The Korean Journal of Rehabilitation Nursing (재활간호학회지)

Korean Academic Society of Rehabilitation Nursing (한국재활간호학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of SBAR Program on Communication Clarity, Clinical Competence and Self-efficacy for Nurses in Cancer Hospitals

SBAR 프로그램이 암 병동 간호사의 의사소통명확성, 임상수행능력과 자기효능감에 미치는 효과

  • Received : 2015.12.07
  • Accepted : 2016.05.23
  • Published : 2016.06.30
Download PDF
⟨ Previous Next ⟩

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 ${\chi}^2$ test, Fisher's 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.

Keywords

References

  1. Bandura, E. (1982). Self-efficacy mechanism in human agency. American Psychology, 37(2), 122-147. http://dx.doi.org/10.1037/0003-066X.37.2.122
  2. Barrett, C., & Myrick, F. (1998). Job satisfaction in preceptorship and its effect on the clinical performance of the preceptee. Journal of Advanced Nursing, 27(2), 364-371. https://doi.org/10.1046/j.1365-2648.1998.00511.x
  3. Beckett, C. D., & Kipnis, G. (2009). Collaborative communication: Integrating SBAR to improve quality/patient safety outcomes. Journal For Healthcare Quality: Official Publication Of The National Association For Healthcare Quality, 31(5), 19-28. https://doi.org/10.1111/j.1945-1474.2009.00043.x
  4. Charlton, C. R., Dearing, K. S., Berry, J. A., & Johnson, M. J. (2008). Nurse practitioners' communication styles and their impact on patient outcomes: An integrated literature review. Journal of the American Academy of Nurse Practitioners, 20(7), 382-388. http://dx.doi.org/10.1111/j.1745-7599.2008.00336.x
  5. Cheraghi, F., Hassani, P., Yaghmaei, F., & Alavi-Majed, H. (2009). Developing a valid and reliable self-efficacy in clinical performance scale. International Nursing Review, 56(2), 214-221. http://dx.doi.org/10.1111/j.1466-7657.2008.00685.x
  6. Cho, H. J. (2013). The effect of SBAR program education on a nurse's communication clarify and self expression. Unpublished master's thesis, Yonsei University, Seoul
  7. Cho, Y. A., Kim, M. K., Cho, M. S., & Nam, E. Y. (2013). Nurses’ communications with health professionals. Journal of Korean Clinical Nursing Research, 19(1), 20-32 https://doi.org/10.22650/JKCNR.2013.19.1.20
  8. Compton, J., Copeland, K., Flanders, S., Cassity, C., Spetman, M., Xiao, Y., & Kennerly, D. (2012). Implementing SBAR across a large multihospital health system. Joint Commission Journal on Quality and Patient Safety, 38(6), 261-268. https://doi.org/10.1016/S1553-7250(12)38033-1
  9. De Meester, K., Verspuy, M., Monsieurs, K. G., & Van Bogaert, P. (2013). SBAR improves nurse-physician communication and reduces unexpected death: A pre and post intervention study. Resuscitation, 84(9), 1192-1196. http://dx.doi.org/10.1016/j.resuscitation. 2013.03.016
  10. Doyle, D., Copeland, H. L., Bush, D., Stein, L., & Thompson, S. (2011). A course for nurses to handle difficult communication situations. A randomized controlled trial of impact on self-efficacy and performance. Patient Education & Counseling, 82(1), 100-109. http://dx.doi.org/10.1016/j.pec.2010.02.013
  11. Haig, K. M., Sutton, S., & Whittington, J. (2006). SBAR: A shared mental model for improving communication between clinicians. Joint Commission Journal on Quality and Patient Safety, 32(3), 167-175. https://doi.org/10.1016/S1553-7250(06)32022-3
  12. Hsu, L. L., Huang, Y. H., & Hsieh, S. I. (2014). The effects of scenariobased communication training on nurses' communication competence and self-efficacy and myocardial infarction knowledge. Patient Education And Counseling, 95(3), 356-364. http://dx.doi.org/10.1016/j.pec.2014.03.010
  13. Kang, M. J., & Lee, H. J. (2006). The effect of assertiveness training on communication related factors and personnel turnover rate among hospital nurses. Journal of Korean Academy of Nursing, 36(5), 681-690. https://doi.org/10.4040/jkan.2006.36.5.681
  14. Khodadadi, E., Ebrahimi, H., Moghaddasian, S., & Babapour, J. (2013). 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. Journal of Caring Sciences, 2(1), 27-37. http://dx.doi.org/10.5681/jcs.2013.004
  15. Kim, E. M., Yu, M., & Ko, J. W. (2015). Development of nurse's handover standards between hospital units using SBAR. Journal of Korean Clinical Nursing Research, 21(1), 127-142.
  16. Lee, A. K. (2013). Comparison of self-efficacy, clinical performance and communication ability of between clinical nurses and oncology nurses. Unpublished master's thesis, Gyeongsang National University, Jinju.
  17. Lee, A. K., Yeo, J. Y., Jung, S. W., & Byun, S. S. (2013). Relation on communication competence, job-stress and job satisfaction of clinical nurse. The Journal of the Korea Contents Association, 13 (12), 299-308. http://dx.doi.org/10.5392/JKCA.2013.13.12.299
  18. Lee, H. S., & Kim, J. K. (2010). Relationship among communication competence, communication types, and organizational commitment in hospital nurses. Journal of Korean Academy of Nursing Administration, 16(4), 488-496. https://doi.org/10.11111/jkana.2010.16.4.488
  19. Lee, S. L. (2013). The effect of knowledge and self-efficacy on hospital nurses nursing performance regarding oxygen therapy. Unpublished master's thesis, Seoul National University, Seoul.
  20. Marshall, S., Harrison, J., & Flanagan, B. (2009). The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. Quality & Safety in Health Care, 18(2), 137-140. http://dx.doi.org/10.1136/qshc.2007.025247
  21. Mitchell, E. L., Lee, D. Y., Arora, S., Kwong, K. L., Liem, T. K., Landry, G. L., et al. (2012). SBAR M&M: A feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations. The American Journal of Surgery, 203(1), 26-31. http://dx.doi.org/10.1016/j.amjsurg.2011.07.008
  22. Novak, K., & Fairchild, R. (2012). Bedside reporting and SBAR: Improving patient communication and satisfaction. Journal of Pediatric Nursing, 27(6), 760-762. http://dx.doi.org/10.1016/j.pedn.2012.09.001
  23. Park, J. A., & Kim, B. J. (2009). Critical thinking disposition and clinical competence in general hospital nurses. Journal of Korean Academy of Nursing, 39(6), 840-850. http://dx.doi.org/10.4040/JKAN.2009.39.6.840
  24. Park, Y. H. (2010). A study on the communication system model and recognition analysis of president-staffs communication in university. Unpublished doctoral dissertation, Wonkwang University, Iksan.
  25. Renz, S. M., Boltz, M. P., Wagner, L. M., Capezuti, E. A., & Lawrence, T. E. (2013). Examining the feasibility and utility of an SBAR protocol in long-term care. Geriatric Nursing, 34(4), 295-301. http://dx.doi.org/10.1016/j.gerinurse.2013.04.010
  26. Schwirian, P. M. (1978). Evaluating the performance of nurses: A multidimensional approach. Nursing Research, 27(6), 347-351.
  27. Seo, E. A., Park, K. M., & Lee, B. S. (2003). Relations between the types of communication and, job satisfaction and nursing performance in staff nurses. Journal of Korean Public Health Nursing, 17(2), 317-332.
  28. Seo, M. J. (2000). Burnout and coping type of oncology nurse. Unpublished doctoral dissertation, Yonsei University, Seoul.
  29. Sheldon, L. K., Barrett, R., & Ellington, L. (2006). Difficult communication in nursing. Journal of Nursing Scholarship, 38(2), 141-147. https://doi.org/10.1111/j.1547-5069.2006.00091.x
  30. Thomas, C. M., Bertram, E., & Johnson, D. (2009). The SBAR communication technique: Teaching nursing students professional communication skills. Nurse Educator, 34(4), 176-180. http://dx.doi.org/10.1097/NNE.0b013e3181aaba54

