The Effects of SBAR-Based Effective Communication Training on Nursing Students' Knowledge Regarding Handover Implementation

Authors

  • Fance Roynaldo Pandie STIKes Maranatha Kupang
  • Theodehild M. Theresia Dee STIKes Maranatha Kupang
  • Pryati Rihi STIKes Maranatha Kupang
  • Fransita Merkunita Agliyani Fiah STIKes Maranatha Kupang
  • Syalsa Nabila Octaviani STIKes Maranatha Kupang
  • Melan Melani STIKes Maranatha Kupang

Keywords:

handover, SBAR communication, training, knowledge

Abstract

Incidents in the handover process often originate from disruptions or errors in communication among nurses, which can ultimately threaten the continuity of nursing care for patients. One structured solution to address this issue is the implementation of the SBAR (Situation, Background, Assessment, Recommendation) communication method. This study aimed to analyze the effects of effective communication training using the SBAR method on nursing students’ knowledge in conducting handover. This study employed a quasi-experimental design (pretest–posttest with control group) with a purposive sampling technique. A total of 60 respondents were divided evenly into an intervention group and a control group, with 30 participants in each group. The research instrument was a questionnaire on effective communication using the SBAR method, which had been tested for validity (calculated r 0.441–0.712 > r table 0.361) and reliability (Cronbach's Alpha 0.821, high category). Data analysis was performed using the general linear model–repeated measures test. The results showed that the mean knowledge score of the intervention group increased from 47.3 (pretest) to 95.6 (week 1), 99.6 (week 2), and 100 (week 3), whereas the control group decreased from 45 to 38 over the same period, with a significant training effect (p-value < .001). SBAR training is recommended to be implemented continuously in nursing education to support continuity of care and patient safety.

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References

Achrekar, M. S., Murthy, V., Kanan, S., Shetty, R., Nair, M., & Khattry, N. (2019). Introduction of situation, background, assessment, recommendation into nursing practice: A prospective study. Asia-Pacific Journal of Oncology Nursing, 6(1), 45–50. https://doi.org/10.4103/apjon.apjon_40_18

Agarwal, P. K., Nunes, L. D., & Blunt, J. R. (2021). Retrieval Practice Consistently Benefits Student Learning: a Systematic Review of Applied Research in Schools and Classrooms. Educational Psychology Review, 33(4), 1409–1453. https://doi.org/10.1007/s10648-021-09595-9

Alharbi, A., Nurfianti, A., Mullen, R. F., McClure, J. D., & Miller, W. H. (2024). The effectiveness of simulation-based learning (SBL) on students’ knowledge and skills in nursing programs: a systematic review. BMC Medical Education, 24(1), 1099. https://doi.org/10.1186/s12909-024-06080-z

Amir, N., & Purnama, D. (2021). Perbuatan Perawat yang Melakukan Kesalahan dalam Tindakan Medis. KERTHA WICAKSANA, 15(1), 26–36. https://doi.org/10.22225/kw.15.1.2821.26-36

Anggraini, D., & Mukin, F. A. (2023). Komunikasi SBAR dalam meningkatkan efektivitas handover keperawatan. Jurnal Keperawatan Klinis, 12(1), 33–41.

Cardoso, D., Couto, F., Cardoso, A. F., Bobrowicz-Campos, E., Santos, L., Rodrigues, R., Coutinho, V., Pinto, D., Ramis, M.-A., Rodrigues, M. A., & Apóstolo, J. (2021). The Effectiveness of an Evidence-Based Practice (EBP) Educational Program on Undergraduate Nursing Students’ EBP Knowledge and Skills: A Cluster Randomized Control Trial. International Journal of Environmental Research and Public Health, 18(1), 293. https://doi.org/10.3390/ijerph18010293

Erbaş, A., Keskin Kiziltepe, S., & Kiliç, Ü. (2025). Effectiveness of the Situation-Background-Assessment-Recommendation method in emergencies with simulation-based education for nursing and paramedic students. International Emergency Nursing, 82, 101666. https://doi.org/10.1016/j.ienj.2025.101666

Gheisari, F., Farzi, S., Tarrahi, M. J., Momeni-Ghaleghasemi, T., Farzi, S., Nazari, F., & riahi, R. T. (2025). The effect of an ISBAR-based clinical supervision model during handover on clinical decision-making and self-efficacy of nursing internship students: a quasi-experimental study. BMC Medical Education, 25(1), 815. https://doi.org/10.1186/s12909-025-07426-x

Kemenkes RI. (2022). Laporan nasional keselamatan pasien. Kemenkes RI.

Meo, M. Y., & Mukin, F. A. (2022). Pengaruh pelatihan komunikasi SBAR terhadap pengetahuan mahasiswa keperawatan. Jurnal Pendidikan Keperawatan Indonesia, 8(2), 102–110. https://nerspedia.ulm.ac.id/index.php/nerspedia/article/view/120

Noh, G. O., & Kim, M. (2021). Effectiveness of assertiveness training, SBAR, and combined SBAR and assertiveness training for nursing students undergoing clinical training: A quasi-experimental study. Nurse Education Today, 103, 104958. https://doi.org/10.1016/j.nedt.2021.104958

Nursalam. (2020). Manajemen keperawatan: Aplikasi dalam praktik keperawatan profesional (5, Ed.). Salemba Medika.

Parozzi, M., Meraviglia, I., Ferrara, P., Morales Palomares, S., Mancin, S., Sguanci, M., Lopane, D., Destrebecq, A., Lusignani, M., Mezzalira, E., Bonacaro, A., & Terzoni, S. (2025). Effectiveness of a Gamification-Based Intervention for Learning a Structured Handover System Among Undergraduate Nursing Students: A Quasi-Experimental Study. Nursing Reports, 15(9), 322. https://doi.org/10.3390/nursrep15090322

Partini, & Kurniati, T. (2022). Pelatihan komunikasi efektif dalam praktik keperawatan. Jurnal Keperawatan Profesional, 9(1), 55–62.

Pradana, F. R., Widiyati, S., & Arwani, A. (2020). Hubungan Karakteristik dengan Tingkat Pengetahuan Perawat Tentang Tuberculosis (TB) Paru pada Anak. JENDELA NURSING JOURNAL, 4(2), 113–121. https://doi.org/10.31983/jnj.v4i2.4941

Putri, R. A., & Hidayat, A. (2021). Peran perawat dalam peningkatan mutu pelayanan rumah sakit. Jurnal Manajemen Kesehatan, 9(2), 120–128.

Rogers, B. A., & Franklin, A. E. (2021). Cognitive load experienced by nurses in simulation-based learning experiences: An integrative review. Nurse Education Today, 99, 104815. https://doi.org/10.1016/j.nedt.2021.104815

Starmer, A. J. (2019). Changes in medical errors after implementation of a handoff program. The New England Journal of Medicine, 371(19), 1803–1812. https://doi.org/10.1056/NEJMsa1405556

World Health Organization. (2024). Global patient safety report 2024.

Published

2026-10-21

How to Cite

Pandie, F. R., Dee, T. M. T., Rihi, P., Fiah, F. M. A., Octaviani, S. N., & Melani, M. (2026). The Effects of SBAR-Based Effective Communication Training on Nursing Students’ Knowledge Regarding Handover Implementation. Faletehan Health Journal, 13(02), 265–272. Retrieved from https://www.journal.lppm-stikesfa.ac.id/index.php/FHJ/article/view/951