S23 - Using Rapid Cycle Deliberate Practice (RCDP) to Increase Confidence and Competency in Cardiac Resuscitation

Abstract :

Background: The clinical environment is dynamic, necessitating innovative approaches to deliver education and validate ongoing competencies. Using the Donna Wright Method, cardiac arrest response was identified as an annual competency need in a critical care unit. While traditional Simulation Based Education (SBE) is an effective tool for teaching emergency response, Rapid Cycle Deliberate Practice (RCDP) was selected to meet this need due to the unique focus on micro skills, repetition, and real-time feedback.

Objectives:
To explore RCDP as a means for validating competency and increasing nurse confidence in cardiac resuscitation response.

Methods: The cardiac arrest algorithm was the basis of the scenario. Preselected micro skills were identified as potential stopping points for feedback, however participant performance determined the learning opportunities provided. Skills were solidified by running one final scenario without interruption followed by a debrief.
One-hour long sessions were offered to learners. RCDP was introduced to participants in the pre-brief, providing the opportunity to ask questions and increase buy in.

Results: Pre and post simulation surveys were collected and analyzed utilizing the 5-point Likert scale. Survey questions assessed the participant confidence performing the following aspects in a resuscitation: initiation of a code response, assuming a Team Lead role, utilization of the cardiac arrest algorithm, use of ETCO2 to measure effectiveness of compressions and return of ROSC.  

Participant confidence increased in all areas measured and the RCDP methodology afforded the opportunity for skill develop outside of those initially identified and included teamwork, collaboration, delegation, and creative thinking.

Please include a short summary of your presentation that highlights why an attendee would want to participate in your session.: Wish you could take the stress out of code response? Decrease cognitive overload by developing muscle memory with repetition and real-time feedback with Rapid Cycle Deliberate Practice. Let us show you how to increase confidence in micro skills, decrease anxiety and foster collaboration.