Content area
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.
BackgroundEffective 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.
DesignA randomised controlled trial with a pre–post-test design.
Participants and settingThe participants were 96 nurses from three general hospitals in South Korea, randomly assigned to either the experimental ( n = 48) or control group ( n = 48).
MethodsThe 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.
ResultsThe 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.
ConclusionThe 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.
Details
Supervision;
Critical Thinking;
Literature Reviews;
Experiential Learning;
Nursing Education;
Researchers;
Medical Evaluation;
Simulation;
Medical Services;
Instructional Design;
Evaluative Thinking;
Database Management Systems;
Content Validity;
Competence;
Nurses;
Curriculum Design;
Learning Theories;
Instructional Materials;
Communication Skills;
Computer Oriented Programs;
Electronic Learning;
Legal Problems;
Role Conflict;
Educational Needs
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
; Yeojin Yi 2
1 department of Nursing, Kyungbok University, 425, Kyeongbokdae-ro, Jinj eop-eup, Namyangju-si, Gyeonggi-do 12051, South Korea
2 College of Nursing, Hanyang University, 222, Wangsimni-ro, Seongdong-gu, Seoul 04763, South Korea