Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Team Based Simulation Learning Using SBAR on Critical Thinking and Communication Clarity of Nursing Students

SBAR 이용 팀 기반 시뮬레이션 학습이 간호학생의 비판적사고, 의사소통명확성에 미치는 효과

  • Received : 2018.06.18
  • Accepted : 2018.09.07
  • Published : 2018.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study is to investigate the effects of team - based simulation training in nursing students on critical thinking and communication clarity. This study was conducted from October 2017 to November 2017 for 69 students (33 experimental group and 36 control group) who took a course of "Basic Nursing Theory and Practice" students in a major nursing student in P city, Gyeongbuk province. Collection and analysis. In this study, we conducted a questionnaire survey using a tool of critical accidents measurement by Yoon Jin(2004) and a communication clarity tool by Hye - jin Jo(2013). Statistical analysis was performed using SPSS 23.0, Chi-square, Fisher's exact test, t-test and ANCOVA. Data analysis showed that the groups participating in the SBAR team based simulation training were significantly more effective than the control group in critical thinking (F = 11.91, p <.001) and communication clarity (F = 4.40, p = .040). Based on these results, it is shown that using SBAR team - based simulation learning for nursing students is effective in teaching 'fundamental nursing and practice' and can be recommended as teaching method for nursing students.

이 연구의 목적은 비판적 사고, 의사소통명확성에 대한 간호학생의 SBAR 이용 팀 기반 시뮬레이션 교육 효과를 연구한 비동등성 대조군 전 후 설계의 유사 실험 연구 이다. 본 연구는 경상북도 P 시에 소재한 일개 간호학과 학생으로 '기본간호학 이론 및 실습' 교과목을 수강한 학생 69(실험군 33명, 대조군 36명)명을 대상으로 2017년 10월부터 2017년 11월까지 자료수집과 분석을 실시하였다. 본 연구에서는 윤진(2004)의 비판적사고 측정도구, 조혜진(2013)의 의사소통 명확성도구를 활용하여 설문 조사를 실시 하였다. 통계 분석은 SPSS 23.0을 이용하여 두 군의 동질성 검증은 Chi-square, Fisher's exact test, t-test, 효과분석은 ANCOVA로 수행되었다. 자료분석 결과는 SBAR 이용 팀 기반 시뮬레이션 교육에 참여한 그룹이 비판적사고(F=11.91, p<.001)와 의사소통명확성(F=4.40, p=.040)에서 대조군에 비해 유의하게 효과를 나타내었다. 이러한 결과를 토대로 간호학생들을 위한 SBAR 이용 팀 기반 시뮬레이션 학습은 '기본간호학 이론 및 실습' 수업시 효과적이며 간호학생들을 위한 교수법으로 권장 될 수 있음을 나타내었다.

