highly significantp < 0.001
The intervention group showed highly significant differences in all pre- and post-scores for admission nursing (t = −7.02, p < 0.001), operation/procedure nursing (t = −11.97, p < 0.001), department transfer/ward transfer/discharge nursing (t = −8.49, p < 0.001), night duty tasks (z = −4.20, p < 0.001), and SBAR and handover (z = −4.29, p < 0.001) in EMR competencies.