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http://dx.doi.org/10.5392/IJoC.2021.17.3.030

Effects of Simulation Learning Using SBAR on Clinical Judgment and Communication Skills in Undergraduate Nursing Students  

Oh, Hyekyung (Daegu University)
Publication Information
International Journal of Contents / v.17, no.3, 2021 , pp. 30-37 More about this Journal
Abstract
This study aimed to determine the effects of simulation learning program using SBAR (Situation, Background, Assessment, Recommendation) techniques on undergraduate nursing students' clinical judgment and communication skills. A quasi-experimental research design (one-group pretest-posttest design) was used in this study. The participants included 88 students from a nursing college. There were statistically significant differences in clinical judgment, communication clarity, and communication confidence between pre-simulation learning using SBAR and post (t=10.32, p<.0001; t=6.05, p=<.0001; t=7.42, p=<.0001). The simulation learning program using SBAR was found to improve nursing students' clinical judgment as well as clarity and confidence in interprofessional communication.
Keywords
SBAR; Simulation; Clinical Judgment; Communication;
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1 H. H. Cho, K. H. Nam, J. S. Park, H. E. Jeong, and Y. J. Jung, "The effect of simulation training applying SBAR for nursing students on communication clarity, self-confidence in communication, and clinical decision-making ability," J. the Korea Academia-Industrial Cooperation Soc., vol. 21, no. 7, pp. 73-81, 2020, doi: http://dx.doi.org/10.5762/KAIS.2020.21.7.73.   DOI
2 Y. H. Kim, Y. S. Choi, H. Y. Jeon, and M. J. Kim, "Effects of SBAR program on communication clarity, clinical competence and self-efficacy for nurses in cancer hospitals," Korean J. Rehabil. Nurs., vol. 19, no. 1, pp. 20-29, Feb. 2016, doi: http://dx.doi.org/10.7587/kjrehn.2016.20.   DOI
3 H. Y. Kim, Y. J. Jeong, J. Y. Kang, and H. S. Moon, "The effect of SBAR reports on communication clarity and nurse-physician collaborative relationships: A one group pretest-posttest design," J. Muscle Joint Health, vol. 23, no. 2, pp. 105-113, Aug. 2016, doi: http://dx.doi.org/10.5953/JMJH.2016.23.2.105.   DOI
4 G. O. Noh, H. K. Son, and 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, 2016, doi: http://dx.doi.org/10.15715/kjhcom.2016.11.2.145.   DOI
5 E. K. Ha, Y. J. Lee, and Y. H. Lee, "Simulation training applying SBAR for the improvement of nursing undergraduate students' interdisciplinary communication skills," J. Korean Data Inf. Sci. Soc., vol. 28, no. 2, pp. 407-419, Mar. 2017, doi: http://dx.doi.org/10.7465/jkdi.2017.28.2.407.   DOI
6 J. H. Yoon and E. J. Lee, "The effect of team based simulation learning using SBAR on critical thinking and communication clarity of nursing students," J. the Korea Academia-Industrial Cooperation Soc., vol. 19, no. 9, pp. 42-49, 2018, doi: http://dx.doi.org/10.5762/KAIS.2018.19.9.42.   DOI
7 K. Lasater, "Clinical judgment development: Using simulation to create an assessment rubric," J. Nurs. Educ., vol. 46, no. 11, pp. 496-503, Nov. 2007, doi: http://dx.doi.org/10.3928/01484834-20071101-04.   DOI
8 C. A. Tanner, "Thinking like a nurse: A research-based model of clinical judgement in nursing," J. Nurs. Educ., vol. 45, no. 6, pp. 204-211, Jun. 2006, doi: http://dx.doi.org/10.3928/01484834-20060601-04.   DOI
9 G. G. Shim, "The reliability and validity of the Lasater clinical judgement rubric in Korean nursing students," M. S. thesis, Dept. Nursing, Kyunghee Univ., Seoul, South Korea, 2012.
10 National Institute of Korean Language, Standard Korean Grande Dictionary. Accessed: Oct. 10, 2013. [Online] Available: http://stdweb2.korean.go.kr/search/List_dic.jsp
11 K. J. Im, "Effects of simulation educational program for nursing students", Ph.D. Dissertation, Dept. Nursing, Jeonbuk National Univ., Jeonju, South Korea, 2014.
12 K. I. Jeong, "The effect of End-of-Life Care(ELC) education applied by the debriefing based on the clinical judgment model on learning outcomes of nursing students," Ph.D. Dissertation, Dept. Nursing, Cheonnam Univ., Gwangju, South Korea, 2015.
