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Related Experiment Video

Updated: Nov 12, 2025

Problem-Solving Before Instruction PS-I: A Protocol for Assessment and Intervention in Students with Different Abilities
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Situation, Background, Assessment, and Recommendation Stepwise Education Program: A quasi-experimental study.

Jisun Lee1

  • 1Department of Nursing, Honam University, 100, Honamdae-gil, Gwangsan-gu, Gwangju 62399, Republic of Korea.

Nurse Education Today
|March 21, 2021
PubMed
Summary

The Situation, Background, Assessment, and Recommendation Stepwise Education Program (SBAR SEP) significantly improved nursing students' communication competence and critical thinking skills during clinical practicums. This educational method enhances essential nursing abilities for better patient care.

Keywords:
Communication programCritical thinkingNursing educationNursing studentsRole playingSBAR tool

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Area of Science:

  • Nursing Education
  • Healthcare Communication
  • Clinical Skills Development

Background:

  • Effective communication and critical thinking are crucial for nurses' decision-making in clinical settings.
  • Nurses require strong communication skills, based on critical thinking, to provide high-quality healthcare services.
  • Developing these competencies is essential for nursing students' professional growth.

Purpose of the Study:

  • To evaluate the impact of the Situation, Background, Assessment, and Recommendation Stepwise Education Program (SBAR SEP) on nursing students' communication competence.
  • To assess the effect of the SBAR SEP, based on revised Bloom's Taxonomy, on nursing students' critical thinking abilities.
  • To determine the efficacy of a structured educational intervention in enhancing key nursing skills.

Main Methods:

  • A non-equivalent control group pretest-posttest design was employed with 96 nursing students in South Korea.
  • The experimental group received SBAR SEP training, including role-play, during a two-week clinical practicum.
  • The control group engaged in regular case presentations; data were analyzed using ANCOVA.

Main Results:

  • The experimental group demonstrated a statistically significant increase in communication competence scores (p < .001).
  • A significant improvement in critical thinking scores was also observed in the experimental group (p < .001).
  • The SBAR SEP intervention led to superior outcomes compared to the control group's standard training.

Conclusions:

  • The SBAR SEP is an effective educational strategy for enhancing nursing students' communication competence.
  • The SBAR SEP significantly improves critical thinking skills among nursing students in clinical settings.
  • This program offers a valuable method for developing essential nursing competencies for clinical practice.