시뮬레이션 기반의 SBAR 의사소통 교육을 받은 간호대학생의 의사소통명확성, 의사소통자신감, 의사소통능력

Abstract

This study was attempted to identify the differences in communication clarity, communication confidence, and communication skills of nursing students who received simulation-based SBAR (Situation, Background, Assessment, Recommendation) communication education. To provide basic data for systematic SBAR communication education to improve communication competency of nursing students. We used fever care scenario of urinary tract infection for infant childhood and dyspnea care scenario of pneumonia for early childhood. This is a single-group pre- and post-experimental design study. This study was conducted on 85 fourth-grade students who took simulation practice courses enrolled in the nursing department of one university located in B city. The data were collected from September 3 to December 6, 2021, using a self-report questionnaire before and after simulation practice. For data analysis, using SPSS/WIN 24.0 program, Communication clarity, communication confidence, and communication skills of nursing students were analyzed with the mean and standard deviation, and differences in communication clarity, communication confidence, and communication skills before and after SBAR communication education were analyzed using t-test. As a result of the study, communication clarity averaged 3.91±0.70 points before education and 4.37±0.66 points after education, and communication confidence averaged 7.56±1.42 points before education and 8.19±1.48 points after education. Communication skills averaged 3.96±0.44 points before education and 4.12±0.44 points after education. Communication clarity before and after SBAR communication education based on simulation (t=-4.37, p<.001), communicator confidence (t=-2.83, p=.005), communication skills (t=-2.46, p=.015) showed a statistically significant difference. Based on the results of this study, it will be necessary for nursing universities, which are prospective nurses, to actively use the SBAR communication format in various subjects from the lower grades for systematic education on communication.