Browse > Article
http://dx.doi.org/10.22650/JKCNR.2018.24.1.23

The Effect of SBAR Communication on Nurse's Perception about Communication and Attitudes toward Patient Safety  

Kim, Mi Young (Department of Nursing, Samsung Medical Center)
Kim, Kyeong Sug (Department of Nursing, Samsung Medical Center)
Publication Information
Abstract
Purpose: The purpose of this study was to investigate the effect of SBAR communication program on nurse's perception about communication and attitudes toward patient safety. Methods: A single-group pre-post experimental study was conducted. A SBAR education program was provided to 167 nurses working in 9 general wards of a hospital in Seoul. A total of 153 questionnaires were included for the final analysis. Statistical analysis included analysis of variance, paired sample t-test, and Cochran-Mantel-Haenzel test. Results: After applying SBAR communication education, nurses perceived significant improvement in three of the five categories of communication between nurses and doctors; satisfaction (p=.001), accuracy (p=.001), and understanding (p=.002). The indicators of communication between nurses were also improved significantly in the order of accuracy (p=.001), satisfaction (p=.001), shift communication (p=.001), and openness (p=.016). The scores of nurse's attitudes toward patient safety demonstrated a significant increase in the five categories out of the six; perception of management (p=.001), working condition (p=.001), safety climate (p=.001), teamwork climate (p=.001), job satisfaction (p=.012). Conclusion: It is recommended that nurses and doctors use SBAR communication in their practice. Developing education programs and utilization methods is required for the effective establishment of SBAR communication.
Keywords
Nurses; Communication; Patient Safety;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Panesar RS, Albert B, Messina C, Parker M. The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. American Journal of Medical Quality. 2016;31(1):64-68.   DOI
2 Hyun MS, Cho HJ, Lee MA. 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. 2016;22(5): 518-530.   DOI
3 Randmaa M, Martensson G, Leo Swenne C, Engstrom M. SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: A prospective intervention study. BMJ Open. 2014;4(1):e004268. http://dx.doi.org/10.1136/bmjopen-2013-004268   DOI
4 The Joint Commission. Improving patient and worker safety: opportunities for synergy, collaboration and innovation [Internet]. Oakbrook Terrace, IL: The Joint Commission; 2012 [cited 2014 January 30]. Available from: https://www.jointcommission.org/assets/1/18/TJC-Impro vingPatientAndWorkerSafety-Monograph.pdf.
5 Bornemann-Shepherd M, Le-Lazar J, Makic MB, DeVine D, McDevitt K, Paul M. Caring for inpatient boarders in the emergency department: improving safety and patient and staff satisfaction. Journal of Emergency Nursing. 2015;41(1): 23-29. https://doi.org/10.1016/j.jen.2014.04.012   DOI
6 Manojlovich M, DeCicco B. Healthy work environments, nursephysician communication, and patients' outcomes. American Journal of Critical Care. 2007;16(6):536-543.
7 The Joint Commission. Sentinel event data: Root causes event type 2004-2015 [Internet]. Oakbrook Terrace, IL: The Joint Commission; 2016 [cited 2016 September 20]. Available from: https://hcupdate.files.wordpress.com/2016/02/2016-02-se- root-causes-by-event-type-2004-2015.pdf.
8 Institute for Healthcare Improvement. SBAR tool: Situation-background-assessment-recommendation [Internet]. Boston, MA: Institute for Healthcare Improvement; 2015 [cited 2016 September 21]. Available from: http://www.ihi.org/resources/Pages/Tools/SBARTechniq ueforCommunicationASituationalBriefingModel.aspx.
9 Thomas CM, Bertram E, Johnson D. The SBAR communication technique: Teaching nursing students professional communication skills. Nurse Educator. 2009;34(4):176-180.   DOI
10 Doucette JN. View from the cockpit: what the airline industry can teach us about patient safety. Nursing. 2006;36(11):50-53.
11 Schwendimann R, Zimmermann N, Kung K, Ausserhofer D, Sexton B. Variation in safety culture dimensions within and between US and Swiss Hospital units: An exploratory study. BMJ Quality & Safety. 2012;22(1)32-41.   DOI
12 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):1192-1196.   DOI
13 Shortell SM, Rousseau DM, Gillies RR, Devers KJ, Simons TL. Organizational assessment in intensive care units (ICUs): Construct development, reliability, and validity of the ICU nursephysician questionnaire. Medical Care. 1991;29(8):709-726.   DOI
14 Cho YA, Kim MK, Cho MS, Nam EY. Nurses' communications with health professionals. Journal of Korean Clinical Nursing Research. 2013;19(1):20-32.   DOI
15 Sexton JB, Helmreich RL, Neilands TB, Rowan K, Vella K, Boyden J, et al. The safety attitudes questionnaire: Psychometric properties, benchmarking data, and emerging research. BMC Health Services Research. 2006;6:44. https://doi.org/10.1186/1472-6963-6-44   DOI
16 Kim KJ, Han JS, Seo MS, Jang BH, Park MM, Ham HM, et al. Relationship between intra-organizational communication satisfaction and safety attitude of nurses. Journal of Korean Academy of Nursing Administration. 2012;18(2):213-221. https://doi.org/10.11111/jkana.2012.18.2.213   DOI
17 Branch RM. Instructional design: the ADDIE approach. Boston, MA: Springer; 2009. p. 2-4.
18 Woodhall LJ, Vertacnik L, McLaughlin M. Implementation of the SBAR communication technique in a tertiary center. Journal of Emergency Nursing. 2008;34(4):314-317.   DOI
19 Redley B, Botti M, Wood B, Bucknall T. Interprofessional communication supporting clinical handover in emergency departments: An observation study. Australasian Emergency Nursing Journal. 2017;20(3):122-130.   DOI
20 Cha BK, Choi J. A comparative study on perception of patient safety culture and safety care activities: Comparing university hospital nurses and small hospital nurses. Journal of Korean Academy of Nursing Administration. 2015;21(4):405-416.   DOI
21 McVee MB, Dunsmore K, Gavelek JR. Schema theory revisited. Review of Educational Research. 2005;75(4):531-566.   DOI
22 Vardaman JM, Cornell P, Gondo MB, Amis JM, Townsend-Gervis M, Thetford C. Beyond communication: The role of standardized protocols in a changing health care environment. Health Care Management Review. 2012;37(1):88-97.   DOI
23 Stephen KR. Cognition: theory and applications. 9th ed. Park GS, translator. Seoul: Cengage Learning Korea Ltd; 2015. p. 293.
24 Tjia J, Mazor KM, Field T, Meterko V, Spenard A, Gurwitz JH. Nurse-physician communication in the long-term care setting: Perceived barriers and impact on patient safety. Journal of Patient Safety. 2009;5(3):145-152.   DOI
25 Andreoli A, Fancott C, Velji K, Baker GR, Solway S, Aimone E, et al. Using SBAR to communicate falls risk and management in inter-professional rehabilitation teams. Healthcare Quarterly. 2010;13:94-101.