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Effects of Simulated Interdisciplinary Communication Training for Nursing Students on Self-confidence in Communication, Communication Behavior and Technical Skill Performance

학제간 의사소통을 포함한 시뮬레이션 교육이 간호대학생의 의사소통 자신감, 의사소통 행위, 기술적 술기 수행에 미치는 효과

  • Nam, Kyoung A (Division of Nursing.Research Institute of Nursing Science, Hallym University) ;
  • Kim, Eun Jung (Division of Nursing.Research Institute of Nursing Science, Hallym University) ;
  • Ko, Eun Jeong (Graduate School of Nursing Science, Hallym University)
  • 남경아 (한림대학교 의과대학 간호학부.한림대학교 간호학연구소) ;
  • 김은정 (한림대학교 의과대학 간호학부.한림대학교 간호학연구소) ;
  • 고은정 (한림대학교 간호대학원 간호교육학과)
  • Received : 2017.09.07
  • Accepted : 2017.11.03
  • Published : 2017.11.30

Abstract

Purpose: Ineffective communication between healthcare professionals leads to medical errors and puts patients at risk of harm. The aim of this study was to examine the effects of interdisciplinary communication training in simulated settings on self-confidence in communication, observed communication behavior, and technical skill performances of nursing students. Methods: A repeated measures design with one group was conducted. Data was collected from 92 nursing students through a self-administered questionnaire and an observed behavior checklist. Data analysis was performed using descriptive statistics, a paired t-test, the Wilcoxon signed rank test, the Friedmann test, a Repeated Measures ANOVA, and the Spearman correlation coefficient. Results: Self-confidence in communication, observed Identification-Situation-Background-Assessment-Recommendation-Read Back communication behavior, and technical skill performances of nursing students were significantly improved. In observed communication behavior, the performance of Assessment and Read Back communication significantly improved. However, communication of Background, Assessment, and Recommendation did not improve to a satisfactory level. Observed communication behavior was not correlated with the overall technical skill performance. Conclusion: These results indicate that interdisciplinary communication training in simulated settings was effective in improving nursing students' confidence and communication skills with physicians. Longitudinal studies with larger samples are recommended in order to verify the effects of interdisciplinary communication training on clinical outcomes as well as communication competence.