13 O. S. Lee, "The effects of SBAR reports education on communication clarity, communication skill and report confident for nursing students," J. Digit. Converg., vol. 16, no. 10, pp. 253-260, Oct. 2018, doi: https://doi.org/10.14400/JDC.2018.16.10.253.   DOI
14 I. J. Seo and S. Y. Jang, "Effects on nursing student's communication clarity, communication confidence, and self-efficacy following SBAR program," J. Learner-Centered Curric. Instr., vol. 20, no. 1, pp. 977-992, doi: http://dx.doi.org/10.22251/jlcci.2020.20.1.977.   DOI
15 M. Street, P. Eustace, P. M. Livingston, M. J. Craike, B. Kent, and D. Patterson, "Communication at the bedside to enhance patient care: A survey of nurses' experience and perspective of handover," Int. J. Nurs. Pract., vol. 17, no. 2, pp. 133-140, Mar. 2011, doi: http://dx.doi.org/10.1111/j.1440-172X.2011.01918.x.   DOI
16 S. Shrader, B. Dunn, E. Blake, and C. Phillips, "Incorporating standardized colleague simulations in a clinical assessment course and evaluating the impact on interprofessional communication," Am. J. Pharm. Educ., vol. 79, no. 4, pp. 57, May 2015, doi: https://doi.org/10.5688/ajpe79457.   DOI
17 P. Cornell, M. T. Gervis, L. Yates, and J. M. Vardaman, "Improving shift report and consistency with the situation, background, assessment, recommendation protocol," J. Nurs. Admin., vol. 43, no. 7-8, pp. 422-428, Jul.-Aug. 2013, doi: https://doi.org/10.1097/NNA.0b013e31829d6303.   DOI
18 D. Flemming and U. Hubner, "How to improve change of shift hand-overs and collaborative grounding and what role does the electronic patient record system play? Results of a systematic literature review," Int. J. Med. Inform., vol. 82, no. 7, pp. 580-592, Jul. 2013, doi: http://dx.doi.org/10.1016/j.ijmedinf.2013.03.004.   DOI
19 J. Y. Lee, "Effective communication for patient safety," J. Korean Med. Assoc., vol. 58, no. 2, pp. 100-104, Feb. 2015, doi: https://dx.doi.org/10.5124/jkma.2015.58.2.100.   DOI
20 C. D. Beckett and G. Kipnis, "Collaborative communication: Integrating SBAR to improve quality/patient safety outcomes," J. Healthc. Qual., vol. 31, no. 5, pp. 19-28, Sep-Oct. 2009, doi: http://dx.doi.org/10.1111/j.1945-1474.2009.00043.x.   DOI
21 R. J. Lancaster, J. Westphal, and J. Jambunathan, "Using SBAR to promote clinical judgement in undergraduate nursing students," J. Nurs. Educ., vol. 54, no. 3, pp. S31-34, Mar. 2015, doi: http://dx.doi.org/10.3928/01484834-20150218-08.   DOI
22 K. M. Haig, S. Sutton, and J. Whittington, "SBAR: A shared mental model for improving communication between clinicians," Jt. Comm. J. Qual. Saf., vol. 32, no. 3, pp. 167-175, Mar. 2006, doi: http://dx.doi.org/10.1016/s1553-7250(06)32022-3.   DOI
23 H. Y. Lee, "Effects of SBAR application on communication and self-leadership in hospital nurses," M. S. thesis, Dept. Nursing, Donga Univ., Pusan, South Korea, 2016.
24 J. Y. Do, "Development and effects of handoff education program using SBAR for nursing students", M. S. thesis, Dept. Nursing, Ewha Womans Univ., Seoul, South Korea, 2017.
25 E. J. Kim, "The effect of simulation-based SBAR training program on nursing students communication and clinical judgement," Ph.D. Dissertation, Dept. Nursing, Cheonnam Univ., Gwangju, South Korea, 2018.
26 H. J. Cho, "The effect of SBAR program education on a nurse's communication clarity and self expression," M.S. thesis, Dept. Nursing, Yonsei Univ., Seoul, South Korea, 2013.
27 M. S. Hyun, H. J. Cho, and M. A. Lee, "Effect of SBAR-collaborative communication program on the nurses' communication skills and the collaboration between nurses and doctors," J. Korean Acad. Nurs.. Adm., vol. 22, no. 5, pp. 518-530, Dec. 2016, doi: http://dx.doi.org/10.11111/jkana.2016.22.5.518.   DOI
28 W. J. Kim and S. Y. Kim, "A study on the effects of the nursing management practice using SBAR on nursing students' self-expressiveness, communication skills, and abilities to think critically," J. Learner-Centered Curric. Instr., vol. 16, no. 9, pp. 67-75, Sep. 2016, doi: http://dx.doi.org/10.22251/jlcci.2016.16.9.457.   DOI
29 C. A. Diefenbeck, L. A. Plowfield, and J. W. Herrman,"Clinical immersion: Aa residency model for nursing education," Nursing. Education. Perspectives., vol. 27, no. 2, pp. 72-79, 2006, [Online] Available:https://pubmed.ncbi.nlm.nih.gov/16733969
30 S. Marshall, J. Harrison and B. Flanagan, "The teaching of a structured tool improves the clarity and content of interprofessional clinical communication," BMJ Qual. Saf., vol. 18, no. 2, pp. 137-140, Apr. 2009, doi: http://dx.doi.org/10.1136/qshc.2007.025247.   DOI
31 A. Agrawal, Patient Safety: A Case-Based Comprehensive Guide. Springer-Verlag, New York, 2014.
32 C. Schmalenberg and M. Kramer, "Nurse-physician relationships in hospitals: 20,000 nurses tell their story," Criti. Care Nurse, vol. 29, no. 1, pp. 74-83, Feb. 2009, doi: https://doi.org/10.4037/ccn2009436.   DOI
33 M. R. Shirey, P. R. Ebright, and A. M. McDaniel, "Sleepless in America: Nurse managers cope with stress and complexity," J. Nurs. Adm., vol. 38, no. 3, pp. 125-131, Mar. 2008, doi: http://dx.doi.org/10.1097/01.NNA.0000310722.35666.73.   DOI
34 H. M. Son, H. S. Kim, M. H. Go, and S. J. Yoo, "Analysis of the communication education in the undergraduate nursing curriculum of Korea," J. Korean Acad. Soc. Nurs. Educ., vol. 17, no. 3, pp. 424-432, Dec. 2011, doi: http://dx.doi.org/10.5977/JKASNE.2011.17.3.424.   DOI
35 C. M. Thomas, E. Bertram, and D. Johnson, "The SBAR communication technique: Teaching nursing students professional communication skills," Nurse Educ., vol. 34, no. 4, pp. 176-180, Jul-Aug. 2009, doi: http://dx.doi.org/10.1097/NNE.0b013e3181aaba54.   DOI