Degree Name
Nursing Practice, DNP
Publication Date
11-26-2025
First Advisor
Lisa Drake
Second Advisor
Beverly Clark
Abstract
Self-efficacy levels affect decision-making skills and overall confidence in handling critical situations. However, knowledge gaps often hinder the maintenance of high self-efficacy. (Farčić, et al., 2020). The project site provides limited training opportunities that may not adequately prepare registered nurses with the confidence and skills needed to respond to stroke emergencies, potentially causing delays in patient care and adverse health outcomes. As a result, the quality improvement project aims to examine how simulation-based training impacts registered nurses’ self-efficacy in managing stroke emergencies. The project employed a quasi-experimental pretest/posttest design and was guided by the Plan-Do-Study-Act (PDSA) cycle, the Jeffries Simulation Framework, and the ADKAR Model. The intervention involved registered nurses participating in a stroke emergency simulation. The General Self-Efficacy Scale measured nurses’ confidence before and after the simulation. A Shapiro–Wilk test was conducted to assess normality (.19). The test indicated that the distribution of self-efficacy scores did not depart significantly from normality. A paired t-test revealed a p-value of .005, indicating a meaningful improvement in self-efficacy. The results align with existing literature, such as the work of Holtschneider and Park (2019), which highlights that simulation enhances skill development and confidence in demanding clinical situations. Additionally, Casolla et al. (2020) and Guerrero et al. (2023) concluded that simulation training enhances nurses' skills and confidence. The project's limitations included reliance on self-reported data, a small sample size, and a brief period between the pre- and post-assessments. In conclusion, the project contributed to the nursing practice at the project site by increasing self-efficacy and promoting a sustainable model for ongoing professional development.
Rights Management
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Recommended Citation
James, Kakeya, "Quality Improvement Project: Impact of Simulation Training on the Self-Efficacy of Registered Nurses During a Code Stroke" (2025). Doctor of Nursing Practice Projects. 236.
https://arch.astate.edu/dnp-projects/236
