DOI QR코드

DOI QR Code

The Effect of Case-Based SBAR Communication Training Program on Critical Thinking Disposition, Communication Self-Efficacy and Communication Competence of Nursing Students

사례기반 SBAR 의사소통 교육프로그램이 간호대학생의 비판적 사고성향, 의사소통 자기효능감, 의사소통능력에 미치는 효과

  • 박수진 (대구보건대학교 간호학과) ;
  • 최효신 (대구보건대학교 간호학과)
  • Received : 2018.08.23
  • Accepted : 2018.11.02
  • Published : 2018.11.30

Abstract

The purpose of this study was to analyze the effects of case-based SBAR communication training program on critical thinking ability, communication self-efficacy and communication competence of nursing students. 112 sophomore students majoring in nursing were recruited from one university located in D city, and the data collection commenced on 18 December 2017 and was completed on 4 January 2018. The case-based SBAR communication training program consisted of pre-education, a pre-survey, a three-section program, and a post-survey. A one-group pretest-posttest design was used to collect the data, and frequency and paired t-test were analyzed by SPSS 21.0 program. The rate of satisfaction for interpersonal relationship was 75.0% and satisfaction rate for improvement on their major was 54.5%. Compared with before the program, critical thinking ability and communication competence were significantly improved after completion of the case-based SBAR communication training program (t=-4.237, p<.001; t=-2.734, p=.007). Communication self-efficacy was also improved after the case-based SBAR communication training program, but the difference was not significant. In conclusion, the case-based SBAR communication training program improved critical thinking ability and communication competence.

본 연구의 목적은 사례기반 SBAR 의사소통 교육프로그램이 간호대학생의 비판적 사고성향, 의사소통 자기효능감, 의사소통능력에 미치는 효과를 파악하기 위함으로 수행되었다. 연구대상은 D시 소재 일개 간호학과 2학년에 재학 중인 학생 112명을 대상으로 2017년 12월 18일부터 2018년 1월 4일까지 구조화된 설문지를 통해 자료를 수집하였다. SBAR 의사소통 교육프로그램은 사전 교육프로그램 개발, 사전조사, 3회기 의사소통 교육프로그램, 사후조사의 단계로 이루어졌다. 수집된 자료는 SPSS 21.0 program을 이용하여 빈도, paired t-test로 분석하였다. 연구결과, 일반적 특성에서 대인관계 정도는 만족함이 75.0%, 전공만족도는 만족 54.4%로 나타났으며, 사례기반 SBAR 의사소통 교육프로그램은 비판적 사고성향(t=-2.734, p=.007), 의사소통능력(t=-4.237, p<.001)이 교육 전보다 교육 후에 상승하였으며, 통계적으로 유의한 차이가 있었다. 의사소통 자기효능감은 점수는 향상되었으나 통계적으로 유의한 차이는 없었다. 따라서 사례기반 SBAR 의사소통 교육프로그램은 간호대학생의 비판적 사고성향과 의사소통능력을 향상시킬 수 있는 효과적인 중재임을 확인 할 수 있었다.

