Pages: 1336-1347
Date of Publication: 30-Nov--0001
Impact of High-Fidelity Simulation on Training of Nursing Students in Adult Cardiopulmonary Resuscitation: Experience of a Moroccan Center
Author: Ghizlane El Ougli, Brahim Boukatta, Abderrahim El Bouazzaoui, Soumaya Touzani, Nawfal Houari, Samira El Fakir, Nabil Kanjaa
Category: JMSR Medical Education
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Abstract:
Introduction: Cardiac arrest is one of the most serious circumstances needing quick response. Nurses are the first to arrive at the patient__ampersandsign#39;s bedside in the event of cardiac arrest, starting cardiopulmonary resuscitation (CPR).As a method of teaching CPR, high-fidelity simulation has been demonstrated to have a substantial impact.Thus, the present study aims to evaluate the impact of adult CPR training based on high-fidelity simulation on anxiety and evolution in self-efficacy, satisfaction and self-confidence of undergraduate nursing students at the Higher Institute of Nursing Professions and Health Techniques in Fez, Morocco. Methods: An intervention study with a simulation group and a control group was carried out with 49 student nurses. The simulation group (n=25) received traditional training (theoretical lecture and procedural demonstration) and simulation-based CPR training, while the control group (n=24) received only traditional training. Data were obtained using the State-Trait Anxiety Inventory (STAI-Y1 and STAI-Y2), the Self-Efficacy Scale and the Student Learning Satisfaction and Confidence Scale. Results: Post-test results of the STAI-Y1 scale revealed a significant reduction in situational anxiety in the simulation group, with a mean score of 30.84 ---PlusMinusSymbol--- 1.84 out of 80, compared with the control group score (43.04---PlusMinusSymbol--- 1.36). Assessment of post-simulation self-efficacy showed a significant advantage for the simulation group (35.28---PlusMinusSymbol---2.47) out of 40 over the control group (20.96---PlusMinusSymbol---1.36). Mean CPR self-efficacy retention scores 30 days after training were significantly higher for the simulation group (34.80 ---PlusMinusSymbol---2.19) than for the control group (20.88 ---PlusMinusSymbol---1.36). Nevertheless, a significant decrease in mean self-efficacy scores was recorded for the simulation group between the post-test immediately after simulation training (35.28 ---PlusMinusSymbol---2.47) and the post-test 30 days after training (34.80 ---PlusMinusSymbol---2.19). Thus, the results revealed that mean satisfaction (23.16---PlusMinusSymbol---0.68 out of 25) and self-confidence (36.08---PlusMinusSymbol---0.99 out of 40) scale scores were high immediately after the simulation experience in the simulation group. Nevertheless, a significant increase in satisfaction (24.08---PlusMinusSymbol---0.99) and a significant decrease (33.72---PlusMinusSymbol---1.59) in self-confidence were recorded 30 days after simulation training. Conclusion: The outcomes demonstrated that adult CPR training using high-fidelity simulation was superior to the conventional approach in terms of decreasing anxiety and enhancing and maintaining undergraduate nursing students__ampersandsign#39; self-efficacy, satisfaction, and confidence.
Keywords: Anxiety, Cardiopulmonary resuscitation, Morocco, Self efficacy, Self confidence, Nursing, Simulation
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