Introduction:It is better for students to experience stressful clinical events in a simulation lab rather than to experience the event in a clinical setting where a patient's life is at stake. Aim:The aim of this study was to discover if participation in a mock code with a simulation manikin would result in increased knowledge in nursing students as well as a safe way to learn the nursing interventions required during a code.Methods: Students were given a 10-item multiple choice pre-test. The Advanced Cardiac Life Support guidelines were reviewed in a lecture format, readings regarding cardiac resuscitation and computer assisted instruction involving multiple code situations were assigned. Students were assigned a role and were given the expectations and activities of each role. The code was then experienced and video-taped with a simulation manikin. Debriefing was experienced and students completed a post-test. Results:Scores were significantly greater on the post-test than on the pre-test overall (7.9 vs 5.2; p < .001), for the traditional undergraduate (7.6 vs 5.2; p < .001) and second degree students (8.6. vs. 5.5; p < .001). The post-test scores were significantly greater for second degree students than the traditional undergraduates (8.4 vs 7.5; p < .001). The simulation experience is truly a safe environment for the nursing student to learn the nursing interventions needed during a real code situation.

This article is one in a series on the roles of adjunct clinical faculty and preceptors, who teach nursing students and new graduates to apply knowledge in clinical settings. Instructors often seek to link theory with practice during the postclinical conference, but little is known about the most effective methods of doing so. Debriefing, which is an approach primarily associated with simulation-based learning, encourages students to reflect on and improve performance. This article examines various debriefing methods and describes scenarios in which clinical instructors can utilize this approach to improve the effectiveness of the postclinical conference.

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