Utility of Simulation as a Teaching Tool for Nursing Staff Involved in Code Blue Management

Abstract

Background: The responsibility of nurses is early clinical deterioration and taking appropriate action. Knowledge and proficiency in Code Blue protocols come handy, which lacks in most nurses recognizing. Simulation-based learning plays a role in improving performance and confidence in handling such situations. This goal-based method of program evaluation aims to examine Code Blue training programs and compare them with current literature and established professional standards while assessing participants’ experience and change in knowledge to this educational method. Materials and methods: Following ethical approval, a prospective interventional study was conducted in the simulation center of a private medical college in Mangalore on 65 nursing students. A pretest was given to the participants on the day of the session to assess their baseline understanding followed by prebriefing, all previously having received didactic lectures on Code Blue protocol, crash cart, and cardiac arrest algorithms. They were divided into three batches and each batch performed on crash cart and cardiac arrest stations using an electrocardiogram simulator. A simulated drill was enacted by the faculty on managing a Code Blue event and a discussion was followed. Nurses underwent two simulated scenarios, shockable and nonshockable cardiac arrest algorithms, followed by debriefing. Posttest and feedback form was asked to be filled. Results: A significant increase in mean% from pretest to posttest (55.69–77.33%) following simulated drills. Conclusion: The use of simulation to train nurses in Code Blue scenarios records greater satisfaction and improvement in clinical reasoning, knowledge, and skills. Hence, the incorporation of simulation teaching in training of those involved in caring for high-risk patients is the need of the hour. How to cite this article: D’Cunha RJ, Fernandes SF, Sherif L. Utility of Simulation as a Teaching Tool for Nursing Staff Involved in Code Blue Management. Indian J Crit Care Med 2021;25(8):878–880.

Virtual Simulators for Inclusive Teacher Training

“…Frente a las definiciones encontradas en clave de los fines prácticos de los simuladores y especialmente frente a la simulación de escenarios desafiantes para el aprendizaje, es importante resaltar como un aspecto común que el trabajo en equipo (Sherif, D\'Cunha & Fernandes, 2021) es uno de los elementos estructurales de este tipo de alternativas didácticas, pues la realimentación y mejora de los desempeños y en algunos casos el diseño mismo de las simulaciones, es una actividad colaborativa por excelencia, lo que implica que además de los desempeños individuales las prácticas adelantadas en la simulación permite el diálogo de mejora desde los actores, sus experiencias y la manera como según el criterio individual se pueden generar discusiones de aprendizaje colaborativo, así pues lejos de ser un distanciamiento de la realidad, simular ambientes reales y desafiantes es una oportunidad para establecer sinergias de aprendizaje comunes.…”