The Effect of SBAR Communication Program on Nursing Students' Perceptions of Clinical Decision Making and Medical Error Prevention Levels: A Mixed Methods Study

NCT06978634 | Not Yet Recruiting

• 1 other identifier: B.30.2.ATA.0.01.00/
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

In clinical settings, teamwork plays a vital role in improving patient care outcomes. Effective and structured communication within the team ensures that a holistic service is provided to patients. However, unclear and inadequate communication between healthcare professionals is a common problem. Such communication problems can be one of the main factors that compromise patient safety and lead to medication errors. Nurses play a key role in this process as they are the healthcare professionals who interact most with patients. Nurses need to not only correctly understand the instructions to be given to the patient, but also to convey information about the patient clearly and accurately to other nurses, doctors and other members of the healthcare team. In this context, opportunities to communicate using a common language and develop these skills form an essential part of the education of nursing students. The use of structured communication tools, especially SBAR, can play an important role in the prevention of medical errors while improving the clinical decision-making skills of future nurses. The SBAR (Situation, Background, Assessment, Recommendation) communication tool is a structured model used to ensure effective communication in healthcare. "The Effect of SBAR Communication Program on Clinical Decision Making and Medical Error Awareness Levels of Nursing Students: A Mixed Method Study" is a mixed method research using experimental and qualitative research designs. The data of the research will be collected with the "Student Information Form", "Clinical Decision Making Scale in Nursing" and "Medical Error Scale for Nursing Students" "Semi-Structured Interview Form". Quantitative data processing and statistical analysis will be done with SPSS (Statistical Package for the Social Sciences) software. Qualitative data analysis will be done using hand coding and content analysis method. As a result, this research will clearly demonstrate the benefits of integrating communication tools such as SBAR into nursing education, contribute to the development of new methods in education and the reduction of medical errors.

Conditions

Mixed Method Implementation Study; Nursing; Nursing Students; Nursing Education Research

Keywords

SBAR; nursing; nursing students; communication; medical error; clinical decision making

Outcome Measures

Primary Outcomes (1)

• Clinical Decision Making in Nursing

  It was developed by Jenkins (1983) to measure the perceptions of clinical decision-making of nursing students and nurses. Validity and reliability studies in Türkiye were conducted by Durmaz-Edir and Sarıkaya (2015). The scale; Exploring options and ideas (10 items) (1, 3, 6, 7, 16, 22, 27, 30, 32, 37), exploring goals and values (10 items) (2, 9, 10, 14, 21, 31, 33, 35, 38, 40), evaluating consequences (10 items) (13, 17, 18, 23, 25, 26, 28, 29, 34, 39) and searching for information and adopting new information objectively (10 items) (4, 5, 8, 11, 12, 15, 19, 20, 24), 36 items) consists of four subscales and 40 items. The options on a five-point Likert scale are; (1) Never (2) Rarely (3) Sometimes (4) Often (5) Always. The scale's 22 items (1, 3, 5, 7, 8, 9, 10, 11, 14, 16, 17, 18, 20, 26, 27, 28, 29, 33, 35, 36, 37, 38) have positive and 18 items (2, 4, 6, 12, 13, 15, 19, 21, 22, 23, 24, 25, 30, 31, 32, 34, 39, 40) have negative values. The 18 scale items with negative meanings ar

  5 week

Study Arms (2)

control

NO INTERVENTION

In the control group, students who agree to participate in the study and meet the inclusion criteria will receive written permission with a voluntary consent form. The researcher will meet with the students one-on-one and provide information about the purpose of the study. Pre-test data for the study will be collected before the SBAR training with cases. Post-test data will be collected 4 weeks after the training given to the intervention group. Students in the control group will receive no intervention and continue with their standard nursing education. They will complete only the pre-test and post-test and will not participate in the SBAR training. Their data will serve as a comparison to evaluate the effectiveness of the intervention.

intervention

EXPERIMENTAL

The researcher will hold a face-to-face meeting with the students in the intervention group and provide information about the purpose of the study, the content of the training, the Student Guidelines for the SBAR Role Playing Application and the research process. Then, "SBAR Training with Cases" will be given. In addition, a group will be established via Whatsapp and communication during the process will be provided through this channel. The days and times of the training will be determined by looking at the students' course schedules. The training will be carried out in the Skills Laboratory of the Faculty of Health Sciences at Yüzüncü Yıl University.

Other: SBAR training with cases

Interventions

SBAR training with cases OTHER

The researcher will hold a face-to-face meeting with the students in the intervention group and provide information about the purpose of the study, the content of the training, the Student Guidelines for the SBAR Role Playing Application and the research process. Then, "SBAR Training with Cases" will be given. In addition, a group will be established via Whatsapp and communication during the process will be provided through this channel. The days and times of the training will be determined by looking at the students' course schedules. The training will be carried out in the Skills Laboratory of the Faculty of Health Sciences at Yüzüncü Yıl University.

intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being a student registered in the nursing department,
• Having clinical practice experience (being a 3rd year student),
• Not being a student in an exchange program such as Erasmus,

You may not qualify if:

• Coming with a vertical transfer exam
• No clinical practice experience

Sponsors & Collaborators

• Aytap DİNCER: lead

Study Sites (1)

Ataturk University

Erzurum, Yakutiye, 25000, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Communication

Condition Hierarchy (Ancestors)

Behavior

Central Study Contacts

aytap dincer, research assistan

CONTACT

+9004382126213; aytapdncr@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Research Assistant

Study Record Dates

• First Submitted: May 9, 2025
• First Posted: May 18, 2025
• Study Start: May 15, 2025
• Primary Completion: November 15, 2025
• Study Completion: December 15, 2025
• Last Updated: May 18, 2025

Record last verified: 2025-05

Locations

TU (1)