Keywords

References

  1. Oi. Sun. Lee, Mee. Ock. Gu, "Development and Effects of Emotional Intelligence Program for Undergraduate Nursing Students: Mixed Methods Research", Journal of Korean Academy of Nursing, Vol.44, No.6 pp.682-96, 2016. https://doi.org/10.4040/jkan.2014.44.6.682
  2. Korea Health Industry Development Agency, http://210.179.230.152:8083/statHtml/statHtml.do?orgId=358&tblId=DT_15358N_EB003&conn_path=I2, 2016. (accessed April 2018)
  3. E. H, Ha, H. S. Song, "The Effects of Structured Self-Debriefing Using on the Clinical Competency, Self-Efficacy, and Educational Satisfaction in Nursing Students after Simulation", The Journal of Korean Academic Society of Nursing Education, Vol.21, No.4 pp.445-454, 2015. DOI: https://dx.doi.org/10.5977/jkasne.2015.21.4.445
  4. J. H. Park , I. S. Jeon, "A Phenomenological Study on Clinical Adjustment Experience of New Nurses", Qualitative research. Vol.9, No.2 pp.99-110, 2008.
  5. 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
  6. M. O. Kim, "Study on Self-Efficacy, Communication Competency, Critical Thinking Disposition and Clinical Performance Ability of Nursing Students", Journal of the Korea Academia-Industrial cooperation Society, Vol.17, No.6, pp.609-17, 2016. DOI: https://dx.doi.org/10.5762/KAIS.2016.17.6.609
  7. S. E. Grady, "Team-based Learning in Pharmacotherapeutics", American Journal of Pharmaceutical Education, Vol.75, No.7, Article ID 136, 2011. DOI: https://dx.doi.org/10.5688/ajpe757136
  8. K. R. Shin, J. W. Hwang, S. J. Shin, "Conceptanalysis on the clinical critical thinking ability in nursing", Korean Journal of Adult Nursing, Vol.20, No.5 pp.707-718, 2008.
  9. Y. S. Lee, Y. Eun, "The Effect of the Flipped Learning on Self-efficacy, Critical Thinking Disposition, and Communication Competence of Nursing Students", The Journal of Korean Academic Society of Nursing Education, Vol.22, No.4, pp.567-576, November, 2016. DOI: https://dx.doi.org/10.5977/jkasne.2016.22.4.567
  10. M. G. Seo, "A study on class design of clinical critical thinking :Focusing on critical thinking skills for nursing education", Korean Journal of General Education, Vol.7, No.5 pp.317-341, 2013.
  11. H. A. Mennenga, T. Smyer, "A Model for Easily Incorporating Team-Based Learning into Nursing Education", International Journal of Nursing Education Scholarship, Vol.7, No.1, Article 4, 2010. DOI: https://dx.doi.org/10.2202/1548-923X.1924
  12. L. K. Michaelsen, C. Bouton, R. Y. Garth, "New Directions for Teaching and Learning", Series, Vol.14, pp.14-22, 1983.
  13. M. C. Clark, H. T. Nguyen, C. Bray, R. E. Levine, "Team-Based Learning in an Undergraduate Nursing Course", Journal of Nursing Education, Vol.47, No.3, pp.111-117, 2008. DOI: https://dx.doi.org/10.3928/01484834-20080301-02
  14. S. J. Han, "A Study on the Perceived Strength and Satisfaction of Nursing Students in Clinical Practice", Korean Journal of Nursing Education, Vol.6, No.1, pp.132-146, 2006.
  15. E. J. Kim, "Analysis of Clinical Decision Techniques in Nursing College Students in Simulation: Applying Tanner's Clinical Judgement Model", The Journal of Korean Academic Society of Nursing Education, Vol.20, No.2, pp.212-222, 2014. https://doi.org/10.5977/jkasne.2014.20.2.212
  16. O'Daniel Michelle, Alan H. Rosenstein, "Patient Safety and Quality": An Evidence-Based Handbook for Nurses. edited by Hughes RG, Agency for Healthcare Research and Quality, Rockville, MD, Chapter 33, 2008.
  17. P. A. Jarzemsky, J. McGrath, "Look Before You Leap: Lessons Learned When Introducing Clinical Simulation", Nurse Educator, Vol.33, No.2, pp.90-95, 2008. DOI: https://dx.doi.org/10.1097/01.NNE.0000299513.78270.99
  18. H. S. Shin, K. K. Shim, "Nursing students' experiences on pediatric nursing simulation practice", Journal of East-West Nursing Research, Vol.16, No.2, pp.147-155, 2010.
  19. G. O. Noh, H. G. Song, D. H. Kim, "The Effect of Simulation Practice-based SBAR Education on the Reporting Clarity and Confidence of Nursing Students", Korean Nursing Science Society Fall Conference, pp.292-292, Oct, 2016.
  20. 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", The Korean Journal of Rehabilitation Nursing, Vol.19, No.1, pp.20-29. 2016. DOI: https://dx.doi.org/10.7587/kjrehn.2016.20
  21. E. M. Kim, Mi. Yu, J. E. Go, "A Study on the Development of Standardization Items for Nursing Interaction Between Nurses Using SBAR", Clinical Nursing Research, Vol.21, No.1, pp.127-142, 2016.
  22. Y. Ha, Y. Lee, Y. H. Lee, "Simulation training applying SBAR for the improvement of nursing undergraduate students' interdisciplinary communication skills", Journal of the Korean Data And Information Science Society, Vol.28, No.2, pp.407-419, 2017. DOI: https://dx.doi.org/10.7465/jkdi.2017.28.2.407
  23. J. Dunsford, "Structured Communication: Improving Patient Safety with SBAR", Nursing for Women's Health, Vol.13, No.5, pp.384-390, 2009. DOI: https://dx.doi.org/10.1111/j.1751-486X.2009.01456.x
  24. J. Yoon, "Development of Critical Thinking Disposition Measurement Tool: Focused on Nursing", master's thesis, pp.1-98, 2004.
  25. S. Marshall, J. Harrison, B. Flanagan, "The teaching of a structured tool improves the clarity and content of interprofessional clinical communication", Quality and Safety in Health Care, Vol.8, No.2, pp.137-140, 2009. DOI: https://dx.doi.org/10.1136/qshc.2007.025247
  26. H. J. Cho, "The effect of SBAR program education on a nurse's communication clarify and self expression", Unpublished master's thesis, Yonsei University, Seoul, 2013.
  27. S. O Lee, J. H Lee, M, R Eom, "Use of simulation in nursing education", The Journal of Korean Academic Society of Nursing Education, Vol.13, No,1, pp.90-94, 2007.
  28. K. C. Lim, "Directions of Simulation-Based Learning in Nursing Practice Education: A Systematic Review", The Journal of Korean Academic Society of Nursing Education, Vol.7, No.2, pp.246-256, 2011. DOI: https://dx.doi.org/10.5977/JKASNE.2011.17.2.246
  29. J. J. Yang, "The influencing factors on clinical competence of nursing students", The Journal of Korean Academic Society of Nursing Education, Vol.15, No.2, pp.159-165, 2009. DOI: https://dx.doi.org/10.5977/JKASNE.2009.15.2.159
  30. M. J. Sim, "Team-Based Learning (TBL) Teaching Strategy", Korean Nursing Education Society, pp.19-35, August, 2015.
  31. J. Y. Kim, N. R. Huh, H. J. Jeon, D. Y. Chung, "The Effects of the Simulation Education for the Elderly with Cognitive Impairment on Communication Ability, Academic Self - Efficacy, and Attitude toward the Elderly Students", The Journal of Korean Academic Society of Nursing Education, Vol.21, No.1, pp.51-64, 2015.