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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.
Advanced Cardiovascular Life Support (ACLS) simulation training improved nurses' self-perceived competence. These skill improvements were sustained for three months post-training, enhancing confidence in emergency care.
Area of Science:
- Medical Education
- Nursing Skills
- Cardiovascular Emergencies
Background:
- Simulation is a key pedagogical tool for developing critical skills in healthcare without patient risk.
- This study investigated the impact of Advanced Cardiovascular Life Support (ACLS) simulation on nurses' self-perceived competence.
Purpose of the Study:
- To analyze the association between ACLS simulation practice and nurses' self-perceived competence.
- To assess changes in nurses' self-perception of skills before, immediately after, and three months post-simulation training.
Main Methods:
- A prospective cohort study involving 26 nurses undergoing ACLS simulation practice and assessment.
- Self-perception of skills was evaluated at three time points: pre-course, immediately post-course, and three months post-course.
- Nurses were trained in teams of 4-6 per instructor, with random team assignment.
Main Results:
- A statistically significant trend of improved ACLS skills perception was observed, particularly immediately after training and sustained over three months.
- Simulation training proved effective and essential for enhancing nurses' skills and performance perception.
- The positive effects on skill perception persisted for at least three months.
Conclusions:
- Simulated practice significantly contributed to improved nurses' self-assessment of their ability to act in emergency situations.
- Enhanced self-perception of skills appears to positively influence nurses' comfort and confidence during critical events.
Related Concept Videos
Cardiopulmonary Resuscitation II: ACLS Airway Management
Cardiopulmonary Resuscitation I: Adult
Acute Coronary Syndrome V: Nursing Management
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Acute Coronary Syndrome IV: Interprofessional Care
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.

