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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

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Published on: January 15, 2017

Evaluation of a High-Fidelity Simulation Training Program for New Cardiothoracic Intensive Care Unit Nurses.

Bryan Boling¹, Melanie Hardin-Pierce², Lynne Jensen²

¹College of Nursing, University of Kentucky, Lexington, Kentucky; Cardiothoracic Intensive Care Unit, UK Healthcare, Lexington, Kentucky.

Seminars in Thoracic and Cardiovascular Surgery

|April 19, 2017

Summary

High-fidelity simulation training improved cardiothoracic intensive care unit nurse interns' knowledge and confidence. However, objective learning assessment is crucial, as increased confidence doesn't always equate to improved ability.

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Area of Science:

Medical Education
Nursing Education
Simulation Training

Background:

Nursing internships require robust training for critical care environments.
Cardiothoracic intensive care units (CTICUs) present unique challenges for new nurses.
High-fidelity simulation offers a controlled environment for skill development.

Purpose of the Study:

To evaluate the impact of a high-fidelity simulation training program on nurse interns' knowledge and confidence.
To assess the effectiveness of simulation in a cardiothoracic intensive care unit (CTICU) internship.
To determine the correlation between objective learning, subjective confidence, and perceived simulation effectiveness.

Main Methods:

Ten nurse interns participated in a simulation scenario focused on common CTICU postoperative complications.
Knowledge and confidence were measured using pre/post-tests and a self-efficacy scale.
A simulation effectiveness tool assessed participant perceptions of the training program.

Main Results:

Mean knowledge scores significantly improved post-simulation (48.18% to 60.9%, P < 0.05).
Mean confidence scores significantly increased post-simulation (20.8 to 25.9, P < 0.05).
No significant correlation was found between objective learning and subjective confidence assessments.

Conclusions:

High-fidelity simulation training effectively enhances both knowledge and confidence in new graduate nurses.
Objective assessment methods are essential to validate learning gains from simulation.
Increased confidence following simulation does not necessarily reflect improved clinical competence.