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    Area of Science:

    • Pediatric Nursing
    • Medical Education
    • Patient Safety

    Background:

    • Pediatric cardiopulmonary arrest events are infrequent outside pediatric intensive care units.
    • Medical-surgical registered nurses (RNs) have limited exposure to cardiopulmonary arrest (code) situations.
    • RNs often report discomfort with critical care tasks during emergencies.

    Purpose of the Study:

    • To enhance the comfort levels of medical-surgical RNs during pediatric cardiopulmonary arrest events.
    • To evaluate the effectiveness of a multi-disciplinary educational intervention combined with simulation.
    • To improve RN preparedness for high-acuity pediatric emergencies.

    Main Methods:

    • A multi-disciplinary educational plan was developed.
    • In-situ high-fidelity simulation was integrated into the training.
    • 260 medical-surgical RNs across 10 hospital units participated in pre- and post-intervention surveys.

    Main Results:

    • A significant increase in RNs reporting "very comfortable" was observed across all assessed categories.
    • The educational intervention demonstrably improved RN confidence in managing code situations.
    • Simulation-based training effectively bridged the gap in practical experience.

    Conclusions:

    • Multi-disciplinary education combined with in-situ high-fidelity simulation is effective.
    • This approach significantly increases RN comfort levels during pediatric codes.
    • The findings support the integration of simulation for critical care preparedness in pediatric nursing.