Keywords

SHGSCZ_2018_v19n11_426_f0001.png 이미지

Fig. 1. Research Design

Table 1. Process of Case-Based SBAR Program

SHGSCZ_2018_v19n11_426_t0001.png 이미지

Table 2. General characteristics of the subject

SHGSCZ_2018_v19n11_426_t0002.png 이미지

Table 3. Case-Based SBAR Communication Training Program Effect

SHGSCZ_2018_v19n11_426_t0003.png 이미지

References

  1. H. Sveinsdottir, P. Biering, and A. Ramel, "Occupational stress, job satisfaction, and working environment among Icelandic nurses: A cross-sectional questionnaire survey," International Journal of Nursing Studies, Vol. 43, No. 7 pp. 875-889, 2006. DOI: https://dx.doi.org/10.1016/j.ijnurstu.2005.11.002
  2. H. S. Lee, J. K. Kim, "Relationship among communication competence, communication types, and organizational commitment in hospital nurses", Journal of Korean Academy of Nursing Administration, Vol. 16, No. 4 pp. 488-496, 2010. DOI: https://dx.doi.org/10.11111/jkana.2010.16.4.488
  3. Y. G. Noh, I. S. Lee, "Effect of Stepwise Communication Education Program using SBAR among Nursing Students : Focusing on Scenarios and Nursing Case-based Role Playing", Journal of Korean Academic Society of Nursing Education, Vol. 24, No. 2 pp. 115-126, 2018. DOI: https://dx.doi.org/10.5977/jkasne.2018.24.2.115
  4. S. Marshall, J. Harrison, B. Flanagan, "The teaching of a structured tool improves the clarity and content of interprofessional clinical communication", BMJ Quality & Safety, Vol. 18, No. 2 pp. 137-140, 2009. DOI: https://dx.doi.org/10.1136/qshc.2007.025247
  5. C. M. Thomas, E. Bertram, D. Johnson, "The SBAR communication technique: teaching nursing students professional communication skills", Nurse educator, Vol. 34, No. 4 pp. 176-180, 2009. DOI: https://dx.doi.org/10.1097/NNE.0b013e3181aaba54
  6. M. Leonard, S. Graham, D. Bonacum, "The human factor: the critical importance of effective teamwork and communication in providing safe care", BMJ Quality & Safety, Vol. 13, No. supp1 pp. i85-i90, 2004. DOI: https://dx.doi.org/10.1136/qshc.2004.010033
  7. M. S. Jung, H. J. Kwon, "A Structural equation model on core competence of nursing students", Journal of the Korean Academic Society of Nursing Education, Vol. 21, No. 2 pp. 256-265, 2015. DOI: https://dx.doi.org/10.5977/jkasne.2015.21.2.256
  8. P. S. Jeong, K. J Yeon, L. Y. Ock, "A Study on Hospital Nurses' Perception of Patient Safety Culture and Safety Care Activity". Journal of Korean Critical Care Nursing, Vol. 5 No. 1 pp. 44-55, 2012.
  9. E. Simpson, M. D. Courtney, "Critical thinking in nursing education: Literature review", International journal of nursing practice, Vol. 8, No. 2 pp. 89-98, 2002. DOI: https://dx.doi.org/10.1046/j.1440-172x.2002.00340.x
  10. G. Boschma, R. Einboden, M. Groening, C. Jackson, M. MacPhee, H, Marshall, K. O. Magee, P. Simpson, P. Tognazzini, C. Haney, H. Croxen, E. Roberts, "Strengthening Communication Education in an Undergraduate Nursing Curriculum", International Journal of Nursing Education Scholarship, Vol. 7, No. 1 pp. 1-14, 2010. DOI: https://dx.doi.org/https://doi.org/10.2202/1548-923X.2043
  11. K. A. Shin, E. S. Lee, "The Effects of a Communication Training Program on Communication and Interpersonal Relationships of Nursing Students", Journal of the Korean Academic Society of Nursing Education, Vol. 17, No. 2 pp. 149-158, 2011. DOI: https://dx.doi.org/10.5977/JKASNE.2011.17.2.149
  12. E. Bong, "Effects of International Relationships and Communication curriculum were utilized group activities on Interpersonal Relationships and Communication selfefficacy among Nursing Student", The Journal of the Korea Contents Association, Vol. 13, No. 10 pp. 394-402, 2013. DOI: https://dx.doi.org/10.5392/JKCA.2013.13.10.394
