The Journal of the Convergence on Culture Technology (문화기술의 융합)

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
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A Systematic Review on the Use of SBAR in Communication for Domestic Nursing Students

국내 간호대학생의 SBAR를 이용한 의사소통에 대한 체계적 고찰

  • 이미진 (초당대학교 간호학과) ;
  • 김화영 (목포가톨릭대학교 간호학과)
  • Received : 2023.10.05
  • Accepted : 2023.11.05
  • Published : 2024.01.31
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Abstract

The purpose of the study was to review the evidence of effects of SBAR for communication in domestic nursing students. Four databases were searched for articles publised until June 2023 that databases include RISS, KISS, DBpia & KCI. Key word used for search include 'nursing students,' 'nursing,' 'SBAR,' 'communication.' Of 57 papers searched, seventeen studies were selected for data analysis. Studies evaluated outcomes including communication clarity, communication competence, communication confidence, critical thinking ability, self-efficacy, reporting confidence, clinical judgment, and communication satisfaction that most studies reported positive effects while some figures were not statistically significant. Accordingly, we intend to analyze the characteristics and contents of communication interventions using SBAR, evaluate their effectiveness, and use them as evidence for future follow-up research on communication interventions using SBAR.

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.

Keywords

References

  1. T. Kron, The management of patient care. Philadelphia: Saunders Co, 1981.
  2. H. Berkenstadt, Y. Haviv, A. Tuval, Y. SHhemesh, A. Megrill, A. Perry, O. Rubin, and A. Ziv, "Improving hand off communications in critical care: Utilizing simulation-based training to ward process improvement in managing patient risk," Chest, Vol. 134, No. 1, pp. 158-162, July 2008. http://dx.doi.org/10.1378/chest.08-0914
  3. D. Leonard, S. Graham, and D. Bonacum, "The human factor: The critical importance of effective teamwork and communication in providing safe care," Quality & Safety in Health Care, Vol.13, pp.i85-i90, October 2004. http://dx.doi.org/10.1136/qhc.13.suppl_1.i85
  4. Y.M. Kim, and K.S. Jang, "An Action Research Study on the Effects of an Action Learning Based Nursing Professionalism Course for Nursing Students," The Journal of Korean Education, Vol. 41, No. 4, pp. 123-147, December 2014. http://dx.doi.org/10.22804/jke.2014.41.4.006
  5. K.O. Park, "Nurses' Experience of Health Communication with Doctors in the Clinical Fields," Journal of Korean Academy of Nursing Administration, Vol. 21, No. 1, pp. 53-64, January 2015. http://dx.doi.org/10.11111/jkana.2015.21.1.53
  6. J.W. Park, and Y.H. Jung, "Interpersonal Relationship Anxiety and College Adjustment according to Communication Style of Nursing Freshmen," The Journal of the Korea Contents Association, Vol. 18, No. 9, pp. 53-63, September 2018. http://dx.doi.org/10.5392/JKCA.2018.18.09.696
  7. S.K. Oza, M. Wamsley, C.K. Boscardin, J. Batt and K.E. Hauer, "Medical students' Engagamet In interprofessional collaborative communication during an interprofessional observed Structured clinical examination: A qualitative study," Journal of Interprofessional Education & Practice, Vol. 7, pp. 21-27, June 2017. https://doi.org/10.1016/j.xjep.2017.02.003
  8. S.J. Kim, "Development and effectiveness evaluation of interprofessional communication education in healthcare," Master's thesis, Seoul National University, Seoul, Korea, August 2019.
  9. M.J. Park, and D.N. Oh, "Effects of Communication Skill on Interpersonal Satisfaction and Subjective Happiness among College Students," The Journal of the Korea Contents Association, Vol. 17, No. 11, pp. 423-434, November 2017. http://dx.doi.org/10.5392/JKCA.2017.17.11.423
  10. M.Y. Kim, and K.S. Kim, "The Effect of SBAR Communication on Nurse's Perception about Communication and Attitudes toward Patient Safety," Journal of Korean Clinical Nursing Research, Vol. 24, No. 1, pp. 23-33, April 2018. http://dx.doi.org/10.22650/JKCNR.2018.24.1.23
  11. Accreditation Board of Nursing Education, "The first half year of 2019 nursing education accreditation manual for nursing school," 2023. Available from: Korean Accreditation Board of Nursing Education. http://www.kabone.or.kr/reference/refRoom.do
