SBAR를 활용한 건강사정실습교육이 간호대학생의 의사소통명확성, 의사소통자신감, 학습동기에 미치는 효과

양희모(Hee-Mo Yang),김연정(Yeon-Jung Kim) 학습자중심교과교육학회 2021 학습자중심교과교육연구 Vol.21 No.23

목적 본 연구는 건강사정실습 교육과정에 구조화된 SBAR를 활용하여 간호대학생의 의사소통명확성, 의사소통자신감, 학습동기에 미치는 효과성을 검증하고자 시도되었다. 방법 충남 소재 4년제 A대학교 간호학과 2학년에 재학 중인 학생 45명을 대상으로 SBAR를 활용한 건강사정실습 교육을 적용한 후 사전, 사후 관련 변인을 측정하였다. 수집된 자료는 SPSS 22.0 program(IBM)을 활용하여 분석하였다. 첫째, 사용된 척도의 신뢰도 값은 각 척도 별로 Cronbach’s α 값을 산출하였다. 둘째, 의사소통명확성, 의사소통자신감, 학습동기는 기술통계를 활용하여 평균과 표준편차를 산출하였다. 셋째, 연구가설 검증을 위해 Wilcoxon signed rank test를 이용하여 분석하였다. 결과 SBAR를 활용한 건강사정실습 교육 후 연구대상자의 의사소통명확성은 사전 1.88±0.57, 사후 4.87±0.30로 통계적으로 유의하게 상승하였다(Z=-5.846, p<.001). 연구대상자의 의사소통자신감은 교육 전에 비해 사전 5.33±0.57, 사후 7.92±0.64로 통계적으로 유의하게 상승하였다(Z=-5.875, p<.001). 학습동기는 사전 3.71±0.25, 사후 3.97±0.34로 통계적으로 유의하게 상승하였다(Z=-4.617, p<.001). 결론 SBAR를 활용한 건강사정실습 교육은 간호대학생의 의사소통명확성과 의사소통자신감, 학습동기 향상에 효과적인 것으로 확인되었다. 따라서 표준화된 SBAR도구를 활용한 교육은 예비 간호사의 의료인 간 효율적 의사소통능력 향상을 위한 적절한 교육 중재로 활용될 수 있을 것이다. Objectives This study attempted to verify the effectiveness of nursing college students on communication clarity, communication confidence, and learning motivation by utilizing structured SBAR in the health assessment practice curriculum. Methods The pre and post-related variables were measured after applying health assessment training using SBAR to 45 students who are in the second grade of nursing at A University in Chungcheongnam-do. The collected data were analyzed using the SPSS 22.0 program (IBM). First, the confidence value of the scale used was Cronbach s α for each scale. Second, communication clarity, communication confidence, and learning motivation were calculated using technical statistics to calculate the mean and standard deviation. Third, the analysis was conducted using the Wilcoxon signed rank test to verify the theory. Results As a result, the communication clarity of the study subjects after training in health assessment using SBAR increased statistically significantly to 1.88±0.57 in advance and 4.87±0.30 in post-SBAR (Z=-5.846, p<.001). The communication confidence of the subjects rose statistically significantly to 5.33±0.57 in advance and 7.92±0.64 in post-training (Z=-5.875, p<.001). The learning motivation increased statistically significantly to pre 3.71±0.25, post 3.97±0.34 (Z=-4.617, p<.001). Conclusions Health assessment practicum education using SBAR was found to be effective in improving communication clarity, communication confidence and learning motivation for nursing students. In order to respond to future nursing practices in a recent medical environment that requires fast and accurate judgment and comprehensive problem-solving skills, teaching strategies such as practical training using SBAR are needed as in this study.

