SBAR 프로그램이 암 병동 간호사의 의사소통명확성, 임상수행능력과 자기효능감에 미치는 효과

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to develop Situation, Background, Assessment, Recommendations(SBAR) program and to test the effects of the program on communication clarity, clinical competence, and self-efficacy for clinical nurses in cancer hospitals. Methods: This study applied a nonequivalent control group non-synchronized design. There were 28 participants in the intervention group and 27 in the control group. SBAR program consisted of 4 parts and applied for 6 weeks in the intervention group. Data were analyzed with x<SUP>2</SUP> test, Fishers exact test, t-test and ANCOVA using the SPSS program. Results: Communication clarity, clinical competence and self efficacy were significantly increased in the intervention group compared to those in the control group. Conclusion: These results suggest that SBAR program may improve communication clarity, clinical competence and self-efficacy for clinical nurses in cancer hospitals. Therefore, it is required to actively take advantage of this program to improve communication clarity among medical staffs, clinical competence, and self-efficacy in clinical nursing practices.

참고문헌 (Reference)

1 강명자, "주장훈련이 간호사의 의사소통 관련 요인과 이직의도에 미치는 효과" 한국간호과학회 36 (36): 681-690, 2006

2 박진아, "종합병원 간호사의 비판적 사고성향과 임상수행능력" 한국간호과학회 39 (39): 840-850, 2009

3 이애경, "임상간호사의 의사소통능력, 직무스트레스, 직무만족도와의 관계" 한국콘텐츠학회 13 (13): 299-308, 2013

4 이현숙, "병원 간호사의 의사소통 능력, 의사소통 유형, 조직몰입간의 관계" 간호행정학회 16 (16): 488-496, 2010

5 조용애, "간호사의 의료인 간 의사소통에 대한 조사연구" 병원간호사회 19 (19): 20-32, 2013

6 S Marshall, "The teaching of a structured tool improves the clarity and content of interprofessional clinical communication" BMJ 18 (18): 137-140, 2009

7 Li-Ling Hsu, "The effects of scenario-based communication training on nurses’ communication competence and self-efficacy and myocardial infarction knowledge" Elsevier BV 95 (95): 356-364, 2014

8 Lee, S. L., "The effect of knowledge and self-efficacy on hospital nurses nursing performance regarding oxygen therapy" Seoul National University 2013

9 Khodadadi, E., "The effect of communication skills training on quality of care, self-efficacy, job satisfaction and communication skills rate of nurses in hospitals of tabriz, iran" 2 (2): 27-37, 2013

10 Cho, H. J., "The effect of SBAR program education on a nurse's communication clarify and self expression" Yonsei University 2013

11 Cynthia M. Thomas, "The SBAR Communication Technique" Ovid Technologies (Wolters Kluwer Health) 34 (34): 176-180, 2009

12 Albert Bandura, "Self-efficacy mechanism in human agency." American Psychological Association (APA) 37 (37): 122-147, 1982

13 김은만, "SBAR를 이용한 간호단위간 인수인계 표준항목 개발에 관한 연구" 병원간호사회 21 (21): 127-142, 2015

14 K. De Meester, "SBAR improves nurse–physician communication and reduces unexpected death: A pre and post intervention study" Elsevier BV 84 (84): 1192-1196, 2013

15 Erica L. Mitchell, "SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations" Elsevier BV 203 (203): 26-31, 2012

16 Haig, K. M., "SBAR : A shared mental model for improving communication between clinicians" 32 (32): 167-175, 2006

17 Seo, E. A., "Relations between the types of communication and, job satisfaction and nursing performance in staff nurses" 17 (17): 317-332, 2003

18 Cody R. Charlton, "Nurse practitioners communication styles and their impact on patient outcomes: An integrated literature review" Wiley-Blackwell 20 (20): 382-388, 2008

19 Barrett, C., "Job satisfaction in preceptorship and its effect on the clinical performance of the preceptee" 27 (27): 364-371, 1998

20 Compton, J., "Implementing SBAR across a large multihospital health system" 38 (38): 261-268, 2012

21 Susan M. Renz, "Examining the feasibility and utility of an SBAR protocol in long-term care" Elsevier BV 34 (34): 295-301, 2013

22 Schwirian, P. M., "Evaluating the performance of nurses : A multidimensional approach" 27 (27): 347-351, 1978

23 Sheldon, L. K., "Difficult communication in nursing" 38 (38): 141-147, 2006

24 F. Cheraghi, "Developing a valid and reliable self-efficacy in clinical performance scale" Wiley-Blackwell 56 (56): 214-221, 2009

25 Lee, A. K., "Comparison of self-efficacy, clinical performance and communication ability of between clinical nurses and oncology nurses" Gyeongsang National University 2013

26 Beckett, C. D., "Collaborative communication : Integrating SBAR to improve quality/patient safety outcomes" 31 (31): 19-28, 2009

27 Seo, M. J., "Burnout and coping type of oncology nurse" Yonsei University 2000

28 Kathleen Novak, "Bedside Reporting and SBAR: Improving Patient Communication and Satisfaction" Elsevier BV 27 (27): 760-762, 2012

29 Park, Y. H., "A study on the communication system model and recognition analysis of president-staffs communication in university" Wonkwang University 2010

30 Daniel Doyle, "A course for nurses to handle difficult communication situations. A randomized controlled trial of impact on self-efficacy and performance" Elsevier BV 82 (82): 100-109, 2011