Document Type

DNP - Open Access

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Brandi Pravecek


cardiac arrest, mock code simulation, debriefing, TeamSTEPPS


Introduction: In order to provide competent care to patients in cardiac arrest, it is essential the team of health care professionals delivering care is highly proficient. Effective communication and interdisciplinary teamwork are also critical aspects of delivering care to patients in cardiac arrest.
Methods: A T-TAQ questionnaire was completed by willing nurses prior to the intervention. Pre-simulation education guided by TeamSTEPPS® 2.0 Curriculum was given to nurses prior to the first simulation. Nurses participated in two simulations held six weeks apart. Nurses completed the same T-TAQ questionnaire following the second simulation. The questionnaire results were then compared using the Wilcoxon signedrank nonparametric test.
Gaps: A lack of published literature focusing on rural health care facilities, especially medical or surgical units, was available. Limited evidence which focused on teamwork as the primary outcome of mock code simulations was available. A lack of clear evidence on the optimal frequency of high-fidelity simulations was noted.
Recommendations for Practice: Simulations allow nurses to practice technical skills necessary for caring for patients in cardiac arrest. Simulations can be utilized to improve attitudes towards teamwork and improve communication among participants.

Library of Congress Subject Headings

Nurses -- Attitudes.
Cardiac resuscitation -- Simulation methods.
Cardiac arrest -- Treatment.
Emergency medical services.
Health care teams.



Number of Pages



South Dakota State University


Copyright © 2020 Janelle Kriz