  12. H.M. Son, H.S. Kim, M.H. Ko, and S.J. Ryu, "Analysis of the Communication Education in the Undergraduate Nursing Curriculum of Korea," The Journal of Korean Academic Society of Nursing Education, Vol. 17, No. 3, pp. 424-432, December 2011. https://doi.org/10.5977/JKASNE.2011.17.3.424
  13. I.J. Seo, and S.Y. Jang, "Effects on Nursing Student's Communication Clarity, communication Confidence, and Self-efficacy Following SBAR Program," Korean Association For Learner-Centered Curriculum And Instruction, Vol. 20, No. 1, pp. 977-992, January 2020. http://dx.doi.org/10.22251/jlcci.2020.20.1.977
  14. E.S. Shin, "The Influence of Interpersonal Relationship and Communication Competence of Nursing Students who took Blended Learning on the Adjustment to College Life," The Journal of the Korea Contents Association, Vol. 22, No. 10, pp. 392-403, October 2022. http://dx.doi.org/10.5392/JKCA.2022.22.10.392
  15. Institute for Healthcare Improvement. (modified 2015, Aug 15). SBAR communication technique. Massachusetts: Author. Retrieved July 4, 2017, http://www.ihi.org/Topics/SBAR Communicati on Technique/Pages/default.aspx.
  16. J. Compton, K. Copeland, S. Flanders, C. Cassity, M. Spetman, Y. Xiao and D. Kennerly, "Implementing SBAR across a large multi hospital health system," The Joint Commission Journal of Quality and Patient Safety, Vol. 38, No. 6, pp. 261-268, June 2012. https://doi.org/10.1016/S1553-7250(12)38033-1
  17. P. Cornell, M.T. Gervis, L. Yates and J.M. Vardaman, "Improving shift report focus and consistency with the situation, background, assessment, recommendation protocol," Journal of Nurs Adm, Vol. 43, No. 7 8, pp. 422-428, August 2013. http://dx.doi.org/10.1097/NNA.0b013e31829d6303
  18. J. Dunsford, "Structured communication, improving patient safety with SBAR," Nursing for Women's Health, Vol. 13, No. 5, pp. 384-390, October 2009. http://dx.doi.org/10.1111/j.1751-486X.2009.01456.x
  19. O.S. Lee, and J.H. Lim, "A Comparison study of Nursing process competency, Critical thinking disposition and SBAR technique knowledge between Clinical practice and Alternative clinical practicum," The Journal of the Convergence on Culture Technology (JCCT), Vol.9, No.6, 605-614, November 2023. http://dx.doi.org/10.17703/JCCT.2023.9.6.605
  20. J.N. Doucette, "View from the cockpit: what the airline industry can teach us about patient safety," Nursing, Vol. 36, No 11, pp. 50-53, November 2006. http://dx.doi.org/10.1097/00152193-200611000-00037
  21. M. Randmaa, G. Mårtensson, C.L. Swenne and M. Engstrom, "SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: A prospective intervention study," BMJ Open, Vol.4, No.1, e004268, January 2014. http://dx.doi.org/10.1136/bmjopen-2013-004268
  22. S.Y. Kim, and H.S. Kim, "Effects of the SBAR Training Program in Essential Fundamental Nursing Skills on Communication Competence, Critical Thinking Disposition and Problem-Solving Ability of Nursing Students," The Journal of Learner-Centered Curriculum and Instruction, Vol. 20, No. 2, pp. 1071-1086, January 2020. http://dx.doi.org/10.22251/jlcci.2020.20.2.1071
  23. W.J. Kim, and S.Y. Kim, "A Study on The Effects of The Nursing Management Practice using SBAR on Nursing Students' Self-expressiveness, Communication Skills, and Abilities to Think Critically," The Journal of Learner-Centered Curriculum and Instruction, Vol. 16, No. 9, pp. 1-16, September 2016. http://dx.doi.org/10.22251/jlcci.2016.16.9.457
  24. Y.G. Noh, and I.S. Lee, "Effect of Stepwise Communication Education Program using SBAR among Nursing Students: Focusing on Scenarios and Nursing Case-based Role Playing," The Journal of Korean Academic Society of Nursing Education, Vol. 24, No. 2, pp. 115-126, May 2018. http://dx.doi.org/10.5977/jkasne.2018.24.2.115
  25. O.S. Lee, "The Effects of SBAR Reports Education on Communication Clarity, Communication Skill and Report Confident for Nursing Students-Adult Nursing Clinical Practicum-," Journal of Digital Convergence, Vol. 16, No. 10, pp. 253-260, October 2018. http://dx.doi.org/10.14400/JDC.2018.16.10.253
  26. A.H. Jang, J.Y. Kim, and M.Y. Moon, "The Effects of SBAR Report Education on Communication Clarity, Communication Satisfaction, Reporting Confidence and Communication competency in Clinical Practice of Nursing Students," Journal of the Korean Oil Chemists' Society, Vol. 38, No. 4, pp. 1129-1142, August 2021. http://dx.doi.org/10.12925/jkocs.2021.38.4.1129
  27. H.J. Hwang, and H.H. Kim, "The Effect of SBAR Handeover Education on Nursing College Students' Communication Skills, Self-leadership and Clinical Judgment," The Journal of Learner-Centered Curriculum and Instruction, Vol. 20, No. 1, pp. 751-767, January 2020. http://dx.doi.org/10.22251/jlcci.2020.20.1.751
