Impact of High-Fidelity Simulation Training on Medical-Surgical Nurses' Self-Confidence and Mock Code Blue Performance: A Pilot Study

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Morton, S. (2017). Impact of High-Fidelity Simulation Training on Medical-Surgical Nurses' Self-Confidence and Mock Code Blue Performance: A Pilot Study. Unc Charlotte Electronic Theses And Dissertations.
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Abstract

Nurses working on medical-surgical units are often responders to situations of acute patient deterioration and must be ready to act and implement life-saving interventions (Buckley & Gordon, 2011). Training programs that incorporate high-fidelity simulation (HFS) provide an effective and safe environment for nurses to learn and practice clinical skills required during emergency situations (Cant & Cooper, 2009; Huseman, 2012; Sullivan et al., 2015). The purpose of this pilot study was to evaluate the impact of a HFS training intervention on medical-surgical nurses’ self-confidence and mock code blue performance. A one-group, pre- and post-test, quasi-experimental pilot study was conducted with 37 medical-surgical nurses at the project facility. A HFS training intervention was implemented and changes in self-confidence and mock code blue performance were evaluated. Overall response improved, but changes were not statistically significant (t = 1.1754, p = .140); however, time to defibrillation significantly improved (t = 7.025, p = .001). In addition, changes in participant satisfaction (t = 6.556, p = .001) and self-confidence (t = 6.220, p = .002) were statistically significant. HFS training can be used to improve medical-surgical nurses’ self-confidence and performance for responding to in-hospital cardiac arrest (IHCA), and provides a safe environment for clinical staff to practice and refine skills necessary to improve outcomes of patients experiencing these events.

Details
Author

Morton, Shannon

Title

Impact of High-Fidelity Simulation Training on Medical-Surgical Nurses' Self-Confidence and Mock Code Blue Performance: A Pilot Study

Physical Description

1 online resource (63 pages) : PDF

Date

2017

Degree Granting Institution

University of North Carolina at Charlotte

Abstract

Nurses working on medical-surgical units are often responders to situations of acute patient deterioration and must be ready to act and implement life-saving interventions (Buckley & Gordon, 2011). Training programs that incorporate high-fidelity simulation (HFS) provide an effective and safe environment for nurses to learn and practice clinical skills required during emergency situations (Cant & Cooper, 2009; Huseman, 2012; Sullivan et al., 2015). The purpose of this pilot study was to evaluate the impact of a HFS training intervention on medical-surgical nurses’ self-confidence and mock code blue performance. A one-group, pre- and post-test, quasi-experimental pilot study was conducted with 37 medical-surgical nurses at the project facility. A HFS training intervention was implemented and changes in self-confidence and mock code blue performance were evaluated. Overall response improved, but changes were not statistically significant (t = 1.1754, p = .140); however, time to defibrillation significantly improved (t = 7.025, p = .001). In addition, changes in participant satisfaction (t = 6.556, p = .001) and self-confidence (t = 6.220, p = .002) were statistically significant. HFS training can be used to improve medical-surgical nurses’ self-confidence and performance for responding to in-hospital cardiac arrest (IHCA), and provides a safe environment for clinical staff to practice and refine skills necessary to improve outcomes of patients experiencing these events.

Genre

doctoral dissertations

Subjects--Topics

Nursing

Degree

D.N.P.

Keywords

Code Blue
Medical-Surgical
Nurses
Performance
Self-Confidence
Simulation

Subject Area

Health Services Research

Advisor(s)

Powers, Kelly

Committee Members

Jordan, Kathleen
Hatley, Angie
Van Wallendael, Lori

Degree Note

Thesis (D.N.P.)--University of North Carolina at Charlotte, 2017.

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Rights Holder Information

Copyright is held by the author unless otherwise indicated.

Identifier

Morton_uncc_0694D_11338

Permalink

http://hdl.handle.net/20.500.13093/etd:1022