Evidence map›Paper›PMID 41233887›Full record

Trial reportBMC medical education2025

Effect of the situation-background-assessment-recommendation model combined with the mini-CEX assessment on the clinical communication, clinical thinking and comprehensive clinical abilities of nursing interns.

Bu Xu, Xiaoli Xing, Guangyun Zhang, Wenting Zhang, Min Zhang, Yan Gan, Tao Wei, Xiaodan Xia

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Bu XuNursing Department, The First Hospital of Anhui University of Science and Technology, Huainan, Anhui Province, 232000, China.
Xiaoli XingNursing Department, The First Hospital of Anhui University of Science and Technology, Huainan, Anhui Province, 232000, China.
Guangyun ZhangDepartment of Nephrology, The First Hospital of Anhui University of Science and Technology, Huainan, Anhui Province, 232000, China.
Wenting ZhangDepartment of Thoracic and Cardiac Surgery, The First Hospital of Anhui University of Science and Technology, Huainan, Anhui Province, 232000, China.
Min ZhangDepartment of Rheumatology, The First Hospital of Anhui University of Science and Technology, Huainan, Anhui Province, 232000, China.
Yan GanNursing Department, The First Hospital of Anhui University of Science and Technology, Huainan, Anhui Province, 232000, China.
Tao WeiNursing Department, The First Hospital of Anhui University of Science and Technology, Huainan, Anhui Province, 232000, China.
Xiaodan XiaSchool of Public Health, Anhui University of Science and Technology, No. 15, Fengxia Road, Changfeng County, Hefei, Anhui Province, 231131, China. xiaxiaodan_xd@126.com.

Funding

Anhui Provincial Department of Education 2023 Higher Education Provincial Quality Engineering Project No. 2023jyxm1072
6 · The paper itself

Abstract

objectiveThis study aimed to explore the short-term effects of the Situation–Background–Assessment–Recommendation (SBAR) model combined with the mini-clinical evaluation exercise (mini-CEX) on the clinical communication ability, clinical thinking ability and comprehensive clinical ability of nursing interns during 3 weeks of internship.

methodsUsing a convenience sampling method, this study included 405 trainee nurses who interned at the First Affiliated Hospital of Anhui University of Science and Technology between September 2023 and October 2024. The enrolled interns were randomly divided into a control group (n = 201, traditional clinical nursing teaching) and an observation group (n = 204, SBAR model + mini-CEX (with emphasis on basic knowledge of common clinical diseases and specialised nursing operations, language communication skills and key requirements for case nursing)) according to the random number table method. The theoretical and operational assessment results of interns before and after intervention were compared.

resultsCompared with the control group, nursing interns in the observation group had a significantly increased theoretical assessment score (87.62 ± 4.45 vs. 89.51 ± 7.15), operational assessment score (91.55 ± 2.13 vs. 94.72 ± 1.94), total clinical communication ability score (73.14 ± 10.41 vs. 75.19 ± 8.05), total clinical thinking ability score (77.31 ± 6.57 vs. 84.60 ± 8.56) and mini-CEX assessment score (78.95 ± 8.99 vs. 88.37 ± 8.57) after intervention (p < 0.05). Moreover, nursing interns in the observation group had superior clinical communication ability (75.19 ± 8.05 vs. 67.96 ± 7.89), clinical thinking ability (84.60 ± 8.56 vs. 80.52 ± 8.91) and mini-CEX assessment rating (88.37 ± 8.57 vs. 86.34 ± 8.61) after intervention than those before intervention (p < 0.05). In addition, the overall teaching satisfaction of the observation group was increased compared with the control group (81.09%, p < 0.05).

conclusionThe combined SBAR model and mini-CEX assessment significantly enhanced nursing interns‘ clinical communication, clinical thinking and comprehensive practice abilities. These improvements were validated across theoretical examinations, operational assessments and clinical scenarios, demonstrating practical value for optimising clinical nursing quality. Through structured training and real-time feedback, this approach may exert long-term effects on interns‘ professional mindset cultivation.

Indexed as

Clinical CompetenceCommunicationEducational MeasurementInternship and ResidencyAdultFemaleHumansMaleAbilityAssessmentInternshipMini-clinical evaluation exerciseNursingSituation–Background–Assessment–Recommendation model

Identifiers

PMID41233887
PMCPMC12613504

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.