Mechanical ventilation simulation for cross-training step-down nurses to the surgical ICU

Purpose of Project: The purpose of this project was to modify the current cross-training program to include simulation-based education to increase step-down nurses’ knowledge and confidence in providing care for patients requiring invasive mechanical ventilation while increasing learning satisfaction with simulation in cross-training to the surgical ICU. Methodology: This quality improvement project used a one-group pre- and post-intervention design with a convenience sample of step-down nurses at a hospital in New York City. Participants evaluated their level of self-confidence, knowledge, and learner satisfaction before and after the use of simulated scenarios. Two months after the educational intervention, the participants were asked to retake the post-knowledge survey. Results: Overall, there was a significant increase in the total participant confidence scores preintervention (M = 27.9) and post-intervention (M = 32.0; p = .003). There was a significant increase in the total number of correctly answered questions prior to the simulation intervention (M = 7.1) compared with the scores two-months post intervention (M = 10.3; p = .000). Following the intervention there was a significant increase in pre-intervention satisfaction scores (M = 20.2) and post-intervention confidence scores; (M =24.4; p = .000). Implications for Practice: Simulation provides the ability to engage within complex scenarios without the pressure of potentially harming a patient, allowing for submersion into learning that is otherwise excludedDNPIncludes bibliographical reference