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iDEA: DREXEL LIBRARIES E-REPOSITORY AND ARCHIVES

iDEA: DREXEL LIBRARIES E-REPOSITORY AND ARCHIVES

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What Is the Impact of In Situ Simulation on Delays in Defibrillation Among Nurses on an Intermediate Critical Care Unit (ICCU)?

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Title
What Is the Impact of In Situ Simulation on Delays in Defibrillation Among Nurses on an Intermediate Critical Care Unit (ICCU)?
Author(s)
Toth, Patricia A.
Advisor(s)
Wilson, Linda, 1962-
Keywords
Nursing; Emergency medical services; Intensive care nursing; Electric countershock
Date
2016-05
Publisher
Drexel University
Thesis
D.N.P., Nursing Practice -- Drexel University, 2016
Abstract
Defibrillation, if executed within two minutes of identification of a lethal dysrhythmia, has been identified as the single most important predictor of survival in patients who experience a cardiac arrest. However, most hospitals report a greater than two minute time to defibrillation after identification of the lethal dysrhythmia. Psychomotor skills, such as defibrillation, if not practiced regularly diminish within a three month time frame. The aim of this QI project was to demonstrate that through deliberate practice, using a high fidelity simulation manikin, the time to defibrillation would decrease on an Intermediate Critical Care Unit. The participants were the Registered Nurses working on the unit who volunteered to participate in the pretest/intervention/posttest design. An in situ simulation (pretest) was initiated after a short prebrief and introduction to the manikin. Time to defibrillation was measured during the pretest. After the pretest, each group of participants received didactic and hands on education surrounding the procedure of defibrillation. Another in situ simulation (posttest) followed the educational intervention and time to defibrillation was measured during each posttest. Paired sample t-tests were noted to be statistically significant (p=.001) demonstrating that the time to defibrillation was lessened after the participants received the educational intervention and deliberate practice. Deliberate practice can lead to improved patient safety, improved staff confidence, and better patient outcomes during a clinical emergency.
URI
http://hdl.handle.net/1860/idea:6824
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