Keywords

References

  1. Andreoli, A., Fancott, C., Velji, K., Baker, G. R., Solway, S., Aimone, E., et al. (2010). Using SBAR to communicate falls risk and management in inter-professional rehabilitation teams. Healthcare Quarterly, 13(13), 94-101.
  2. Barenfanger, J., Sautter, R. L., Lang, D. L., Collins, S. M., Hacek, D. M., & Peterson, L. R. (2004). Improving patient safety by repeating (read-back) telephone reports of critical information. American Journal of Clinical Pathology, 121(6), 801-803. https://doi.org/10.1309/9DYM6R0TM830U95Q
  3. Boyd, M., Cumin, D., Lombard, B., Torrie, J., Civil, N., & Weller, J. (2014). Read-back improves information transfer in simulated clinical crises. BMJ Quality & Safety, 23(12), 989-993. https://doi.org/10.1136/bmjqs-2014-003096
  4. Chapelain, P., Morineau, T., & Gautier, C. (2015). Effects of communication on the performance of nursing students during the simulation of an emergency situation. Journal of Advanced Nursing, 71(11), 2650-2660. https://dx.doi.org/10.1111/jan.12733
  5. Compton, J., Copeland K., Flanders, S., Cassity, C., Spetman, M., Xiao, Y., et al. (2012). Implementing SBAR across a large multihospital health system. The Joint Commission Journal on Quality and Patient Safety, 38(6), 261-268. https://doi.org/10.1016/S1553-7250(12)38033-1
  6. 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. https://doi.org/10.1016/j.resuscitation.2013.03.016
  7. Enlow, M., Shanks, L., Guhde, J., & Perkins, M. (2010). Incorporating interprofessional communication skills (ISBARR) into an undergraduate nursing curriculum. Nurse Educator, 35(4), 176-180. http://dx.doi.org/10.1097/NNE.0b013e3181e339ac
  8. Härgestam, M., Lindkvist, M., Brulin, C., Jacobsson, M., & Hultin, M. (2013). Communication in interdisciplinary teams: Exploring closed-loop communication during in situ trauma team training. BMJ Open, 3(10), e003525. https://doi.org/10.1136/bmjopen-2013-003525
  9. Hyun, M. S., Cho, H. J., & Lee, M. A. (2016). Effect of SBAR-collaborative communication program on the nurses' communication skills and the collaboration between nurses and doctors. Journal of Korean Academy of Nursing Administration, 22(5), 518-530. https://dx.doi.org/10.11111/jkana.2016.22.5.518
  10. Ironside, P. M., Jeffries, P. R., & Martin, A. (2009). Fostering patient safety competencies using multiple-patient simulation experiences. Nursing Outlook, 57(6), 332-337. http://dx.doi.org/10.1016/ j.outlook.2009.07.010
  11. Joffe, E., Turley, J. P., Hwang, K. O., Johnson, T. R., Johnson, C. W., & Bernstam, E. V. (2013). Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication: A randomized trial. The Joint Commission Journal on Quality and Patient Safety, 39(11), 495-501. https://doi.org/10.1016/S1553-7250(13)39065-5
  12. Kesten, K. S. (2011). Role-play using SBAR technique to improve observed communication skills in senior nursing students. Journal of Nursing Education, 50(2), 79-87. https://doi.org/10.3928/01484834-20101230-02
  13. Kim, E. J. (2014). Nursing students' clinical judgment skills in simulation: Using Tanner's clinical judgment model. Journal of Korean Academic Society of Nursing Education, 20(2), 212-222. http://dx.doi.org/10.5977/jkasne.2014.20.2.212
  14. Kim, W. J., & Kim, S. Y. (2016). A study on the effects of the nursing management practice using SBAR on nursing students' self-expressiveness, communication skills, and abilities to think critically. Journal of Learner-Centered Curriculum and Instruction, 16(9), 457-472. http://dx.doi.org/10.22251/jlcci.2016.16.9.457
  15. Kim, Y. H., Choi, Y. S., Jun, H. Y., & Kim, M. J. (2016). Effects of SBAR program on communication clarity, clinical competence and self-efficacy for nurses in cancer hospitals. Korean Journal of Rehabilitation Nursing, 19(1), 20-29. http://dx.doi.org/10.7587/kjrehn.2016.20
  16. Kukulu, K., Korukcu, O., Ozdemir, Y., Bezci, A., & Calik, C. (2013). Self-confidence, gender and academic achievement of undergraduate nursing students. Journal of Psychiatric & Mental Health Nursing, 20(4), 330-335. https://doi.org/10.1111/j.1365-2850.2012.01924.x
  17. Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33(1), 159-174. http://dx.doi.org/10.2307/2529310.
  18. Lee, J. Y. (2015). Effective communication for patient safety. Journal of the Korean Medical Association, 58(2), 100-104. http://dx.doi.org/10.5124/jkma.2015.58.2.100
  19. 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
  20. Miller, K., Riley, W., & Davis, S. (2009) Identifying key nursing and team behaviours to achieve high reliability. Journal of Nursing Management, 17(2), 247-255. https://doi.org/10.1111/j.1365-2834.2009.00978.x
  21. National Coordinating Council for Medication Error Reporting and Prevention. (2001, February). Recommendations to reduce medication errors associated with verbal medication orders and prescriptions. Retrieved July 19, 2017, from the National Coordinating Council for Medication Error Reporting and Prevention Web site: http://www.nccmerp.org/recommendations-reduce-medication-errors-associated-verb al-medication-orders-and-prescriptions
  22. Perry, S. J., Wears, R. L., & Patterson, E. S. (2008). High-hanging fruit: Improving transitions in health care. In K. Henriksen, J. B. Battles, M. A. Keyes, & M. L. Grady (Eds.), Advances in Patient Safety: New Directions and Alternative Approaches. Vol. 3. Performance and Tools. Rockville, MD: Agency for Healthcare Research and Quality. Retrieved August 3, 2017, from https://www.ncbi.nlm.nih.gov/books/NBK43656/
  23. Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2014). Essentials for nursing practice (8th ed.). St. Louis, MO: Elsevier Health Sciences.
  24. Randmaa, M., Martensson, G., Swenne, C. L., & Engstrom, M. (2014). SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: A prospective intervention study. BMJ open, 4(1), 1-8, e004268. http://dx.doi.org/10.1136/bmjopen-2013-004268
  25. Thomas, C. M., Bertram, E., & Johnson, D. (2009). The SBAR communication technique: Teaching nursing students professional communication skills. Nurse Educator, 34(4), 176-180. https://doi.org/10.1097/NNE.0b013e3181aaba54
  26. Velji, K., Baker, G. R., Fancott, C., Andreoli, A., Boaro, N., Tardif, G., et al. (2008). Effectiveness of an adapted SBAR communication tool for a rehabilitation setting. Healthcare Quarterly, 11(Sp). 72-79. https://doi.org/10.12927/hcq.2008.19653
  27. Woodhall, L. J., Vertacnik, L., & McLaughlin, M. (2008). Implementation of the SBAR communication technique in a tertiary center. Journal of Emergency Nursing, 34(4), 314-317. https://doi.org/10.1016/j.jen.2007.07.007