Effectiveness of Situation, Background, Assessment, Recommendation (SBAR) Communication on Nursing Knowledge and Attitude at a Regional Hospital

The high prevalence of interprofessional communication errors during the handover process has been identified as a primary determinant of preventable patient harm. Therefore, the urgent need for evaluation and implementation of the SBAR (Situation, Background, Assessment, Recommendation) method is highly crucial to mitigate these clinical risks. This study aims to identify the effectiveness of SBAR communication in improving the knowledge and attitudes of nurses in the Inpatient Units of the Sultan Iskandar Muda Regional General Hospital, Nagan Raya Regency. This quantitative research employed a quasi-experimental one-group pre-posttest design, involving 64 nurses selected through purposive sampling. Data were collected using a structured questionnaire that was declared valid and reliable (Cronbach's alpha 0.956). The Wilcoxon Signed Rank Test results showed a significant increase in the knowledge of nurses post-training with a value (Z= -4,852; p= 0,001) and attitudes (Z= -4,288; p= 0,001). Specifically, The findings of this study demonstrate that SBAR communication training is significantly effective in enhancing knowledge capacity while concurrently improving nurses' attitudes. SBAR method training is highly effective in improving the cognitive and affective competencies of nurses. Hospital management is advised to implement this training periodically to strengthen the patient safety culture.