SBAR 프로그램이 간호대학생의 의사소통 명확성, 의사소통 자신감과 자기효능감에 미치는 효과

서인주(Seo Inju),장순양(Jang Soonyang) 학습자중심교과교육학회 2020 학습자중심교과교육연구 Vol.20 No.1

본 연구는 SBAR 프로그램을 개발하고 간호대학생의 의사소통명확성, 의사소통자신감 및 자기효능감에 미치는 효과를 알아보기 위하여 시도되었다. 간호사의 의사소통의 명확성은 간호의 가치를 향상시키는 핵심역량이며, 임상 간호 업무에서 안전사고를 줄이는데 필요하다. 본 연구는 단일군 사전-사후설계의 실험 연구로, SBAR 프로그램은 4개 부분(강의, 토론, 역할극, 피드백)으로 3시간동안 진행하였다. 본 연구의 D 광역시 소재 일 대학 간호학과 4학년생 21명을 대상으로 자가보고식 설문지를 이용하여 2019년 2월 6일에 자료를 수집하였다. 수집된 자료는 SPSS WIN 24를 이용하여 빈도, paried t-test로 분석하였다. SBAR 프로그램이 간호대학생의 의사소통명확성(t=-4.49, p<.001), 의사소통 자신감(t=-6.83 p<.001) 및 자기효능감(t=-6.17, p<.001)이 SBAR 프로그램 적용 전보다 유의하게 높게 나타났다. SBAR 프로그램이 의사소통 명확성, 보고자신감, 자기효능감을 향상시키는 것으로 나타났으므로 간호교육에서 학생들의 의사소통역량강화를 위한 SBAR를 적극 활용할 것을 권장한다. The purpose of this study was to develop SBAR (Situation-Background- Assessment-Recommendation) program and to verify the effects of the program on communication clarity, report confidence, and self-efficacy for nursing students. Communication clarity of nurse is core competence to enhance quality of nursing and is needed to reduce safety accident in clinical nursing practice. This study used a one group pre-post test design. SBAR program consisted of 4 parts (lecture, discussion, roll play, feedback) and applied for 3 hours in the intervention group. The subjects of this study were 21 senior nursing students from D city, and data were collected by self - reported questionnaires at February 6, 2019. Data were analyzed by frequencies, paired t-test using the SPSS Win 23.0 program. After SBAR program, communication clarity (t=-4.49, p<.001), report confidence (t=-6.83, p<.001) and self-efficacy (t=-6.17, p<.001) were significantly increased. These results suggest that SBAR Program may improve the communication clarity, communication confidence and self-efficacy of nursing students. it is recommended to actively utilize SBAR program in undergraduate programs to enhance communication skills.

SBAR를 이용한 핵심기본간호술 실습이 간호대학생의 의사소통능력, 비판적 사고성향과 문제해결 능력에 미치는 효과

김선영(Kim, Seon Young),김형선(Kim, Hyung Seon) 학습자중심교과교육학회 2020 학습자중심교과교육연구 Vol.20 No.2

This study was done to identify the effects of the SBAR training program in essential fundamental nursing skills on communication competence, critical thinking disposition and problem-solving ability of nursing students. It was designed one group pre - post test. The participants were 53 nursing students 3rd grade. The study period was from August 28 to November 3, 2017. According to the two-weeks training period, each group consists of four or five people trained on the SBAR tool, and prepared a clinical case report based on the scenario. We conducted a preliminary survey on communication competence, critical thinking disposition and problem solving ability. Subsequently, in the scenario-based essential fundamental nursing skills practice, SBAR reporting training was conducted, and communication competence, critical thinking disposition and problem solving ability were measured along with educational satisfaction. As a result, critical thinking disposition improved from 3.75 to 3.94(t=-3.623, p=.001) and problem solving ability improved from 3.32 to 3.40(t=-2.073, p=.042). Although communication competence improved after SBAR application, there was no statistically significant difference. The purpose of this study is to confirm that systematic application of SBAR is one of the effective educational methods to improve the critical thinking and problem solving ability of nursing students in the essential fundamental nursing skills education. 본 연구는 SBAR를 이용한 핵심기본간호술 실습교육 프로그램이 간호대학생의 의사소통능력, 비판적 사고능력, 문제해결능력에 미치는 효과를 확인하고자 수행되었다. 연구설계는 단일군 전-후 유사실험연구(one group pre - post test design)이며, 연구의 대상은 B시 소재 일개 대학 간호학과 3학년 학생 총 53명이었다. 연구 기간은 2017년 8월 28일부터 11월 3일까지였다. 2주간 진행되는 실습기간에 따라 각 그룹의 인원은 4∼5명으로 구성하여 SBAR 도구에 대한 교육을 실시하고 시나리오를 근거로 임상사례 보고서를 작성하게 한 후 의사소통능력, 비판적 사고성향과 문제해결능력에 대한 사전조사를 실시하였다. 이후 시나리오 기반 핵심기본간호술기 실습 시 SBAR 형식에 의한 보고 훈련을 시행한 후 의사소통능력, 비판적 사고성향, 문제해결능력 항목과 함께 교육만족도를 측정하였다. 연구 결과 의사소통능력은 SBAR 적용 실습 이후 향상되기는 하였으나, 통계학적으로 유의한 차이는 없었다. 비판적 사고성향은 사전 3.75점에서 사후 3.94점으로(t=-3.523, p=.001), 문제해결능력은 사전 3.32점에서 사후 3.40점으로(t=-2.073, p=.042) 유의하게 향상되었다. 본 연구는 체계적인 SBAR 적용이 핵심기본간호술 교육에서도 간호대학생의 비판적 사고성향, 문제해결능력 향상을 도모할 수 있는 교육 방안 중의 하나임을 확인하였다는 데 의의가 있다.

