The Development of Nursing Handoff Communication Competency by Online Lesson for Nursing Students
Main Article Content
Abstract
This research aimed to develop and evaluate online lessons for promoting nursing students’ handoff communication (PNSHC). This research was divided into 3 phases; 1) Studied situations and guidelines for developing nursing students’ handoff communication competency (NHCC). Key informants were seven nursing instructors and eight nursing students. Data were collected by focus group interview, and content analysis was used for data analysis, 2) Developed online lesson for PNSHC based on ISBAR technique and verified by five experts, and 3) Evaluated the effect of online lessons using quasi-experimental research. The sample included twenty-four nursing students. The NHCC questionnaire was used for data collection. Data were analyzed by descriptive statistics and paired t-test. The research findings were as follows. This research aimed to develop and evaluate online lessons for promoting nursing students’ handoff communication (PNSHC). This research was divided into 3 phases; 1) Studied situations and guidelines for developing nursing students’ handoff communication competency (NHCC). Key informants were seven nursing instructors and eight nursing students. Data were collected by focus group interview, and content analysis was used for data analysis, 2) Developed online lesson for PNSHC based on ISBAR technique and verified by five experts, and 3) Evaluated the effect of online lessons using quasi-experimental research. The sample included twenty-four nursing students. The NHCC questionnaire was used for data collection. Data were analyzed by descriptive statistics and paired t-test. The research findings were as follows.
1. Online lessons for PNSHC comprised three steps of learning and teaching process; 1) Learner preparation: Students were orientated and did pre-test, 2) Learning and reflection: Students learned ISBAR theory and practice by clinical scenarios and a deliberate practice-based training protocol, and 3) Evaluation was conducted by using the NHCC questionnaire.
2. The mean scores of NHCC were significantly higher after receiving online lesson of ISBAR communication (t=9.39, p< .05).
The findings of this study indicated that online lessons on ISBAR communication were useful in developing NHCC. However, the online lessons should be created with suitable scenarios and consistent with the course or contexts used for nursing handoff communication appropriately and meet the needs.
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References
Paothipchan K, Pinchaleaw D, Puttapitukpol S. The relationships between communication skills, safety competency, and patient safety management of staff nurses at an autonomous university hospital in Bangkok metropolis. JOPN. 2015; 7 (1): 210-22. Thai.
Beckett C, Kipnis G. Collaborative communication: Integrating SBAR to improve quality/patient safety outcomes. J Healthc Qual. 2009; 31(5): 19-28.
Cornell P, Townsend-Gervis M, Yates L, et al. Improving shift report focus and consistency with the situation, background, assessment, recommendation protocol. J Nurs Adm. 2013; 3 (7/8): 422-8. doi: 10.1097/NNA.0b013e31829d6303.
Thomas C, Bertram E, Johnson D. The SBAR communication technique: Teaching nursing students professional communication skills. Nurse Educ. 2009; 34(4): 176-80. doi: 10.1097/NNE.0b013e3181aaba54.
Institute for Healthcare Improvement. SBAR: Situation-background-assessment recommendation. [Internet]. Boston: 2017 [cited 2018 Oct 10]. Available from: https://www.lsqin.org/wp-content/uploads/2017/08/SBARTechniqueforCommunication.pdf
Saied H, James J, Singh EJ, et al. Clinical evaluation of baccalaureate nursing students using SBAR format: Faculty versus self evaluation. JEP. 2016; 7(11): 9-13.
Yu M, Kang K. SBAR report competency and communication clarity of handover in Korean nursing students. IJBSBT. 2015; 7(6): 189-200.
Cornell P, Townsend-Gervis M, Yates L, et al. Impact of SBAR on nurse shift reports and staff rounding. Medsurg Nurs. 2014; 23(5): 334-42.
Fay-Hillier TM, Regan RV, Gordon MG. Communication and patient safety in simulation for mental health nursing education. Issues Ment Health Nurs. 2012; 33(11): 718-26. doi: 10.3109/01612840.2012.709585.
Finnigan MA, Marshall SD, Flanagan BT. ISBAR for clear communication: One hospital’s experience spreading the message. Aust Health Rev. 2010; 34(4): 400-4. doi: 10.1071/AH09823.
Enlow M, Shanks L, Guhde J, et al. Incorporating interprofessional communication skills (ISBARR) into an undergraduate nursing curriculum. Nurse Educ. 2010; 35(4): 176-80. doi: 10.1097/NNE.0b013e3181e339ac.
Charuwanno R, Wongchanglor J, Pongsananurak T. Effects of teaching by using SBAR technique on knowledge attitude and practice in taking and giving report among nursing. JRTAN. 2014; 15 (3): 390-7. Thai.
Pantaewan P. Development of students in the 21st century with active learning in nursing profession. JRTAN. 2016; 17(3): 17-24. Thai.
Kanhadilok S, Punsumreung T. Simulation based learning: Design for nursing education. JNAE. 2016; 9(1): 1-14. Thai.
Suwannakeeree W, Jullmusi O, Tangkawanich T. Simulation-based learning management for nursing students. JNSCU. 2016; 28(2): 1-14. Thai.
Chantian P, Saard S, von Bormann S, et al. The development of an e-learning program to prepare nursing students of Phraboromarajchanok institute for health workforce development in response to the ASEAN community. TNAPH. 2016; 26(2): 154-65. Thai.
Ericsson KA, Whyte J, Ward P. Expert performance in nursing: Reviewing research on expertise in nursing within the framework of the expert-performance approach. ANS Adv. Nurs Sci. 2007; 30(1): 58-71.
Whyte J, Cormier E. A deliberate practice-based training protocol for student nurses care of the critically ill patient: A randomized controlled trial of a deliberate practice-based training protocol. Clin Simul Nurs. 2014; 10 (12): 617-25.
Thammetar T. E-Learning: From theory to practice. Bangkok: Thailand Cyber University Project. 2014. Thai.
Patton MQ. Qualitative research & evaluation methods: Integrating theory and practice (4th ed.). California: SAGE. 2015.
Srisamran P, Wisedsing K, Tantiwarasakool K. The development of model of nursing change of shift report at Banpong hospital. REG45. 2018; 37(3): 238-50. Thai.
Faul F, Erdfelder E, Lang AG, et al. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007; 39(2): 175-91.
Cohen J. Statistical power analysis for the behavioral sciences (2nd ed.). New Jersey: Lawrence Erlbaum Associates.1988.
Srisa-ard B. Basic research (9th ed.) Bangkok: Suwiriyasarn. 2013. Thai.
Collins G. Using simulation to develop handover skills. Nurs Times. 2014; 110(8): 12-4.
Wang W, Liang Z, Blazeck A, et al. Improving Chinese nursing students’ communication skills by utilizing video-stimulated recall and role-play case scenarios to introduce them to the SBAR technique. Nurse Educ Today. 2015; 35(7): 881-7.
Yu M, Kang K. Effectiveness of a role-play simulation program involving the SBAR technique: A quasi-experimental study. Nurse Educ Today. 2017; 53: 41-7. doi: 10.1016/j.nedt.2017.04.002.