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使用结果-现状测试(OPT)模型和SBAR进行交接班教育对护生的影响:一项准实验设计

Effects of Handover Education Using the Outcome-Present State Test (OPT) Model and SBAR in Nursing Students: A Quasi-Experimental Design.

作者信息

Seo Yon Hee, Jang Kyeongmin, Ahn Jung-Won

机构信息

Department of Nursing Science, Andong National University, 1375 Gyeongdong-ro, Andong-si, Gyeongsangbuk-do, 36729, Korea.

Department of Nursing, Bucheon University, 56 Sosa-ro, Bucheon-si, Gyeonggi-do 14774, Korea.

出版信息

Iran J Public Health. 2023 Jun;52(6):1140-1149. doi: 10.18502/ijph.v52i6.12956.

Abstract

BACKGROUND

Since most of nursing students lack clinical reasoning competency, for effective handover education, it is necessary to include a strategy to improve the clinical reasoning competency in the practical training course of the nursing department.

METHODS

This study used a quasi-experimental research design using a non-equivalent control group pretestposttest design to verify the effectiveness of the practice education program using the OPT model and SBAR. The subjects were 73 third-year students participating in clinical practice or clinical alternative practice in Korea.

RESULTS

The experimental group showed significantly better communication clarity (=-12.262, <.001), communication confidence (=-12.486, <.001), problem-solving processes (=-13.100, <.001), and team efficacy (=-6.197, <.001) compared to before the intervention. However, there was no significant difference between the pre- and post-intervention scores of the control group.

CONCLUSION

In a situation where clinical practice is difficult for nursing students, the handover education program using the OPT model and SBAR can helps improve their communication clarity, communication confidence, problem-solving process, and team efficacy.

摘要

背景

由于大多数护理专业学生缺乏临床推理能力,为了进行有效的交接班教育,有必要在护理系的实践培训课程中纳入提高临床推理能力的策略。

方法

本研究采用类实验研究设计,使用非等效对照组前测后测设计,以验证使用OPT模型和SBAR的实践教育项目的有效性。研究对象为73名在韩国参加临床实习或临床替代实习的三年级学生。

结果

与干预前相比,实验组在沟通清晰度(=-12.262,<.001)、沟通信心(=-12.486,<.001)、问题解决过程(=-13.100,<.001)和团队效能(=-6.197,<.001)方面有显著改善。然而,对照组干预前后的得分没有显著差异。

结论

在护理专业学生难以进行临床实习的情况下,使用OPT模型和SBAR的交接班教育项目有助于提高他们的沟通清晰度、沟通信心、问题解决过程和团队效能。

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本文引用的文献

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Using SBAR to promote clinical judgment in undergraduate nursing students.运用SBAR提升本科护理学生的临床判断力。
J Nurs Educ. 2015 Mar;54(3 Suppl):S31-4. doi: 10.3928/01484834-20150218-08. Epub 2015 Feb 19.

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