title: The effect of high-fidelity simulation training on medical-surgical graduate nurses' perceived ability to respond to patient clinical emergencies.
abstract: BACKGROUND
  Recognition of and early intervention for patients with acutely deteriorating conditions is often the responsibility of medical-surgical nurses. This study examined the effect of simulation on medical-surgical graduate nurses' perceived ability and confidence in responding to patient clinical emergencies.
  
  
  METHODS
  Fifty medical-surgical graduate students participated in high-fidelity immersive simulations. Questionnaires completed before and after simulation asked participants to rate their perceived ability and confidence.
  
  
  RESULTS
  After simulation, participants reported increased confidence in their ability to perform both technical and nontechnical aspects of responding to patient clinical emergencies. Ninety-four percent of participants identified formal debriefing as the most useful aspect of the simulation experience.
  
  
  CONCLUSIONS
  Medical-surgical graduate nurses' confidence and perceived technical and nontechnical skills during patient clinical emergencies are enhanced following simulation. The ability of graduates to transfer the increased confidence and perceived advanced resuscitation skills following simulation to the clinical environment needs to be investigated.
authors.affiliation: Faculty of Nursing, Midwifery and Health, University of Technology, Sydney, New South Wales, Australia.
authors.forename: Christopher James
authors.initials: CJ
authors.lastname: Gordon
authors.forename: Tom
authors.initials: T
authors.lastname: Buckley
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D016887:Cardiopulmonary Resuscitation / Q000193:education / Q000451:nursing; D002983:Clinical Competence / Q000592:standards*; D003194:Computer-Assisted Instruction / Q000379:methods*; D004511:Education, Nursing, Graduate / Q000379:methods*; D004630:Emergencies / Q000451:nursing*; D005260:Female; D006801:Humans; D007388:Internal Medicine / Q000193:education; D008297:Male; D008875:Middle Aged; D009517:New South Wales; D015402:Nursing Education Research; D015404:Nursing Methodology Research; D013527:Perioperative Nursing / Q000193:education; D015397:Program Evaluation; D020377:Self Efficacy; D013041:Specialties, Nursing / Q000193:education; D013338:Students, Nursing / Q000523:psychology*; D011795:Surveys and Questionnaires; D014584:User-Computer Interface