Highlights
- •Simulation increases pediatric nurses' accuracy in code documentation.
- •Simulation increases pediatric nurses' knowledge in code documentation.
- •Pediatric nurses' confidence in code documentation increased after simulation.
Abstract
Background
Simulation is a successful method to enhance learning, especially how to handle infrequent
high-risk events, such as patient codes. However, no studies were found that examined
methods for educating nurses in code documentation. The purpose of this study was
to evaluate the impact of simulation on nurses' knowledge, confidence, and accuracy
of code documentation.
Methods
A one-group pre- and posttest quasi-experimental design was used. Nurses completed
a knowledge test and confidence survey before and after participating in two code
simulations. Accuracy in documenting the simulated code events was also evaluated.
The impact of the simulations on code documentation knowledge pre- and postsession
and on the accuracy of code documentation for the two simulations per session was
determined by paired-sample t-test and the impact on confidence pre- and postsession was determined by Wilcoxon
signed-rank test.
Results
Forty-eight pediatric acute care nurses from three units participated in nine simulation
sessions. There was a statistically significant increase in knowledge test scores
from presimulation (M = 3.45, SD = 1.46) to postsimulation (M = 5.68, SD = 0.73) (t[47] = 9.47, p < .001 [one tailed]). Documentation accuracy improved from the first simulation (M = 4.59, SD = 1.63) to the second simulation (M = 6.36, SD = 1.66) (t[43] = 8.33, p < .001). A statistically significant increase in confidence was found following participation
in the simulation session (z = –6.206, p < .0001) with a large effect size (r = 0.64). The median confidence level also increased from presimulation (Mdn = a little confident) to postsimulation (Mdn = somewhat confident).
Conclusion
Simulation can be used to increase nurses' knowledge, confidence, and accuracy with
code documentation.
Key words
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Article info
Publication history
Published online: April 19, 2017
Identification
Copyright
Published by Elsevier Inc. on behalf of International Nursing Association for Clinical Simulation and Learning.
