient safety: A systematic review. BMJ Open. 2018;8(8):e022202. https://doi:10.1136/bmjopen-2018-022202
  7. Noh GO, Son HK, Kim DH. Effect of SBAR education program based on simulation practice on report clarity and confidence in nursing students. Korean Academy on Communication in Healthcare. 2016;11(2): 145-153. https://doi.org/10.15715/kjhcom.2016.11.2.145
  8. Park SJ, Choi HS. The effect of case-based SBAR communication training program on critical thinking disposition, communication self-efficacy and communication competence of nursing students. Journal of the Korea Academia-Industrial cooperation Society. 2018;19, 426-34. https://doi.org/10.5762/KAIS.2018.19.11.426
  9. Cho HH, Nam KH, Park JS, Jeong HE, Jung YJ. The effect of simulation training applying SBAR for nursing students on communication clarity, self-confidence in communication, and clinical decision-making ability. Journal of the Korea Academia-Industrial cooperation Society. 2020; 21(7):73-81. https://doi.org/10.5762/KAIS.2020.21.7.73
  10. Noh GO, Park MJ. Effectiveness of incorporating Situation-BackgroundAssessment-Recommendation methods into simulation-based education for nursing students: A quasi-experimental study. Nurse Education Today. 2022;109. https://doi.org/10.1016/j.nedt.2021.105252
  11. Wilford A, Doyle TJ. Integrating simulation training into the nursing curriculum. British Journal of Nursing. 2006;15(17):926-30. https://doi.org/10.12968/bjon.2006.15.17.21907
  12. Pilcher J, Goodall H, Jensen C, Huwe V, Jewell C, Reynolds R, et al. Special focus on simulation: Educational strategies in the NICU: Simulation-based learning: It's not just for NRP. Neonatal Network. 2012;31(5): 281-7. https://doi.org/10.1891/0730-0832.31.5.281
  13. Roso-Bas F, Pades-Jimenez A, Ferrer-Perez VA. Face-to-face and blended methods to improve oral competence in nursing students through simulation. Nurse Education in Practice. 2020;49;102906. https://doi.org/10.1016/j.nepr.2020.102906
  14. Greiner AC, Knebel E. Health Professions Education: A Bridge to Quality, Washington, DC: National Academies Press; 2023.
  15. Farzaneh M. Saidkhani V. Albooghobeish M. Effectiveness of the SBARBased training program in self-efficacy and clinical decision-making of undergraduate anesthesiology nursing students: A quasi-experimental study, Nurse Education Today. 2023;22(1):1-9. https://doi.org/10.1186/s12912-023-01290-0
  16. Cornell P, Gervis MT, Yates L, Vardaman JM. Impact of SBAR on nurse shift reports and staff rounding. Medsurg Nursing. 2014;23(5): 334-42.
  17. Lewis M, Bell J, Asghar A. Use of simulated patients in development of physiotherapy students' interpersonal skills. International Journal of Therapy and Rehabilitation. 2008;15(5):221-9. https://doi.org/10.12968/ijtr.2008.15.5.29234
  18. Kwong AYY. Using a standardized communication tool SBAR to improve LVN students' shift reporting [dissertation]. San Francisco, CA: University of San Francisco; 2011. pp. 1-14.
  19. Marshall S, Harrison J, Flanagan B. The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. Quality and Safety in Health Care. 2009;18(2):137-40. https://doi.org/10.1136/qshc.2007.025247
  20. Noh YG. Lee I. 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. 2018;24(2):115-26. https://doi.org/10.5977/jkasne.2018.24.2.115
  21. Kesten KS. Role-play using SBAR technique to improve observed communication skills in senior nursing students. Journal of Nursing Education. 2011;50(2):79-87. https://doi.org/10.3928/01484834-20101230-02
  22. Yoo JH, Kim YJ. Factors influencing nursing Students' flow experience during simulation-based learning. Clinical Simulation in Nursing. 2018; 24:1-8. https://doi.org/10.1016/j.ecns.2018.09.001
  23. Cho JH, Koh H, Chung HS, Chun JH, Song MH, Oh M, et al. Improving nurse-physician phone communication of critically ill patients through simulation-based learning. Journal of Healthcare Simulation. 2020;14(1): 7-11. https://doi.org/10.22910/KOSSH.2020.4.1.2
  24. De Meester K, Verspuy M, Monsieurs KG, Van Bogaert P. SBAR improves nurse-physician communication and reduces unexpected death: A pre and post intervention study. Resuscitation. 2013;84(9):1192-6. https://doi.org/10.1016/j.resuscitation.2013.03.016
  25. Kim HJ, Yoon MS, Yim SY. Effects of the child-woman health nursing convergence-based simulation practice program on the critical thinking, communication competency, learning flow, clinical judgment for nursing students. Indian Journal of Public Health Research and Development. 2019;10(11):4356-60. https://doi.org/10.5958/0976-5506.2019.04293.1
  26. Burke A, Gupta1 A, Houchens N. Quality and safety in the literature: September 2022. BMJ Quality and Safety. 2022;31(9):689-94. https://doi.org/10.1136/bmjqs-2022-015160
  27. Jeong HJ, Kim EJ. Development and evaluation of an SBAR-based fall simulation program for nursing students. Asian Nursing Research. 2020; 14(2):114-21. https://doi.org/10.1016/j.anr.2020.04.004