Development and Feasibility Testing of a Sensemaking Coaching Program to Improve Communication Skills for Intensive Care Unit Nurses: A Mixed Methods Study

Background This mixed methods study was conducted to develop and evaluate the feasibility of the 8-week Sensemaking Coaching program for communication training for bedside intensive care unit nurses. Method We adopted a one-group pre- and posttest design with six intensive care unit nurses working at a tertiary care hospital in Seoul, South Korea. The Sensemaking Coaching program consisted of three steps (Step 1, on-demand lectures; Step 2, simulation workshop; and Step 3, coaching, including self-reflection and small group sessions). Qualitative data were obtained via telephone. Results Participants positively accepted each step of the program. Improvement was seen in the median scores for therapeutic communication and communication self-efficacy. Simulation-based evaluation showed improved skills during participants' interactions with a standardized patient from pre- to postprogram. Conclusion Delivering the Sensemaking Coaching program online to bedside intensive care unit nurses on a rotating shift was feasible and acceptable.