移动模拟程序对护理委托的影响：一项随机对照试验

IF 3.3 3区医学 Q1 NURSING

Nurse Education in Practice Pub Date : 2025-02-01 DOI:10.1016/j.nepr.2025.104283

Haena Lim , Yeojin Yi

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引用次数: 0

摘要

目的本研究旨在开发护理授权移动模拟程序（MSP-D），以提高护士授权技能，并评估其对护士授权准备、批判性思维倾向和减少角色模糊的影响。背景：在护理实践中，有效的授权对于优化患者护理至关重要。然而，许多韩国护士在与护理助理合作的新护理模式中没有接受足够的授权培训。设计一项随机对照试验，采用试验前后设计。研究对象为来自韩国三家综合医院的96名护士，随机分为实验组（n = 48）和对照组（n = 48）。方法MSP-D是一种移动网络模拟，实验组连续使用MSP-D 3周。在干预前和干预后收集数据。该研究于2022年7月19日在临床研究信息服务（KCT0007516）注册，招募于2022年8月20日开始。结果实验组在委托准备（p <； 0.001）、批判性思维（p = 0.038）和角色模糊（p = 0.041）方面均有显著改善。与对照组比较。汇报分析显示，参与者的反思与学习目标一致，表明研究的教育目标得到了满足。结论MSP-D是提高护士授权技能的有效教育工具，可加强护士与护理员合作的岗位培训，提高护理质量。移动模拟教育由于其高可及性和灵活性显著提高了有效性。

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

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.

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来源期刊

Nurse Education in Practice NURSING-

CiteScore

5.40

自引率

9.40%

发文量

180

审稿时长

51 days

期刊介绍： Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.