Impact of multiple in-situ simulations on the nursing team among medical-surgical units: Lessons learned
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- Author(s)
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Caroline Cantrall, MSN, RN-BC; Jill Chamberlain, RN, PhD, CNE, CHSE; Naomi Fulhorst, BSN, RN; Kelly M. Mayer, BSN, RN; Yvonne Schmudde, MS, RN, CCRN, CNE; Leigh Ann Standefer, BSN, RN, CCRN, TNS
- Contributor Affiliation(s)
- International Nursing Association for Clinical Simulation and Learning (INACSL)
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.
Annual Simulation Conference. Held at the Gaylord Texan Resort & Convention Center
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.
| Type | Presentation |
| Acquisition | Proxy-submission |
| Review Type | Abstract Review Only: Reviewed by Event Host |
| Format | Text-based Document |
| Evidence Level | N/A |
| Research Approach | N/A |
| Keywords | Clinical Simulation; Cardio Pulmonary Resuscitation; In-Situ Simulation |
| Name | International Nursing Association for Clinical Simulation and Learning Annual Conference 2016 |
| Host | International Nursing Association for Clinical Simulation and Learning |
| Location | Grapevine, Texas, USA |
| Date | 2016 |
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