The impact of rapid cycle simulation deliberate practice on nursing student’s resuscitation self-efficacy: a quasi-experimental study

Guy Tucker, Claire Urwin, Marco Tomietto, John Unsworth*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)
37 Downloads (Pure)

Abstract

Background
Nursing students often report anxiety about the performance of resuscitation in a placement context. Rapid cycle deliberate practice which involves re-running the scenario after de-brief allowing for the correction of errors and improved practice has been widely used to develop skills in resuscitation. Few studies have examined the use of rapid cycle deliberate practice to improve resuscitation confidence and self-efficacy.

Objective
to assess if rapid cycle deliberate practice leads to improvements in resuscitation self-efficacy in pre-registration nursing students.

Design
Quasi-experimental pre and post-test design measuring self-efficacy using the Basic Resuscitation Skills – Self Efficacy Scale

Setting
University, United Kingdom

Participants
Students were invited to participate (n = 120) and 106 consented to take part in the study. Participants were in pre-determined practical groups with 56 in the experimental group and 50 in the control group.

Methods
A pre and post-test of nursing students’ self-efficacy during a resuscitation simulation scenario. The scenario will relate to a patient admitted to the emergency room with chest pain who then goes into cardiac arrest. The control group undertake the simulation exercise and then received a de-brief whereas the experimental group participated in a rerun of the scenario following the de-brief (deliberate practice). Both groups completed the Basic Resuscitation Skills Self-efficacy scale pre and post the session. Data were analysed using a paired sample t-test

Results
Both groups showed improved self-efficacy as a result of the simulation session. The difference in the post-test mean scores between the control and the experimental group was marginal and not statistically significant.

Conclusion
rapid cycle deliberate practice simulation does not lead to improved resuscitation self-efficacy amongst pre-registration nursing students when compared with a single session.

Abstract
Nursing students are often anxious about performing resuscitation in practice. Can rapid cycle deliberate practice improve resuscitation self-efficacy? Pre and post-test study (n=106) showed improved self-efficacy with no statistical difference between standard simulation and deliberate practice.
Original languageEnglish
Article number103841
Pages (from-to)1-6
Number of pages6
JournalNurse Education in Practice
Volume73
Early online date9 Nov 2023
DOIs
Publication statusPublished - Nov 2023

Cite this