SBAR를 적용한 시뮬레이션에서 복합적 디브리핑 방법이 간호대학생의 비판적사고성향, 의사소통 명확성, 의사소통 자신감, 디브리핑 만족도에 미치는 효과

This study aimed to examine the effects of SBAR-based simulation with combined debriefing methods on nursing students’ critical thinking disposition, communication clarity, communication confidence, and debriefing satisfaction. A one-group pretest–posttest design was employed with fourth-year nursing students at M University. Data were collected from June 10 to June 25, 2024, through self-reported questionnaires administered before and after participation in an extracurricular simulation program. A total of 99 responses were analyzed using SPSS 23.0, with descriptive statistics, paired t-tests, and correlation analyses performed. After applying the SBAR-based combined debriefing methods, nursing students’ critical thinking disposition significantly increased(t=7.32, p< .01). All subdomains also showed statistically significant improvement. Correlation analysis showed that critical thinking disposition was positively associated with communication clarity(r= .70, p< .01), communication confidence(r= .61, p< .01), and debriefing satisfaction(r= .62, p< .01). Communication clarity was positively correlated with communication confidence(r= .64, p< .01) and debriefing satisfaction(r= .79, p< .01). SBAR-based simulation with combined debriefing methods was shown to be an effective educational strategy that simultaneously promotes systematic thinking and clear communication among nursing students. However, future studies are recommended to include randomized controlled trials and to measure both critical thinking disposition and actual critical thinking performance, as these are conceptually distinct.