Effects of a mobile simulation program for nursing delegation: A randomised controlled trial

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Xuất bản năm:	Nurse Education in Practice vol. 83 (Feb 2025), p. 104283
Tác giả chính:	Lim, Haena
Tác giả khác:	Yeojin Yi
Được phát hành:	Elsevier Limited
Những chủ đề:	American Nurses Association Job training Curricula Patients Instructional design Assistants Role ambiguity Workloads Professional practice Simulation Patient safety Delegation of authority Recruitment Health care Knowledge Online instruction Critical thinking Debriefing Delegation Education Clinical research Nursing Quality of care Feedback Nurses Access Hospitals Professional training Experiential learning Nursing care Nursing education Collaboration Models Medical personnel Ambiguity Skills Work skills Groups Needs Assessment Supervision Literature Reviews Researchers Medical Evaluation Medical Services Evaluative Thinking Database Management Systems Content Validity Competence Curriculum Design Learning Theories Instructional Materials Communication Skills Computer Oriented Programs Electronic Learning Legal Problems Role Conflict Educational Needs
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Miêu tả
Bài tóm tắt:	Aim This study aims to develop the Mobile Simulation Program for Nursing Delegation (MSP-D) to enhance nurses’ delegation skills and evaluate its effects on nurses' preparedness to delegate, critical thinking disposition and role ambiguity reduction. Background Effective delegation is crucial for optimal patient care in nursing practice. However, many Korean nurses with insufficient delegation training in a new nursing model where they collaborate with nursing assistants. Design A randomised controlled trial with a pre–post-test design. Participants and setting The participants were 96 nurses from three general hospitals in South Korea, randomly assigned to either the experimental ( n = 48) or control group ( n = 48). Methods The MSP-D is a mobile web-simulation and the experimental group used the MSP-D for three weeks. Data were collected pre- and post-intervention. The study was registered with the Clinical Research Information Service (KCT0007516) on 19 July 2022, with recruitment beginning on 20 August 2022. Results The experimental group showed significant improvements in preparedness to delegate ( p < 0.001), critical thinking (p = 0.038) and decreased role ambiguity ( p = 0.041). compared with the control group. Debriefing analysis revealed that participants’ reflections aligned with the learning objectives, indicating the study’s educational goals were met. Conclusion The MSP-D is an effective educational tool for improving nurses' delegation skills and may enhance job training for nurses collaborating with nursing assistants to improve nursing care quality in a new nursing delivery model. Mobile simulation education significantly improves effectiveness due to its high accessibility and flexibility.
số ISSN:	1471-5953 1873-5223
DOI:	10.1016/j.nepr.2025.104283
Nguồn:	Sociology Database