{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T07:02:07Z","timestamp":1785394927962,"version":"3.55.0"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":209,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"\n Aim(s)<\/jats:title>\n This study aimed primarily to evaluate the effect of simulation\u2010based handover training on nurses\u2019 perceived handover competency (PC). A secondary aim was to identify demographic and psychological factors that predict nurses\u2019 perceived handover competency.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n A single\u2010group, quasi\u2010experimental, pretest\u2013posttest design was adopted.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Using cluster sampling and purposive sampling, 558 qualified, English\u2010proficient nurses were recruited from 29 hospitals in Hong Kong. A 4\u2010h simulation\u2010based training on the CARE protocol was delivered. Validated instruments with high reliability (overall Cronbach\u2019s\n \u03b1<\/jats:italic>\n \u2009=\u20090.954) measured perceived competency and four psychological factors immediately pre\u2010 and post\u2010intervention. The primary objective, assessing changes in perceived handover competency (PC), was analyzed using paired\u2010samples\n t<\/jats:italic>\n \u2010tests. The second objective, exploring the predictors of PC, was evaluated using Pearson\u2019s correlation and ordinary least squares (OLS) regression. Ethical approval and written consent were obtained. Reporting followed the TREND statement.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The simulation\u2010based training demonstrated a large positive effect on nurses\u2019 perceived handover competency (Cohen\u2019s\n d<\/jats:italic>\n \u2009=\u20091.198,\n p<\/jats:italic>\n < 0.001). Staff position (\n F<\/jats:italic>\n \u2009=\u20093.813) and age group (\n F<\/jats:italic>\n \u2009=\u20093.204) were the only demographic factors associated with significant increases in PC, with registered nurses and nurses aged 30\u201334 years showing the greatest gains. Perceived competency correlated strongly with resilience (\n r<\/jats:italic>\n \u2009=\u20090.920,\n p<\/jats:italic>\n < 0.001). Baseline demographic and professional factors explained only 1.8% of the variance in perceived competency (\n R<\/jats:italic>\n 2<\/jats:sup>\n \u2009=\u20090.018,\n p<\/jats:italic>\n > 0.05), whereas internal psychological factors increased the explained variance to 76.5% (\n R<\/jats:italic>\n 2<\/jats:sup>\n \u2009=\u20090.765,\n p<\/jats:italic>\n < 0.001). Resilience (\n \u03b2<\/jats:italic>\n \u2009=\u20090.376,\n p<\/jats:italic>\n < 0.001) and intention to complete handover (\n \u03b2<\/jats:italic>\n \u2009=\u20090.320,\n p<\/jats:italic>\n < 0.001) were the strongest predictors.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Simulation\u2010based training is a highly effective intervention for enhancing nursing handover competency. Perceived handover competency was mainly predicted by internal psychological attributes rather than professional factors. Educational programs must prioritize soft skills, specifically resilience, to optimize clinical communication.<\/jats:p>\n <\/jats:sec>\n \n Implication for Nursing Management<\/jats:title>\n For nurse education, the findings indicate that communication training should shift from purely technical training to integrating resilience\u2010building strategies and psychological skills. In clinical practice, nurse leaders should implement ongoing mentorship and feedback to help nurses fully internalize handover protocols. Regarding healthcare policy and management, the findings indicate that hospital administrators should design separate training tracks tailored to the different experience levels of junior and senior nurses, maximizing the growth potential of each group.<\/jats:p>\n <\/jats:sec>","DOI":"10.1155\/jonm\/6626003","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T06:43:17Z","timestamp":1785393797000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating the Effect of Simulation\u2010Based Handover Training and Its Predictors: A Quasiexperimental Study"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-5081-1126","authenticated-orcid":false,"given":"Kexin","family":"Tan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8043-7645","authenticated-orcid":false,"given":"Jack","family":"Pun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,29]]},"reference":[{"key":"e_1_2_15_1_2","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1515\/9783110379044-012","volume-title":"Effective Communication in Clinical Handover: From Research to Practice","author":"Eggins S.","year":"2016"},{"key":"e_1_2_15_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15110"},{"key":"e_1_2_15_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmqr.2024.100482"},{"key":"e_1_2_15_4_2","doi-asserted-by":"publisher","DOI":"10.1155\/jonm\/3803491"},{"key":"e_1_2_15_5_2","doi-asserted-by":"crossref","first-page":"100","DOI":"10.31674\/mjn.2024.v15i04.012","article-title":"Enhancing Teamwork Through Effective Handover Practices Among Nurses in Elder Care Setting","volume":"15","author":"Gaing S.","year":"2024","journal-title":"Malaysian Journal of Nursing"},{"key":"e_1_2_15_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.12936"},{"key":"e_1_2_15_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14871"},{"key":"e_1_2_15_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.teln.2025.11.007"},{"key":"e_1_2_15_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.70310"},{"key":"e_1_2_15_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nepr.2023.103846"},{"key":"e_1_2_15_11_2","doi-asserted-by":"publisher","DOI":"10.4274\/mnm.2023.23149"},{"key":"e_1_2_15_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-021-00624-0"},{"key":"e_1_2_15_13_2","doi-asserted-by":"publisher","DOI":"10.21184\/jkeia.2020.6.14.4.321"},{"key":"e_1_2_15_14_2","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295x.84.2.191"},{"key":"e_1_2_15_15_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18115821"},{"key":"e_1_2_15_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-022-03361-3"},{"key":"e_1_2_15_17_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-024-02350-9"},{"key":"e_1_2_15_18_2","first-page":"99","volume-title":"Progress in Experimental Personality Research","author":"Kuhl J.","year":"1984"},{"key":"e_1_2_15_19_2","doi-asserted-by":"publisher","DOI":"10.1037\/0021-9010.90.6.1096"},{"key":"e_1_2_15_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12689"},{"key":"e_1_2_15_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2018.01.018"},{"key":"e_1_2_15_22_2","doi-asserted-by":"publisher","DOI":"10.5395\/rde.2024.49.e21"},{"key":"e_1_2_15_23_2","volume-title":"Multivariate Data Analysis","author":"Hair J. 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