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022 |a 1471-5953 
022 |a 1873-5223 
024 7 |a 10.1016/j.nepr.2025.104283  |2 doi 
035 |a 3168656928 
045 2 |b d20250201  |b d20250228 
084 |a 170342  |2 nlm 
100 1 |a Lim, Haena  |u department of Nursing, Kyungbok University, 425, Kyeongbokdae-ro, Jinj eop-eup, Namyangju-si, Gyeonggi-do 12051, South Korea 
245 1 |a Effects of a mobile simulation program for nursing delegation: A randomised controlled trial 
260 |b Elsevier Limited  |c Feb 2025 
513 |a Evidence Based Healthcare Journal Article 
520 3 |a 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. 
610 4 |a American Nurses Association 
653 |a Job training 
653 |a Curricula 
653 |a Patients 
653 |a Instructional design 
653 |a Assistants 
653 |a Role ambiguity 
653 |a Workloads 
653 |a Professional practice 
653 |a Simulation 
653 |a Patient safety 
653 |a Delegation of authority 
653 |a Recruitment 
653 |a Health care 
653 |a Knowledge 
653 |a Online instruction 
653 |a Critical thinking 
653 |a Debriefing 
653 |a Delegation 
653 |a Education 
653 |a Clinical research 
653 |a Nursing 
653 |a Quality of care 
653 |a Feedback 
653 |a Nurses 
653 |a Access 
653 |a Hospitals 
653 |a Professional training 
653 |a Experiential learning 
653 |a Nursing care 
653 |a Nursing education 
653 |a Collaboration 
653 |a Models 
653 |a Medical personnel 
653 |a Ambiguity 
653 |a Skills 
653 |a Work skills 
653 |a Groups 
653 |a Needs Assessment 
653 |a Supervision 
653 |a Literature Reviews 
653 |a Researchers 
653 |a Medical Evaluation 
653 |a Medical Services 
653 |a Evaluative Thinking 
653 |a Database Management Systems 
653 |a Content Validity 
653 |a Competence 
653 |a Curriculum Design 
653 |a Learning Theories 
653 |a Instructional Materials 
653 |a Communication Skills 
653 |a Computer Oriented Programs 
653 |a Electronic Learning 
653 |a Legal Problems 
653 |a Role Conflict 
653 |a Educational Needs 
700 1 |a Yeojin Yi  |u College of Nursing, Hanyang University, 222, Wangsimni-ro, Seongdong-gu, Seoul 04763, South Korea 
773 0 |t Nurse Education in Practice  |g vol. 83 (Feb 2025), p. 104283 
786 0 |d ProQuest  |t Sociology Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3168656928/abstract/embedded/H09TXR3UUZB2ISDL?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3168656928/fulltext/embedded/H09TXR3UUZB2ISDL?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3168656928/fulltextPDF/embedded/H09TXR3UUZB2ISDL?source=fedsrch