| Abstract: |
Code Blue situations represent critical medical emergencies that demand immediate and competent nursing intervention to ensure optimal patient survival. This study examines nurse preparedness and the effectiveness of training programs for managing Code Blue events within Indian healthcare settings. The key objectives focused on assessing knowledge levels, confidence, skill proficiency, and the impact of simulation-based training on Code Blue management. A cross-sectional survey design was adopted, incorporating 285 registered nurses from tertiary care hospitals across India. Data were collected using validated questionnaires, pre-test and post-test assessments, and structured performance evaluation tools between January 2023 and December 2023. The study hypothesized that structured simulation-based training significantly enhances nurse readiness for Code Blue emergencies.
Findings revealed that only 32.6% of nurses exhibited adequate baseline knowledge. However, simulation-based training led to marked improvements, with knowledge scores rising from 55.69% to 77.33% (p < 0.001). Post-training evaluations further showed improved patient outcomes, with immediate survival rates increasing from 18.3% to 28.3% and survival to discharge rising from 23.1% to 69.1%. The discussion underscores substantial gaps in initial nurse preparedness while highlighting the strong effectiveness of simulation training in strengthening competence. The study concludes that mandatory and periodic simulation-based Code Blue training significantly improves both nurse performance and patient outcomes during cardiac arrest events. It recommends institutional implementation of structured training programs as a routine practice.
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