Effects of in-situ simulation training intervention on Intensive Care Unit and Emergency Department nurses’ competency and confidence to ability to perform cardiopulmonary resuscitation

Abstract

Intensive Care Unit and Emergency Department nurses are responsible for recognizing and initiation of cardio-pulmonary resuscitation. They must keep their competence in Advanced Life Support on applicable level through repetitive training course. It was proven on previous studies that traditional class-room Advanced Life Support training is not enough for retention nurses competence and confidence on appropriate level, and training sessions based on simulation technology is more valuable since it develops nurses’ competence and allow to use them in clinical work. Based on the above there is high probability that repetitive mock-code in the workplace can improve the time of initial response during cardiac arrest and change level of confidence among nurses in emergency situations. The aim was to explore effect of in-situ simulation to Emergency Department and Intensive Care Unit nurses’ competence and confidence in providing high quality resuscitation. An experimental before-and-after study design was. There was set-up series of insitu simulations intervention with different frequency from two to six interventions within 3 months with three groups of 20 nurses in Emergency Departments and Intensive Care Units in Almaty and Atyrau. Results demonstrate that in-situ simulations conducted regularly increase nurses’ skills and confidence. Knowledge level was effectively maintained by debriefing conducted right after scenario playing. It is also found, that confidence is more related to its initial level, and critical skills rather than to knowledge. As conclusion was stated that in-situ simulation has great capabilities in improving of in-hospital cardiac arrest surveillance by providing to nurses skills and confidence to provide high-quality cardio-pulmonary resuscitation. It would recommend implement that in all clinical hospitals in Kazakhstan and enhance that by selecting potential coaches among the nurses which would further conduct these trainings