IMPACT OF HIGH-FIDELITY SIMULATION ON TRAINING OF NURSING STUDENTS IN ADULT CARDIOPULMONARY RESUSCITATION: EXPERIENCE OF A MOROCCAN CENTER

Introduction: Cardiac arrest is one of the most serious circumstances needing quick response. Nurses are the first to arrive at the patient's bedside in the event of cardiac arrest, starting cardiopulmonary resuscitation (CPR).As a method of teaching CPR, high-fidelity simulation has been demonstrated to have a substantial impact.Thus, the present study aims to evaluate the impact of adult CPR training based on high-fidelity simulation on anxiety and evolution in self-efficacy, satisfaction and self-confidence of undergraduate nursing students at the Higher Institute of Nursing Professions and Health Techniques in Fez, Morocco. Methods: An intervention study with a simulation group and a control group was carried out with 49 student nurses. The simulation group (n=25) received traditional training (theoretical lecture and procedural demonstration) and simulation-based CPR training, while the control group (n=24) received only traditional training. Data were obtained using the State-Trait Anxiety Inventory (STAI-Y1 and STAI-Y2), the Self-Efficacy Scale and the Student Learning Satisfaction and Confidence Scale. Results: Post-test results of the STAI-Y1 scale revealed a significant reduction in situational anxiety in the simulation group, with a mean score of 30.84 +/- 1.84 out of 80, compared with the control group score (43.04 +/- 1.36). Assessment of post-simulation self-efficacy showed a significant advantage for the simulation group (35.28 +/- 2.47) out of 40 over the control group (20.96 +/- 1.36). Mean CPR self-efficacy retention scores 30 days after training were significantly higher for the simulation group (34.80 +/- 2.19) than for the control group (20.88 +/- 1.36). Nevertheless, a significant decrease in mean self-efficacy scores was recorded for the simulation group between the post-test immediately after simulation training (35.28 +/- 2.47) and the post-test 30 days after training (34.80 +/- 2.19). Thus, the results revealed that mean satisfaction (23.16 +/- 0.68 out of 25) and self-confidence (36.08 +/- 0.99 out of 40) scale scores were high immediately after the simulation experience in the simulation group. Nevertheless, a significant increase in satisfaction (24.08 +/- 0.99) and a significant decrease (33.72 +/- 1.59) in self-confidence were recorded 30 days after simulation training. Conclusion: The outcomes demonstrated that adult CPR training using high-fidelity simulation was superior to the conventional approach in terms of decreasing anxiety and enhancing and maintaining undergraduate nursing students' self-efficacy, satisfaction, and confidence.