간호대학생의 SBAR인수인계교육이 의사소통능력, 셀프리더십과 임상판단력에 미치는 효과

황혜정(Hwang Hye Jeong),김현희(Kim Hyun hee) 학습자중심교과교육학회 2020 학습자중심교과교육연구 Vol.20 No.1

본 연구는 전문직간의 의사소통역량 개발을 위한 간호대학생을 대학생으로 SBAR인수인계 교육이 의사소통능력 및 셀프리더십, 임상판단력의 효과를 검증하기위한 비동등성 대조군 전후 유사 실험 연구이다. 연구기간은 2019년 3월 2일부터 8월2일까지 진행하였고, 연구대상자는 G시의 H대학교 간호학과 4학년을 학생으로 실험군 34명 대조군 35명이었다. 실험군에게 SBAR인수인계 교육을 진행하였고, 대조군에는 일반 인수인계 교육을 실시하였다. 연구결과, SBAR인수인계 교육을 진행한 실험군이 대조군에 비해 의사소통능력에 향상이 있었고(t=1.912, p<.1), 셀프리더십에 향상이 있었고(t=1.685, p<.1), 임상판단력이 향상되었다(t=7.127, p<.001). 본 연구를 통해 4학년 간호대학생을 대상으로 한 인수인계 교육은 의사소통능력, 셀프리더십, 임상판단력에 도움이되는 것을 확인하였고, 보다 구조화된 의사소통인 SBAR인수인계교육이 더 효과적임이 확인이 되었다. 이러한 결과는 SBAR인수인계교육이 예비간호사인 4학년을 대상으로 환자의 인수인계의 가이드라인을 제공함으로 효과적인 인수인계 교육방법이 될 것이다. This study is nonequivalent control group pretest-posttest quasi-experimental study before and after the non-identical control group to verify the effectiveness of the communication skills, self-leadership and clinical judgment skills of the nursing student for the development of communication skills among professionals as a college student. The research period was conducted from March 2nd to August 2nd, 2019, subjects of the study were 34 experimental groups and 35 control groups as students of the department of nursing at H University in G City. In addition, the acquisition patient handover training was conducted to the experimental group using SBAR handover education and in the control group, general handover training was conducted using. The study found that the experimental group that conducted patient handover education using SBAR handover education had better communication skills than the control group (t=1.912, p<.1), improved self-leadership (t=1.685, p<.1), and improved clinical judgment (t=7.127, p<.001). Through this study, patient handover education for fourth grade nursing students was confirmed to be helpful for communication skills, self-leadership and clinical judgment, and SBAR handover education, a more structured communication, was found to be more effective. These results will be an effective method of SBAR handover education for fourth graders nursing students, who are prospective caregivers, by providing guidelines for patient handover.

