Evaluating Nurses’ Self-Efficacy related to In Situ Mock Code Simulation Training
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Background and Significance: Hospital nurses need skills and confidence to take action during codes. In situ mock codes (ISMCs) can improve nursing confidence during emergency situations. Purpose, Aims, and Objectives: This study’s purpose was to identify knowledge gaps in ISMC training to enhance future ISMC education and improve nurses’ self-efficacy during code situations. Theoretical Framework: Albert Bandura’s Self-Efficacy Theory emphasizes need for effective learning to promote improved self-efficacy perceptions of task performance. Methods and Design: This study was a secondary data analysis from survey results of 311 nurses using the Mock Code Self-Efficacy Survey (MCSES),a validated measurement tool. Descriptive and inferential statistics were used to describe nurse self-efficacy of 12 code skills. Differences in self-efficacy between medical-surgical (MS) and critical care (CC) nurses were examined and weak clinical areas identified. Results: CC nurses had increased confidence in 11 of 12 clinical skills when compared to MS nurses. The only skill with no difference in confidence was recognizing asystole. Nurses with past mock code experience (PMCE) had more confidence in all 12 clinical skills than those without. In all comparisons, dysrhythmia identification requiring defibrillation and identifying the first code medication administered were the weakest. Conclusion: Overall, CC nurses and nurses with PMCE had higher confidence levels in performing the 12 clinical skills. Future Implications: Lower confidence levels were discovered in MS nurses and nurses with less PMCE. Performing ISMCs routinely on MS units can increase nurses’ experience and confidence in code situations.