The impact of unsuccessful resuscitation and manikin death during simulation on nursing student's resuscitation self-efficacy: A quasi-experimental study

Guy Tucker, Claire Urwin, John Unsworth*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)
64 Downloads (Pure)

Abstract

Abstract
Background
There has been considerable debate about whether it is appropriate to let the manikin die during simulation teaching. Simulations are used in high-risk industries to recreate rare and potentially catastrophic events. In healthcare, there has been a reluctance to allow scenarios to progress to a catastrophe because of the potential impact on the individual if they were to then encounter the situation in real life. In healthcare, witnessed resuscitation has an overall success rate of around 23.9 %, therefore making every simulation situation successful results in an altered perception of reality.

Objective
The researchers aimed to examine whether the manikin's death during a simulation adversely affects the resuscitation self-efficacy of nursing students.

Design
Quasi-experimental design.

Setting
Univesity of Sunderland, United Kingdom.

Participants
Students were invited to participate (n = 120) and 106 consented to take part in the study.

Methods
A pre-and post-test of the nursing student's self-efficacy during a resuscitation scenario. The scenario related to a patient admitted to the emergency room with chest pain who then went into cardiac arrest. The experimental group's resuscitation was unsuccessful, and the control group's resuscitation was successful. Self-efficacy was measured using the validated Basic Resuscitation Skills Self-efficacy scale (BRS-SES). The data were analysed using a paired sample t-test.

Results
Overall, both groups showed improved self-efficacy as a result of the simulation session and the death of the manikin in the experimental group did not result in a reduced level of self-efficacy related to resuscitation.

Conclusion
The death of the manikin during the simulation involving resuscitation had no impact on student resuscitation self-efficacy.
Original languageEnglish
Article number105587
Number of pages6
JournalNurse Education Today
Volume119
Early online date4 Oct 2022
DOIs
Publication statusPublished - 1 Dec 2022

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