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

Haena Lim1, Yeojin Yi2

  • 1department of Nursing, Kyungbok University, 425, Kyeongbokdae-ro, Jinj eop-eup, Namyangju-si, Gyeonggi-do 12051, South Korea.

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This study developed a mobile simulation program to improve nurses' delegation skills. The program effectively enhanced nurses' preparedness, critical thinking, and reduced role ambiguity.

Keywords:
DelegationNurseProfessional educationRandomised controlled trialSimulation trainingSmartphone

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Area of Science:

  • Nursing Education
  • Healthcare Simulation
  • Digital Health Interventions

Background:

  • Effective delegation is vital for optimal patient care in nursing.
  • Korean nurses often lack sufficient delegation training, particularly in new models involving nursing assistants.
  • There is a need for innovative training tools to address these gaps.

Purpose of the Study:

  • To develop the Mobile Simulation Program for Nursing Delegation (MSP-D).
  • To evaluate the MSP-D's impact on nurses' delegation preparedness, critical thinking, and role ambiguity.
  • To assess the effectiveness of mobile simulation in nursing education.

Main Methods:

  • A randomized controlled trial with a pre-post-test design was employed.
  • 96 nurses from three South Korean general hospitals were randomly assigned to the experimental (MSP-D) or control group.
  • The experimental group utilized the MSP-D, a mobile web-simulation, for three weeks.

Main Results:

  • The experimental group demonstrated significant improvements in preparedness to delegate (p < 0.001).
  • Significant enhancements in critical thinking (p = 0.038) and reductions in role ambiguity (p = 0.041) were observed in the experimental group.
  • Debriefing analysis confirmed alignment with learning objectives, indicating successful educational goal achievement.

Conclusions:

  • The MSP-D is an effective educational tool for enhancing nurses' delegation skills.
  • Mobile simulation education offers high accessibility and flexibility, improving training effectiveness.
  • The MSP-D can enhance job training for nurses in collaborative care models, improving nursing quality.