  28. D.W. Kim, and J.S. Shin, "Communication clarity, Communication confidence, and Communication skills of Nursing Students with Simulation-based SBAR Communication Education -Using the scenario for Infants & Early Childhood-," korean journal of safety culture, Vol., No. 16, pp. 105-118, May 2022. http://dx.doi.org/10.52902/kjsc.2022.16.105
  29. E.J. Kim, "The Effect of Simulation-based SBAR Training Program on Nursing Students Communication and Clinical Judgement," Doctoral thesis, Chonnam National University, Gwangju, Korea, February 2018.
  30. G.O. Noh, H.K. Son, and D.H. Kim, "Effect of SBAR Education Program Based on Simulation Practiceon Report Clarity and Confidence in Nursing Students," Health Communication, the Official Journal of Korean Academy on Communication in Healthcare, Vol. 11, No. 2, pp. 145-153, December 2016. http://dx.doi.org/10.15715/kjhcom.2016.11.2.145
  31. J.Y. Do, and S.J. Shin, "Development of Handoff Education Program using SBAR for Nursing Students and Its Effect on Self-efficacy, Communication Ability and Clinical Performance Ability," Journal of Korean Academy of Fundamentals of Nursing, Vol. 26, No. 2, pp. 117-126, May 2019. http://dx.doi.org/10.7739/jkafn.2019.26.2.117
  32. S.J. Park, and H.S. Choi, "The Effect of Case-Based SBAR Communication Training Program on Critical Thinking Disposition, Communication Self-Efficacy and Communication Competence of Nursing Students," Journal of Korea Academia-Industrial cooperation Society, Vol. 19, No. 11, pp. 426-434, November 2018. http://dx.doi.org/10.5762/KAIS.2018.19.11.426
  33. S.O. Lim, M.J. Baek, and H.S. Park, "Effects of communication clarity and communication confidence on handoff education program using SBAR-based cardiopulmonary resuscitation records of Nursing Students," The Journal of Learner-Centered Curriculum and Instruction, Vol. 20, No. 10, pp. 817-835, May 2020. http://dx.doi.org/10.22251/jlcci.2020.20.10.817
  34. H.H. Cho, K.H. Nam, J.S. Park, H.E. Jeong, and Y.J. Jung, "The Effect of Simulation Training applying SBAR for Nursing Students on Communication Clarity, Self-Confidence in Communication, and Clinical Decision-Making Ability," Journal of Korea Academia-Industrial cooperation Society, Vol. 21, No. 7, pp. 73-81, July 2020. http://dx.doi.org/10.5762/KAIS.2020.21.7.73
  35. Y.K. Ha, Y.J. Lee, and 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 Sociaty, Vol. 28, No. 2, pp. 407-419, March 2017. http://dx.doi.org/10.7465/jkdi.2017.28.2.407
  36. H.M. Yang, and Y.J. Kim, "Effects of Health Assessment Practicum Education Using SBAR on Communication Clarification, Communication Confidence, and Learning Motivation of Nursing Students," The Journal of Learner-Centered Curriculum and Instruction, Vol. 21, No. 23, pp. 159-169, December 2021. http://dx.doi.org/10.22251/jlcci.2021.21.23.159
  37. H.K. Hur, and J.S. Jung, "Nursing Students and Clinical Nurses' Awareness of Virtual Reality(VR) Simulation and Educational Needs of VR-based Team Communication and Teamwork Skills for Patient Safety: A Mixed Method Study," The Journal of the Korea Contents Association, Vol. 22, No. 1, pp. 629-645, January 2022. http://dx.doi.org/10.5392/JKCA.2022.22.01.629
  38. S.Y. Kim, J.E. Park, H.J. Seo, Y.J. Lee, B.H. Jang, H.J. Son, H.S. Suh, and C.M. Shin, "NECA's guidance for undertaking systematic reviews and meta-analyses for intervention," National Evidence-based Healthcare Collaborating Agency, 2011.
  39. S.K. Kim, M.R. Eom, and M.H. Park, "Effects of Nursing Education Using Virtual Reality: A Systematic Review," The Journal of the Korea Contents Association, Vol. 19, No. 2, pp. 661-670, February 2019. http://dx.doi.org/10.5392/JKCA.2019.19.02.661
  40. U.J. Lee, Nursing students' communication patterns with psychiatric patients and medical staff in computer-based simulation education, Doctoral thesis, Seoul National University, Seoul, Korea, August 2021.
  41. H.S. Kim, G. Park, and H. Kang, "The relationship among satisfaction of major, critical thinking disposition and nurse image for nursing students," The J ournal of the Convergence on Culture Technology (JCCT), Vol. 5, No. 2, pp. 263-270, May 2019. http://dx.doi.org/10.17703/JCCT.2019.5.2.263
  42. A.R. Kim, "Communication Programs in Korean Nursing Education: A Systematic Review," Journal of Health and Medical Science, Vol. 10, No. 2, pp. 11-22, 2022.