Development and Evaluation of a Smartphone-assisted Self-reflection Program for Medication Administration in Newly...

Area of Science:

• Nursing Education
• Digital Health Interventions
• Patient Safety

Background:

• Newly graduated nurses require effective strategies to master medication administration.
• Self-reflection is crucial for developing clinical competence and safe practice.
• Technology integration in nursing education offers innovative learning opportunities.

Purpose of the Study:

• To develop and evaluate a smartphone-assisted self-reflection program for medication administration skills among newly graduated nurses.
• To assess the program's impact on nurses' confidence, satisfaction, and flow.
• To explore nurses' experiences and perceptions of the self-reflection program.

Main Methods:

• A convergent parallel mixed-methods design incorporating quantitative and qualitative data.
• Quantitative: 77 nurses completed pre- and post-intervention assessments of confidence, satisfaction, and flow.
• Qualitative: 10 nurses participated in in-depth interviews exploring their experiences with the program.

Main Results:

• Significant improvement in medication administration confidence post-intervention (P < .001).
• High program satisfaction (mean=4.66) and flow (mean=4.33) scores.
• Qualitative themes revealed benefits of self-observation via video, group debriefing, and learning from errors.

Conclusions:

• Smartphone-assisted self-reflection is an effective educational strategy for enhancing medication administration skills.
• The program fosters reflective practice and contributes to safer medication administration.
• Integrating technology can support the development of newly graduated nurses' clinical competence.