title: The effectiveness of and satisfaction with high-fidelity simulation to teach cardiac surgical resuscitation skills to nurses.
abstract: BACKGROUND
  There are few reports of the effectiveness or satisfaction with simulation to learn cardiac surgical resuscitation skills.
  
  
  OBJECTIVE
  To test the effect of simulation on the self-confidence of nurses to perform cardiac surgical resuscitation simulation and nurses' satisfaction with the simulation experience.
  
  
  METHODS
  A convenience sample of sixty nurses rated their self-confidence to perform cardiac surgical resuscitation skills before and after two simulations. Simulation performance was assessed. Subjects completed the Satisfaction with Simulation Experience scale and demographics.
  
  
  RESULTS
  Self-confidence scores to perform all cardiac surgical skills as measured by paired t-tests were significantly increased after the simulation (d=-0.50 to 1.78). Self-confidence and cardiac surgical work experience were not correlated with time to performance. Total satisfaction scores were high (mean 80.2, SD 1.06) indicating satisfaction with the simulation. There was no correlation of the satisfaction scores with cardiac surgical work experience (τ=-0.05, ns).
  
  
  CONCLUSIONS
  Self-confidence scores to perform cardiac surgical resuscitation procedures were higher after the simulation. Nurses were highly satisfied with the simulation experience.
authors.affiliation: Cedars-Sinai Medical Center, Los Angeles, CA, United States. Electronic address: marion.mcrae@cshs.org.
authors.forename: Marion E
authors.initials: ME
authors.lastname: McRae
authors.affiliation: Cedars-Sinai Medical Center, Los Angeles, CA, United States.
authors.forename: Alice
authors.initials: A
authors.lastname: Chan
authors.affiliation: St. Catherine Hospital, Garden City, KS, United States.
authors.forename: Renee
authors.initials: R
authors.lastname: Hulett
authors.affiliation: Cedars-Sinai Medical Center, Los Angeles, CA, United States.
authors.forename: Ai Jin
authors.initials: AJ
authors.lastname: Lee
authors.affiliation: Cedars-Sinai Medical Center, Los Angeles, CA, United States.
authors.forename: Bernice
authors.initials: B
authors.lastname: Coleman
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D006348:Cardiac Surgical Procedures / Q000379:methods / Q000592:standards / Q000706:statistics & numerical data; D016887:Cardiopulmonary Resuscitation / Q000193:education* / Q000523:psychology* / Q000706:statistics & numerical data; D002983:Clinical Competence / Q000592:standards / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009726:Nurses / Q000523:psychology* / Q000592:standards / Q000706:statistics & numerical data; D010549:Personal Satisfaction; D036301:Qualitative Research; D020377:Self Efficacy; D000066908:Simulation Training / Q000379:methods / Q000592:standards* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D014481:United States
keywords: Cardiac surgery; Critical care; Nursing education; Simulation