SBAR를 이용한 의사소통이 간호사의의사소통 인식과 환자안전에 대한 태도에 미치는 효과
The Effect of SBAR Communication on Nurse's Perception about Communication and Attitudes toward Patient Safety
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목적; 본 연구는 간호사-의사, 간호사-간호사 의사소통에 표준화된 의사소통 도구인 SBAR의 적용이 간호사의 의사소통에 대한 인식과 환자안전에 대한 태도에 미치는 효과를 조사하고자 하였다. 방법; 단일군 사전-사후 실험연구로 서울 소재 일개 종합병원의 9개 일반병동 간호사 167명을 대상으로 SBAR 교육 및 적용 전, 후 설문조사를 시행하였고, 최종 153부를 분석하였다. 자료 분석은 Analysis of variance, paired sample t-test, 그리고 Cochran–Mantel–Haenszel test를 이용하였다. 결과; SBAR 적용 후 간호사가 인식하는 간호사-의사 의사소통은 세부 5항목 중에서 만족도(p=.001), 정확성(p=.001), 직종간의 상호이해(p=.002) 순으로 3항목의 점수가 유의하게 상승하였다. 간호사-간호사 간 의사소통 인식 정도는 정확성(p=.001), 만족도(p=.001), 인수인계(p=.001), 개방성(p=.016) 순으로 유의하게 상승하였다. 환자안전에 대한 간호사의 태도 점수는 6항목 중 5항목이 유의하게 상승하였는데, 관리에 대한 인식(p=.001), 근무환경(p=.001), 안전풍토(p=.001), 팀 협동 풍토(p=.001), 직무만족(p=.012) 순으로 점수가 유의하게 상승하였다. 결론; 본 연구의 결과로 간호사-의사. 간호사-간호사의 의사소통에 SBAR의 사용을 권장하고, 이를 효과적으로 사용하기 위해서는 다양한 교육 프로그램 및 활용방법의 개발이 필요하다.
Abstract
Purpose: The purpose of this study was to investigate the effect of SBAR communication program on nurse's perception about communication and attitudes toward patient safety. Methods: A single-group pre-post experimental study was conducted. A SBAR education program was provided to 167 nurses working in 9 general wards of a hospital in Seoul. A total of 153 questionnaires were included for the final analysis. Statistical analysis included analysis of variance, paired sample t-test, and Cochran-Mantel-Haenzel test. Results: After applying SBAR communication education, nurses perceived significant improvement in three of the five categories of communication between nurses and doctors; satisfaction (p=.001), accuracy (p=.001), and understanding (p=.002). The indicators of communication between nurses were also improved significantly in the order of accuracy (p=.001), satisfaction (p=.001), shift communication (p=.001), and openness (p=.016). The scores of nurse's attitudes toward patient safety demonstrated a significant increase in the five categories out of the six; perception of management (p=.001), working condition (p=.001), safety climate (p=.001), teamwork climate (p=.001), job satisfaction (p=.012). Conclusion: It is recommended that nurses and doctors use SBAR communication in their practice. Developing education programs and utilization methods is required for the effective establishment of SBAR communication.
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