Effects of Simulation Education for Acute Deteriorating Patient Care using Clinical Case-based SBAR on Communication Clarity, Communication Confidence, and Clinical Reasoning Competency of Nursing Students

Korean Association For Learner-Centered Curriculum And Instruction Pub Date : 2023-11-30 DOI:10.22251/jlcci.2023.23.22.195

A-Reum Hwang, Ju-Ry Lee

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Abstract

Objectives The purposes of this study was to identify the effect of nursing simulation education for acute deteriorating patients using clinical case-based SBAR on communication clarity, communication confidence, and clinical reasoning competency. Methods This quasi-experimental study used a one group pre-post design. The participants were 41 nursing students. A survey to collect data was conducted twice, before and after education. Data were analyzed using the SPSS 23.0 program with descriptive statistics and paired t-test. Results Communication clarity (t=7.906, p<.001), communication confidence (t=24.623, p<.001) and clinical reasoning competency (t=6.427, p<.001) were significantly improved after education compared to before. Conclusions This study is the first study to evaluate the effectiveness of nursing simulation education for acute deteriorating patients conducted in Korea. The results of this study can be used as basic data to develop a nursing education curriculum for patients with deterioration in Korea in the future. In addition, based on the results of this study, if nursing students' competency in nursing patients with acute deterioration is improved by expanding nursing simulation education by applying various contents and teaching methods, it will ultimately contribute to improving the prognosis of patients with acute deterioration.

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利用基于临床案例的 SBAR 进行急性恶化患者护理模拟教育对护理专业学生沟通清晰度、沟通信心和临床推理能力的影响

目的本研究旨在确定针对急性病情恶化患者使用基于临床案例的 SBAR 进行护理模拟教育对沟通清晰度、沟通信心和临床推理能力的影响。方法本准实验研究采用一组前-后设计。参与者为 41 名护理专业学生。在教学前后进行了两次数据收集调查。使用 SPSS 23.0 程序对数据进行了描述性统计分析和配对 t 检验。结果教育后与教育前相比，沟通清晰度（t=7.906，p<.001）、沟通自信心（t=24.623，p<.001）和临床推理能力（t=6.427，p<.001）均有显著提高。结论本研究是首次在韩国开展的针对急性病情恶化患者的护理模拟教育效果评估研究。本研究的结果可作为今后在韩国开发针对病情恶化患者的护理教育课程的基础数据。此外，根据本研究的结果，如果通过应用各种内容和教学方法扩大护理模拟教育，提高护理专业学生护理急性恶化患者的能力，最终将有助于改善急性恶化患者的预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Korean Association For Learner-Centered Curriculum And Instruction

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