  13. L. M. Larson, "The Social Cognitive Model of Counselor Training", The Counseling Psychologist, Vol. 26, No. 2 pp. 219-273, 1998. DOI: https://dx.doi.org/10.1177/0011000098262002
  14. Y. H. Cho, "Development and effects of Team- Based Learning program on enhance of communication competence for nursing students", Unpublished doctoral dissertation, Chosun University, Gwangju, 2014.
  15. P. S. Richards, M. R. Inglehart, "An interdisciplinary approach to case-based teaching: does it create patient-centered and culturally sensitive providers?", Journal of Dental Education, Vol. 70, No. 3 pp. 284-291, 2006.
  16. K. S. Kesten, "Role-play using SBAR technique to improve observed Communication skills in senior nursing students", Journal of Nursing Education, Vol. 50, No. 2 pp. 79-87. 2011 DOI: https://dx.doi.org/10.3928/01484834-20101230-02
  17. C. Foronda, K. Gattamorta, K. Snowden, E. B. Bauman, "Use of virtual clinical simulation to improve Communication skills of baccalaureate nursing students: A pilot study", Nurse Education Today, Vol. 34, No. 6 pp. e53-7, 2014. DOI: https://dx.doi.org/10.1016/j.nedt.2013.10.007
  18. W. J. Kim, S. Y. Kim, "A Study on The Effects of The Nursing Management Practice SBAR on Nursing Students' Self-expressiveness, Communication Skills, and Abilities to Think Critically", Journal of Learner-Centered Curriculum and Instruction, Vol. 16, No. 9 pp. 457-472, 2016. DOI: https://dx.doi.org/10.22251/jicci2016.16.9.457
  19. Y. K. Ha, Y. J. Lee, Y. H. Lee, "Simulation training applying SBAR for the improvement of nursing undergraduate students' interdisciplinary communication skills", Journal of the Korean data & information science society, Vol. 28, No. 2 pp. 407-419, 2017. DOI: https://dx.doi.org/10.7465/jkdi.2017.28.2.407
  20. C. H. Seong, J. H. Yoon, "The Effect of SBAR Application Simulation Learning for Nursing Students", The Journal of Korean Nursing Research, Vol. 2, No. 2 pp. 11-19, 2018.
  21. M. S. Hyun, H. J. Cho, M. A. Lee, "Effect of SBAR-Collaborative Communication Program on the Nurses' Communication skills and the Collaboration between Nurses and Doctors", Journal Korean Academy of Nursing Administration, Vol. 22, No. 5 pp. 518-530, 2016. DOI: https://dx.doi.org/10.11111/jkana.2016.22.5.518
  22. J. Yoon, "Development of an instrument for the measurement of critical thinking disposition: In nursing.", The Catholic University of Korea, Seoul, 2004.
  23. H. W. Ayres, "Factors related to motivation to learn and motivation to transfer learning in a nursing population. Doctoral dissertation, North Carolina State University, U.SA, 2005.
  24. Y. J. Oh, "The Development and Effectiveness of the Communication Empowerment Program for Nursing students based on the Theory of Transfer of Learning", Unpublished doctoral thesis, Korea University, Seoul, 2008.
  25. Rubin, R, B, Communication competence. In G. M. Phillips & J. T. Wood(Eds.), Speech Communication: Essays to communication the 75th antiversity of the speech Communication Association, Carbondale: Southern Illinois university Press, pp. 94-129, 1990.
  26. G. H. Hur, "Construction and validation of a global interpersonal communication competence scale", Korean Journal of Journalism & Communication Studies, Vol. 47, No. 6 pp. 380-408, 2003.
  27. E. J. Kim, "The Effect of Simulation-based SBAR Training Program on Nursing Students Communication and Clinical Judgement", Chonnam National University, Gwangju, 2018.
  28. Y. H. Kim, Y. S. Choi, H. Y. Jun, M. J. Kim, "Effects of SBAR Program on Communication Clarity, Clinical Competence and Self-efficacy for Nurses in Cancer Hospitals", Korean Academic Society of Rehabilitation Nursing, Vol. 19, No. 1 pp. 20-29, 2016. DOI: https://dx.doi.org/10.7587/kjrehn.2016.20