Model Development of Professional Nursing Competency by Simulation-Based Learning for Urgent Management of Service Patients in the Outpatient Department, Phrapokklao Hospital
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Abstract
Background: The incidence of outpatient deterioration during waiting periods is preventable through effective screening systems, surveillance systems, and the development of nurses' competencies in assessing and managing emergencies. This can be achieved through an appropriate and effective competency development model. The use of simulations enables nurses to practice, experiment, and solve problems in ways that mirror real-world situations, thereby enhancing patient safety.
Objective: To create and assess the effectiveness of a competency development model.
Methods: This was an action research study. The sample included 49 professional nurses and 50 patients. The research was conducted at the outpatient department of
Phrapokklao Hospital from January to December 2025. The research instrument was the professional nurse competency development model, which was approved by three experts and had a validity of 0.7. Data collection instruments included a general information questionnaire, a knowledge assessment scale (reliability 0.9), a competency assessment scale, and a satisfaction assessment scale for professional nurses and patients (reliability 0.9, 1.0, 0.9, respectively). Statistical analyses included percentages, means, and standard deviations.
Results: A professional nurse competence development model using simulation learning was developed. It consisted of three modules, utilizing a rotating role of the attending nurse, followed by a review of events and group discussions. The model results showed that the proportion of knowledge meeting the criteria increased from 65.3% to 93.9%. Competency and decision-making increased from 61.2% to 93.9%, meeting the criteria. Nurse and patient satisfaction were high (M = 4.5, 4.4, respectively). No worsening of the condition was observed after three months of monitoring.
Conclusions: The competency development model enhances nurses' knowledge, skills, and decision-making in emergency management, improving patient safety.
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