Journal of the Korean Data and Information Science Society

The Korean Data and Information Science Society (한국데이터정보과학회)
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Simulation training applying SBAR for the improvement of nursing undergraduate students' interdisciplinary communication skills

SBAR 적용 시뮬레이션 교육이 간호학생의 의료팀간 의사소통능력 향상에 미치는 효과

  • Received : 2017.02.23
  • Accepted : 2017.03.24
  • Published : 2017.03.31
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Abstract

In this paper, we aim to evaluate the effect of simulation training with a focus on the application of SBAR for the improvement of communication skills of nursing students with physician. The results of the analysis of 25 videos recorded pre/post-simulation were as follows: In terms of the SBAR score, "the most recently measured vital signs" in stage B increased significantly (Z = -2.448, p =.014); the frequency of step-by-step progress in SBAR did not advance to the SBA or SBAR stage in the pre-simulation stage, but increased to 48% post-simulation. The frequencies of SBAR evaluation items mentioned in the post-simulation were the following order: the name of the patient (96%), nurse's name (80%), most recently measured oxygen saturation (76%), and main symptoms (60%). The results of the nurse's judgment (A), request for additional prescription or request for the doctor's direct patient visit (R) were not mentioned. Therefore, it is necessary to consider the application of SBAR in simulation training, which requires problem solving through cooperation with physicians, because it has a positive effect on education in nurse-physician communication.

본 연구는 간호학생을 대상으로 SBAR (situation, background, assessment, and recommendation) 적용에 중점을 둔 시뮬레이션 교육의 효과를 확인하여 간호사와 의사 간의 의사소통능력 향상을 위한 간호교육 개발의 기초자료를 제공하고자 시행되었다. 간호대학 3학년을 대상으로 호흡곤란 주제의 시나리오에 SBAR를 적용하는 사전, 사후시뮬레이션 진행 중 녹화된 25개의 동영상을 분석한 결과 SBAR 점수는 사후시뮬레이션에서 B단계의 '가장 최근에 측정한 활력징후 보고' 항목 (Z=-2.448, p=.014)과 '간호사가 판단한 상황' 항목 (Z=-3.464, p=.001)이 통계적으로 유의하게 증가하였다. SBAR 단계별 진행빈도는 사전시뮬레이션에서 SBA나 SBAR 단계로 진행된 경우가 없었으나 사후시뮬레이션에서는 48%로 증가하였다. 사후시뮬레이션에서 언급된 SBAR 평가항목별 빈도는 S단계의 환자이름 (96%), 간호사이름 (80%), B단계의 가장 최근에 측정한 산소포화도 (76%), S단계의 주증상 (60%)의 순서였다. 그러나 A단계에서 추가사정을 통한 간호사의 판단결과를 제시하는 것과 R단계의 추가처방 요청이나 의사의 직접 환자방문 요청은 언급되지 않았다. 따라서 SBAR 적용이 포함된 시뮬레이션교육이 간호사와 의사간의 의사소통교육에 긍정적 효과를 보여 추후 의사와의 협력을 통한 문제해결이 필요한 시뮬레이션교육에서 SBAR 적용을 적극적으로 고려하는 것이 필요하다.

Keywords

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