Abstract
Problem: New graduate nurses in an urban midwestern emergency department self-identified that they lacked self-efficacy in cardiovascular emergencies. The objective of this study was to measure self-efficacy in the new graduate nurse and senior level-nursing students by providing cardiac specific education with a simulation based in the emergency department.
Intervention: An educational multi-modal course aimed specifically at cardiovascular emergencies and the self-efficacy of the new graduate nurse and senior level nursing students was implemented. This course consisted of a lecture, case studies, and a simulation. The project took place in two separate settings, one at the hospital and another at the affiliated nursing college. The two separate locations were not compared.
Measures: Self-efficacy was measured using anonymous pre- and post-intervention surveys that consisted of a 10-item questionnaire with a 4-point Likert scale ranging from "Strongly Disagree" to "Strongly Agree", eliminating a neutral option. A 30-day follow up post intervention survey was also collected that consisted of similar questions.
Results: A statistically significant increase in self-efficacy was found in the immediate post-course survey when compared to the pre-course survey (n = 10, p < 0.01), however the 30-day post survey did not yield as significant with a lower number of participants (n = 4, p > 0.732). This difference in participant numbers resulted in a limitation.
Conclusion: This project identified that a multi-modal course is beneficial in the improvement of self-efficacy in the new graduate registered nurse and senior level-nursing students. Continued education is encouraged to improve cardiac emergency outcomes and to sustain self-efficacy over time.
Sigma Membership
Non-member
Lead Author Affiliation
Nebraska Methodist College, Omaha, Nebraska, USA
Type
DNP Capstone Project
Format Type
Text-based Document
Study Design/Type
Quality Improvement
Research Approach
Qualitative Research
Keywords:
Newly Graduated Nurses, Simulation-based Education, Nursing Education
Advisor
Grudden, Gina
Degree
DNP
Degree Grantor
Nebraska Methodist College
Degree Year
2023
Recommended Citation
Ervi, Kjirsten, "Addressing self-efficacy in cardiovascular emergencies" (2024). Group: Nebraska Methodist College. 89.
https://www.sigmarepository.org/group_nmc/89
Rights Holder
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Review Type
Faculty Approved: Degree-based Submission
Acquisition
Self-submission
Full Text of Presentation
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