Cited by

  1. Effect of SBAR Education Program Based on Simulation Practiceon Report Clarity and Confidence in Nursing Students vol.11, pp.2, 2016, https://doi.org/10.15715/kjhcom.2016.11.2.145
  2. 학제간 의사소통을 포함한 시뮬레이션 교육이 간호대학생의 의사소통 자신감, 의사소통 행위, 기술적 술기 수행에 미치는 효과 vol.23, pp.4, 2016, https://doi.org/10.5977/jkasne.2017.23.4.409
  3. SBAR 이용 팀 기반 시뮬레이션 학습이 간호학생의 비판적사고, 의사소통명확성에 미치는 효과 vol.19, pp.9, 2018, https://doi.org/10.5762/kais.2018.19.9.42
  4. SBAR 보고교육이 간호대학생의 의사소통명확성, 의사소통능력 및 보고자신감에 미치는 효과 - 성인간호학 실습 - vol.16, pp.10, 2018, https://doi.org/10.14400/jdc.2018.16.10.253
  5. 사례기반 SBAR 의사소통 교육프로그램이 간호대학생의 비판적 사고성향, 의사소통 자기효능감, 의사소통능력에 미치는 효과 vol.19, pp.11, 2018, https://doi.org/10.5762/kais.2018.19.11.426
  6. 간호대학생 대상의 SBAR를 활용한 인수인계 교육 프로그램이 자기효능감, 의사소통능력과 임상수행능력에 미치는 효과 vol.26, pp.2, 2016, https://doi.org/10.7739/jkafn.2019.26.2.117
  7. Development and Effect of Simulation Education Program including Interdisciplinary Communication for Nursing Students vol.23, pp.10, 2019, https://doi.org/10.6109/jkiice.2019.23.10.1209
  8. Development and Evaluation of an SBAR-based Fall Simulation Program for Nursing Students vol.14, pp.2, 2016, https://doi.org/10.1016/j.anr.2020.04.004
  9. SBAR를 적용한 시뮬레이션 교육이 간호대학생의 의사소통명확성, 의사소통자신감, 임상의사결정능력에 미치는 효과 vol.21, pp.7, 2016, https://doi.org/10.5762/kais.2020.21.7.73
  10. A Systematic Review of Communication Programs for Nurses Working in Hospitals vol.29, pp.2, 2016, https://doi.org/10.17547/kjsr.2021.29.2.69
  11. Effectiveness of assertiveness training, SBAR, and combined SBAR and assertiveness training for nursing students undergoing clinical training: A quasi-experimental study vol.103, pp.None, 2021, https://doi.org/10.1016/j.nedt.2021.104958