핵심간호시뮬레이션 실습교육 개선을 위한 SBAR-캡스톤 디자인 프로그램개발 및 적용

한영인(Han Young In) 학습자중심교과교육학회 2022 학습자중심교과교육연구 Vol.22 No.2

목적 본 연구목적은 핵심간호시뮬레이션 실습교육 개선을 위한 SBAR-캡스톤 디자인 프로그램을 개발하고, 간호대학생의 의사소통 명확성, 창의융합역량, 간호업무성과에 미치는 효과를 검증하고자 하였다. 방법 본 연구의 교육프로그램은 ADDIE(분석, 설계, 개발, 실행, 평가)모델을 기반으로 개발하였다. 연구설계는 비동등성 대조군 전후 설계를 적용한 유사실험연구이다. 자료수집은 2021년 5월 24일부터 6월 18일까지 G 대학교 간호대학생 총 48명(실험군 24명, 대조군 24명) 대상으로 실시하였다. 자료분석은 SPSS/WIN 23.0 통계프로그램을 이용하여 빈도, 평균과 표준편차, X2-test, paired t-test, Independent t-test로 분석하였다. 결과 SBAR-캡스톤 디자인 프로그램을 적용한 핵심간호시뮬레이션 실습은 간호대학생의 의사소통 명확성(t=-2.224, p=.032), 창의융합역량(t=-3,329, p=.002), 간호업무성과(t=-3,062, p=.004)가 유의한 효과를 보였다. 본 연구는 새로운 교수학습법을 규명하였다는데 의의가 있다. 결론 결론적으로 SBAR-캡스톤 디자인 프로그램을 적용한 핵심간호시뮬레이션 실습이 교내실습이나 간호실무현장에 적용할 수 있는 교수학습모형을 제시했다는데 의의가 있다. Objectives The purpose of this study was to develop a SBAR-Capstone design program to improve core nursing simulation practice education, and to verify the effects on nursing students communication clarity, creative convergence competency, and nursing performance. Methods The educational program of this study was developed based on the ADDIE (analysis, design, development, execution, evaluation) model. The study design is a quasi-experimental study in which a design before and after an inequality control group is applied. Data collection was conducted from May 24 to June 18, 2021 for a total of 48 nursing students at G University (24 in the experimental group, 24 in the control group). Data analysis was performed with frequency, mean and standard deviation, X2-test, paired t-test, and Independent t-test using SPSS/WIN 23.0 statistical program. Results The core nursing simulation practice applied with the SBAR-Capstone design program showed the nursing students communication clarity (t=-2.224, p=.032), creative convergence competency (t=-3,329, p=.002), and nursing performance. (t=-3,062, p=.004) showed a significant effect. This study is meaningful in that it identified a new teaching and learning method. Conclusions In conclusion, it is significant that the core nursing simulation practice applied with the SBAR-Capstone design program presented a teaching and learning model that can be applied to classroom practice or nursing practice field.

국내 간호대학생의 SBAR를 이용한의사소통에 대한 체계적 고찰

이미진,김화영 국제문화기술진흥원 2024 The Journal of the Convergence on Culture Technolo Vol.10 No.1

본 연구는 국내 간호대학생을 대상으로 SBAR를 활용한 의사소통 연구에 대해 알아보기 위해 시행된 체계적 고찰이다. 문헌검색은 2023년도 6월까지 출간된 논문으로 데이터베이스는 RISS, KISS, DBpia, KCI를 이용하였다. 검색어는 ‘간호대학생’, ‘간호’, ‘SBAR’, ’의사소통’을 사용하였다. 총 57편의 논문이 검색되었고, 최종적으로 17편이 포함되었다. 측정된 결과 변수는 의사소통 명확성, 의사소통능력, 의사소통 자신감, 비판적 사고능력, 자기효능감, 보고 자신감, 임상판단력, 의사소통 만족도 등에 대부분 유의한 결과가 확인되었으나 일부 연구에서 유의미하지 않은 결과도 확인되었다. 이에 SBAR를 활용한 의사소통 중재의 툭성과 내용을 분석하고 효과를 평가하여 향후 SBAR를 활용한 의사소통 중재의 후속 연구를 위한 근거 자료로 활용하고자 한다.

Effectiveness of SBAR-based simulation programs in nursing students: a systematic review

Jungmi Yun,Jongmin Park,Yun Ji Lee,Kyoungrim Kang 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10

Aims: SBAR (Situation, Background, Assessment, and Recommendation) has been extensively used in clinical and educational settings. A structured communication program increases effective communication, education satisfaction, and positivity during interprofessional collaboration among students. This systematic review aims to identify and synthesize evidence on the effectiveness of SBAR-based simulation programs in nursing students. Methods: A research protocol was developed according to the PRISMA-P guidelines. The protocol of this study was registered on the PROSPERO (CRD42021234068). Eight bibliographical databases were searched for studies published between 2001 and 2021, using relevant search terms. Searches were conducted in PubMed, Embase, CINAHL, and Cochrane Library for literature in English, DBpia, KISS, RISS, and Kisti for literature in Korean. After screening titles, abstracts, and full-text papers, pertinent data were extracted and critical appraisal of the retrieved studies was undertaken. Data were analyzed using the framework approach and findings presented in a narrative summary. We used the Effective Public Health Practice Project (EPHPP) ‘Quality Assessment Tool for Quantitative Studies’ to assess the quality of included studies. Results: Twelve studies were included: 3 randomized controlled trials and 9 quasi-experimental studies. Two overarching themes were noted: communication clarity and critical thinking. The results of 6 out of 12 studies produced significant results in favor of SBAR-based simulation in terms of communication clarity. Divergent results were obtained with regard to communication ability, critical thinking, confidence, learning self-efficacy, and attitude on patient safety. The results of these studies highlighted the communication clarity ultimately leads to positive results in terms of patient safety of nursing students. Conclusion: This review provides a comprehensive update of the literature on the effectiveness of SBAR-based nursing simulation programs in nursing students. These programs were found to have positive learning outcomes as a result of clear, concise communication. Further studies on the effectiveness of various learning outcomes derived from the SBAR-based program are needed.

