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基于经验学习理论的 SBAR 沟通模式在儿科护理实习中的实施:一项准实验研究。

Implementation of an SBAR communication program based on experiential learning theory in a pediatric nursing practicum: A quasi-experimental study.

机构信息

Department of Nursing, Daegu Haany University, 1 Haanydaero, Gyeongsan-si, Gyeongsangbuk-Do, 38610, Republic of Korea.

Department of Nursing, Daegu Haany University, 1 Haanydaero, Gyeongsan-si, Gyeongsangbuk-Do, 38610, Republic of Korea.

出版信息

Nurse Educ Today. 2019 Sep;80:78-84. doi: 10.1016/j.nedt.2019.05.034. Epub 2019 May 31.

Abstract

BACKGROUND

Effective communication by nurses is crucial to ensure patient safety. A structured communication program increases communication clarity, education satisfaction, and positivity during interprofessional collaboration among students. In an effort to facilitate effective communication between nurses and physicians, the well-known structured communication tool SBAR (Situation, Background, Assessment, and Recommendation) has been extensively used in clinical and educational settings.

OBJECTIVES

The purpose of the study is to investigate the impact of an SBAR communication program on communication performance, perception, and practicum-related outcomes in senior-year nursing students.

METHOD

The study employed a non-equivalent control group quasi-experimental design and implemented the tool in the pediatric nursing practicum of a nursing school. The experimental group participated in a SBAR program, where role playing using SBAR techniques for different scenarios was used to improve practical communication among nursing students. The SBAR program was developed based on Kolb's Experiential Learning Theory. Communication performance was assessed via the SBAR communication tool and the communication clarity scale. Communication perception was measured by handover confidence level. Practicum-related outcomes of clinical practice self-efficacy, perceived nurse-physician collaboration, and practicum satisfaction, were also evaluated.

RESULTS

The experimental group demonstrated significantly higher SBAR communication (p < .001), communication clarity (p < .001), and handover confidence (p < .001) than the control group. Clinical practice self-efficacy, perceived nurse-physician collaboration, and practicum satisfaction did not differ.

CONCLUSIONS

The SBAR program in a pediatric nursing practicum improves SBAR communication, communication clarity, and perceived handover confidence in senior-year nursing students.

摘要

背景

护士的有效沟通对于确保患者安全至关重要。结构化沟通方案可提高沟通清晰度、教育满意度和学生之间跨专业协作的积极性。为促进护士与医生之间的有效沟通,一种名为 SBAR(情况、背景、评估和建议)的知名结构化沟通工具已在临床和教育环境中得到广泛应用。

目的

本研究旨在探讨 SBAR 沟通方案对高年级护理学生沟通绩效、感知和实习相关结果的影响。

方法

该研究采用非等效对照组准实验设计,在一所护理学校的儿科护理实习中实施该工具。实验组参与了 SBAR 沟通方案,其中使用 SBAR 技术进行不同场景的角色扮演,以提高护理学生的实践沟通能力。SBAR 方案基于科尔布的体验学习理论制定。通过 SBAR 沟通工具和沟通清晰度量表评估沟通绩效。通过交接信心水平衡量沟通感知。还评估了与实习相关的临床实践自我效能感、感知护士与医生的协作以及实习满意度等结果。

结果

实验组在 SBAR 沟通(p <.001)、沟通清晰度(p <.001)和交接信心(p <.001)方面显著高于对照组。临床实践自我效能感、感知护士与医生的协作以及实习满意度没有差异。

结论

儿科护理实习中的 SBAR 方案可提高高年级护理学生的 SBAR 沟通、沟通清晰度和感知交接信心。

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