Code blue simulation and student self-efficacy: An experimental study on self-guided vs. coached scaffolded approach

Abstract : Introduction

Pre-licensure nursing students continue to graduate feeling unprepared to perform in a code blue. This study aims to determine if self-reported self-efficacy scores for participation in a code blue simulation will increase more for students who participate in coached scaffolded pre-simulation practice sessions when compared to students who participate in self-led scaffolded pre-simulation practice sessions. This study is intended to serve as a foundation for future code blue education research. Determining the effectiveness of self-led practice on self-efficacy in code blue simulations could impact the structure and implementation of code blue education for nursing students. Higher self-efficacy among new nurses could lead to improved patient outcomes.

Methods

Twelve prelicensure nursing students participated in the study and were randomly assigned into either one-hour coached scaffolded-style practice sessions or one-hour self-lead scaffolded-style practice sessions prior to participating in 5-min code blue simulations. Both groups received identical training materials. Self-efficacy was measured anonymously by pre-practice, post-practice, and post-simulation questionnaires.

Results

Participants in both groups reported an increase in mean self-efficacy scores. There was a 250% increase for coached versus a 140% increase for self-led groups.

Discussion

Implications from this study could impact code blue readiness and skills education. This methodology could provide a framework for creating effective confidence-bolstering curriculums; future iterations could also examine skill competencies in self-led versus coached groups. The confidence score increase shown by the self-led group could also serve as a guide to incorporating self-study sessions in confidence building endeavors coupled with performance measures, reducing nursing faculty workload.

Please include a short summary of your presentation that highlights why an attendee would want to participate in your session.: This study examines the effects of scaffolded learning materials and coached versus self-study practice sessions in a high stress simulation: the code blue. The differences in rates of self-efficacy between groups and future implications of these results scaffolded-style instruction and practice for simulation are discussed.