SBAR Report Competency and Communication Clarity of Handover in Korean Nursing Students

Mi Yu,Kyung-ja Kang 보안공학연구지원센터 2015 International Journal of Bio-Science and Bio-Techn Vol.7 No.6

This study aims to grasp the current condition of handovers of practical tasks among nursing students as well as specific items of handovers and the communication clarity. A questionnaire-based survey was conducted on handover experience among 137 individuals who had experience of clinical practice and were senior students at three nursing colleges located in A, B, and C districts. Among then, 27 were chosen for convenience sampling, and their statements were recorded for a descriptive analysis. It turned out that 10.2% of the respondents took an education course of handovers as part of their practical trainings, and that the level of self-confidence for handovers was 2.91±2.12 points. The preferred education methods about handovers included simulations (40.9%), role plays (24.8%), and lectures (13.9%) in the order. In the SBAR-based analysis of handover items, it turned out that there were few statements on vital signs (40.7%) and advice (59.3%), and that the clarity in communication of handover contents was of the middle level as high as 2.30 (±0.42) points. The findings of this study indicate the necessity of education on handovers as part of practical training for nursing students as well as efforts to enhance the clarity of communication in utilization of specific SBAR tools.

SBAR-협력적 의사소통 프로그램이 간호사의 의사소통 능력과 간호사-의사 협력에 미치는 효과

현미숙(Hyun, Mi-suk),조혜진(Cho, Hye-Jin),이미애(Lee, Mi-Aie) 한국간호행정학회 2016 간호행정학회지 Vol.22 No.5

Purpose: The purpose of this study was to investigate effect of the SBAR-Collaborative Communication Program on nurses’ communication skills and on collaboration between nurses and doctors. Methods: From March 11 to November 11, 2013, data were collected from 180 hospital nurses working in a university hospital in Gyeonggi province. Outcomes were measured at three time intervals; before, three and six months after the program was completed. Results: After participating in this program, there was a significant increase in nurses’ communication skills but not in collaboration between nurses and doctors. None of the participants" general categories influenced nurses’ communication skills at pre-test, but age, education level, total years of working and work department significantly influenced scores at 3 and 6 months. Work department was the only category for which there was a significant difference in collaboration between nurses and doctors at pre-test, and education level and work department were related to significant improvement at 6 months. Conclusion: Findings indicate that this program can improve communication skills for nurses and also, collaboration between nurses and doctors, especially for nurses under 25 years of age. Thus nursing and hospital managers should provide SBAR-Collaborative Communication Programs to new nurses in their job training.

SBAR를 활용한 간호관리학 실습이 간호대학생의 자기표현성, 의사소통능력과 비판적사고 성향에 미치는 효과

김월주,김선영 학습자중심교과교육학회 2016 학습자중심교과교육연구 Vol.16 No.9

본 연구는 SBAR를 활용한 간호관리학실습이 간호대학생의 자기표현성, 의사소통능력과 비판적사고 성향에 미치는 효과를 분석하기 위해 실시되었다. SBAR를 활용한 간호관리학실습은 4차에 걸쳐 총 8시간 동안 9가지의 시나리오상황과 역할극, 대화기록지 작성 등으로 구성되었다. 연구 참여대상은 간호학과 4학년에 재학 중인 학생 30명이며, 자료수집기간은 2015년 7월 13일부터 2015년 10월 16일까지였다. 단일군 전-후 유사실험설계로 수집된 자료는 SPSS 21.0프로그램을 이용하여 일반적 특성은 실수와 백분율로, 실험처치효과에 대한 검증은 Paired t-test를 실시하여 분석하였다. 연구참여자 30명 전부 여학생으로 대인관계 정도는 좋음 66.7%, 전공만족도는 만족 66.7%, 임상실습 만족도는 만족 56.7%로 나타났다. SBAR를 이용한 간호관리학실습은 간호대학생의 자기표현성을 향상시켰다(P< .001). 본 연구의 결과를 바탕으로 간호대학생의 자기표현성, 의사소통능력, 비판적사고 성향을 향상시킬 수 있는 다양한 시나리오 개발과 교육프로그램 검증을 제언한다.