Abstract
Background/Purpose: Delay in CPR standards of care could be influenced by the nursing team members' lack of confidence, knowledge, and experience with cardiac arrest events. In-situ simulation has demonstrated positive outcomes in increasing participants' knowledge, skills, and confidence of clinical events. However, there is a gap in the literature regarding how to expand the benefits of in-situ simulation beyond just the participants. The purpose of this study was to determine if repetitive in-site codes and disseminated debriefings impact nursing team member's knowledge and comfort levels during code situations.
Methods: Resuscitation Self-Efficacy Scale and knowledge assessments were collected to establish baseline knowledge and confidence levels. During each in-situ simulation, data was collected that measured participants' skills in resuscitation. This information assisted in creating a debriefing flyer that was disseminated among unit staff. The same assessment data was collected at the end of the study for pre and post intervention comparison.
Findings: There were 48 pre-surveys and 31 post surveys completed out of a population of 160. No significance was found between pre and post comfort or knowledge levels. Challenges to in-situ simulations were reported through researchers' anecdotal notes and participants' comments; however, 90% of the participants reported they would participate in another simulation.
Conclusion/Implications/Discussion: Despite the challenges to in-situ simulation, nursing teams want more thus leading to the question, "how can we overcome challenges of in-situ simulation and benefit the entire unit?" This presentation will discuss lessons learned and offer new perspectives on engaging the entire unit with in-situ simulation.
Sigma Membership
Unknown
Lead Author Affiliation
International Nursing Association for Clinical Simulation and Learning (INACSL)
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Clinical Simulation, Cardio Pulmonary Resuscitation, In-Situ Simulation
Recommended Citation
Cantrall, Caroline; Chamberlain, Jill; Fulhorst, Naomi; Mayer, Kelly M.; Schmudde, Yvonne; and Standefer, Leigh Ann, "Impact of multiple in-situ simulations on the nursing team among medical-surgical units: Lessons learned" (2016). General Submissions: Presenations (Oral and Poster). 83.
https://www.sigmarepository.org/gen_sub_presentations/2016/presentations/83
Conference Name
INACSL Conference
Conference Host
International Nursing Association for Clinical Simulation and Learning
Conference Location
Grapevine, Texas, USA
Conference Year
2016
Rights Holder
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Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Impact of multiple in-situ simulations on the nursing team among medical-surgical units: Lessons learned
Grapevine, Texas, USA
Background/Purpose: Delay in CPR standards of care could be influenced by the nursing team members' lack of confidence, knowledge, and experience with cardiac arrest events. In-situ simulation has demonstrated positive outcomes in increasing participants' knowledge, skills, and confidence of clinical events. However, there is a gap in the literature regarding how to expand the benefits of in-situ simulation beyond just the participants. The purpose of this study was to determine if repetitive in-site codes and disseminated debriefings impact nursing team member's knowledge and comfort levels during code situations.
Methods: Resuscitation Self-Efficacy Scale and knowledge assessments were collected to establish baseline knowledge and confidence levels. During each in-situ simulation, data was collected that measured participants' skills in resuscitation. This information assisted in creating a debriefing flyer that was disseminated among unit staff. The same assessment data was collected at the end of the study for pre and post intervention comparison.
Findings: There were 48 pre-surveys and 31 post surveys completed out of a population of 160. No significance was found between pre and post comfort or knowledge levels. Challenges to in-situ simulations were reported through researchers' anecdotal notes and participants' comments; however, 90% of the participants reported they would participate in another simulation.
Conclusion/Implications/Discussion: Despite the challenges to in-situ simulation, nursing teams want more thus leading to the question, "how can we overcome challenges of in-situ simulation and benefit the entire unit?" This presentation will discuss lessons learned and offer new perspectives on engaging the entire unit with in-situ simulation.