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Show Impact of High-Fidelity Simulation on ICU Nurses' Confidence in Managing Arterial Lines BACKGROUND Tina Kaminska, BSN, RN, MSN Student Dr. Trish Gibbs, DNP, RN, CNE Jami Cottle, RN, BSN, MSN, CNO/CEO INTERVENTIONS Managing arterial lines in critical patients is an essential skill for ICU nurses, that requires competency and confidence. However, limited experience, lack of standardized training can impede skill comprehension, confidence and can negatively impact patient outcomes.1 High-Fidelity Simulation (HFS) is an effective strategy to achieve comprehension and improve nurse confidence. Research supports that repeated exposure to HFS scenarios improves clinical competence, critical thinking, and confidence among nurses.1 Overcoming barriers such as organization learning cultures and restrictions are essential in promoting continuing education 2. ICU nurses participated in a HFS workshop focused on arterial line management. • Step 1: Formed a Collaborative Team: Conduct assessment needs • Step 2: Developed Educational Content/Scenarios/Material • Step 3: Delivered High Fidelity Simulation (HFS) trainings • Step 4: Administered pre- and post- Assessment Surveys • Step 5: Provided Personalized Feedback • Step 6: Evaluated Data from Project IMPACTS Potential Impacts of HFS Includes: METHODS • Improved Nurse Confidence and Competency • Improved Patient Outcomes • Positive Continuing Education • Standard of Practice • Breaking Down Continuing Education Barriers • Broader Implementation of HFS Training • Integration Into Mandatory Training Iowa Model of Evidence-Based Practice3 Deliverables • Arterial Line Quick Guide • Educational PowerPoint Presentation • Arterial Line Safety Checklist • Pre-Assessment Survey • Post-Assessment Survey • Individualized Feedback Tool (Sturti, 2021). CONCLUSIONS (University of Iowa Hospitals and Clinics, 1998).4 • A lack of standardized training in arterial line management increased the risk of adverse events and preventable errors5. REFERENCES 1. Guerrero, J. G., Ali, S. A., & Attallah, D. M. (2022). The nursing students and staff nurses acquired critical thinking skills, satisfaction, and self-confidence through high-fidelity simulation experience. Clinical Simulation in Nursing, 64, 24-30. https://doi.org/10.1016/j.ecns.2021.11.008 2. Mlambo, M., Silén, C., & McGrath, C. (2021). Lifelong learning and nurses' continuing professional development, a meta-synthesis of the literature. BMC Nursing, 20(1). https://doi.org/10.1186/s12912-021-00579-2 3. Brown, C. G. (2014). The Iowa model of evidence-based practice to promote quality care: An illustrated example in oncology nursing. Clinical Journal of Oncology Nursing, 18(2), 157–159. https://doi.org/10.1188/14.cjon.157-159 4. University of Iowa Hospitals and Clinics. (1998). The Iowa model of evidence-based practice to promote quality care [Figure]. University of Iowa. 5. Elhabashy, S., Moriyama, M., Mahmoud, ED. et al. Effect of evidence-based nursing practices training programme on the competency of nurses caring for mechanically ventilated patients: a randomised controlled trial. BMC Nurs 23, 225 (2024). https://doi.org/10.1186/s12912024-01869-1 6. Norris, H., New, K., & Hinsberg, F. (2019). Patient deterioration simulation education and new graduate nurses' self-confidence and competence. Journal for Nurses in Professional Development, 35(6), 330–336. https://doi.org/10.1097/nnd.0000000000000588 • HFS has been show to significantly enhance nurse competency, confidence and patient outcomes1. • Integrating HFS into continuing education fills knowledge gaps, promotes clinical proficiency, and supports high quality care6. (Sturti, 2021). • Investing in simulation-based education is a critical step toward empowering ICU nurses and improving patient outcomes in high acuity settings. |
