Development and Effectiveness of a Nursing Education Mobile Application (NEMA) for Self-directed Learning of Shift-working Nurses

다국어 초록 (Multilingual Abstract)

Purpose : This study aimed to develop a Nursing Education Mobile Application (NEMA) to enable shift-working nurses to engage in self-directed learning without temporal and spatial constraints, and to verify its effects on confidence in core nursing skill performance and learning satisfaction. Methods : A randomized controlled pre–post tests design was used with 64 shift nurses from a tertiary hospital in Seoul, Korea (34 experimental, 30 control). The experimental group used the NEMA app for six weeks, while the control group studied written educational material. The data were analyzed using t-tests. Results : After self-learning with the app, the experimental group scores increased by an average of 0.58 points in confidence in core nursing skill performance, compared with 0.21 points in the control group. This difference was significant (t=2.35, p=.022). Learning satisfaction also increased more significantly in the experimental group (0.54 points) than in the control group (0.10 points) (t=2.37, p=.021). Conclusion : NEMA significantly improved confidence in core nursing skill performance and learning satisfaction among shift-working nurses. Mobile-based education, with its anytime–anywhere accessibility and self-directed learning features, can effectively supplement traditional methods. Further studies should examine its application in diverse settings and long-term effects on clinical performance.