Nwando Okaro



Using Education and Simulation to Improve Communication Skills, Teamwork, and Collaboration in Nursing Practice

Primary Investigator: Nwando Okaro, BSN, RN

Purpose: To determine if confidence levels and communication skills of final semester undergraduate nursing students could be increased using education and simulation.   

Methods: This study took place at a southeastern university in the US with a convenience sample of ten participants from final semester Baccalaureate Student Nurses and Accelerated Baccalaureate Student Nurses.  An educational intervention utilizing the Situation, Background, Assessment and Recommendations (SBAR) tool describing effective and ineffective communication was followed by a simulation. Data collection was completed online utilizing Qualtrics. 

Analysis: Descriptive statistics were used to analyze the demographics, confidence levels and the importance of teamwork perception. Team member communication was analyzed using the t-test for paired sample using the Statistical Package for Social Sciences version 25. 

Results: Eighty percent (n=8) of participants showed improvement in their post intervention scores with significant results at p < .05.  The results of the study showed a statistically significant improvement using the SBAR method of communication. 

Discussion:  Although the sample size limits the generalizability of the study results, the findings support the need for education and practice as a means to improve clinical competencies in communication, teamwork, and self-efficacy in final semester nursing students.  

Conclusions: This study should be replicated with larger samples and in diverse locations.  Education in conjunction with simulation is becoming more integrated into undergraduate nursing curriculum and has been deemed an effective way to improve clinical skills, confidence levels, reduce anxiety and promote teamwork before the start of clinical practice (Aebersold, 2018). Education backed up with practice is an effective way to improve clinical skills in undergraduate nurses and new graduate nurses. 


Major Professor: Denise Tucker, PhD, RN, CCRN 



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