Date of Graduation

Spring 5-21-2021

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

First Advisor

Jennifer Zesati

Abstract

Immediate, high-quality cardiopulmonary resuscitation (CPR) and early defibrillation are important in increasing survival rates during a cardiac arrest. At the Medical Center, which is part of an integrated healthcare system in a metropolitan area of the San Francisco Bay Area, a quality improvement project was implemented to increase readiness and self-confidence of medical-surgical nurses during a code blue situation. Nurse participants completed a pre- and post-intervention survey containing questions about their self-confidence in performing different skills relevant to a code blue, scored on a 5-point Likert scale from Strongly Disagree (1) to Strongly Agree (5). The intervention included an in-service mini mock code training for nursing staff, where they were presented with a code blue scenario and received hands-on practice with their unit’s crash cart equipment. 81.8% of nurses who participated in the intervention and took the post-intervention survey believed they felt confident and prepared for a code blue scenario, increasing 20.7% from the pre-intervention survey. The average response relating to general preparedness for a code blue also improved from 3.6 to 4.1, displaying a 10% increase in overall average confidence of skills if a code blue were to occur on the unit. Additional in-hospital mock code trainings, compared to lack of additional training to the out-of-hospital Basic Life Support certification that occurs every 2 years, is necessary for individuals to maintain knowledge of their CPR skills and feel confident in performing these skills during a code blue.

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