A Quality Improvement Project Using High-Fidelity Simulation Training to Improve Clinical Knowledge among Critical Care Transport Nurses

Background: To cultivate clinical expertise, many critical care transport (CCT) programs have engaged simulation as a means of providing ongoing clinical education for crewmembers. Method: A pretest, posttest, repeated-measures design was used to evaluate whether CCT nurses' clinical knowledge improved immediately after and three months after high-fidelity simulation training. Results: The increase in mean test scores from preintervention to postintervention was not statistically significant, and knowledge was not sustained after three months. Conclusions: Introducing pre- and postsimulation evaluations into staff training activities provided a reference point for CCT nurses to benchmark their individual progress and allowed department education leaders to gauge the effectiveness of their training interventions. (C) 2017 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc. All rights reserved.