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Advanced Cardiovascular Life Support simulated practice in nursing: A prospective cohort study
Sónia Ferreira-Sousa1, Ana Silva-Poeira2, Guida Silva-Amaral3
1Unidade Local de Saúde da Arrábida, Portugal.
Background:
Simulation is a pedagogical methodology that promotes the development of technical, scientific, communicational, relational, and leadership skills without compromising people's safety. This study aimed to analyze the association between Advanced Cardiovascular Life Support simulation practice and Internal Medical Emergency Teams nurses' self-perceived competence and assess changes in their self-perception before, immediately after, and three months post-training.
Methods:
A prospective cohort study with intervention, consisting of Advanced Cardiovascular Life Support simulation practice and assessment, was carried out before the course, immediately after the course, and three months after the course regarding self-perception of nurse's skills. The sample consists of 26 nurses. The simulation practices were conducted in teams of 4-6 nurses per instructor, and nurses were randomly assigned to the simulated practice teams.
Results:
Non-parametric analysis was carried out using the Wilcoxon test. Significance was measured. There was a trend of improvement in Advanced Cardiovascular Life Support skills perception, particularly immediately after the course and continued over time. The simulation training was effective and essential to improve the professionals' skills and perception of their performance, and it lasted for three months to improve the professionals' skills and performance perceptions.
Conclusions:
Self-perception skills seem to influence comfort and confidence in acting, and it is possible to affirm that simulated practices contributed to improving nurse's self-assessment of their ability to act.
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Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.

