Ming-Chuan Shih

Nursing Department, Chang Bing Show Chwan Memorial Hospital, Changhua, Taiwan

Abstract Title: Enhancing Resuscitation Competence and Teamwork Among Emergency and Critical Care Nurses Through High-Fidelity Simulation Training

Biography:

Ming-Chuan Shih is an experienced registered nurse with a Master of Nursing degree, specializing in emergency and critical care. With a strong clinical background as an emergency department nurse, she currently serves as a clinical specialist focused on resuscitation quality improvement and patient safety within a hospital setting. Her expertise includes developing and implementing high-fidelity simulation programs to enhance resuscitation knowledge and team resource management among healthcare professionals. Her work aims to bridge the gap between clinical practice and education through evidence-based quality improvement initiatives.

Research Interest:

High-fidelity simulation (HFS) provides a realistic and safe environment to enhance resuscitation performance and teamwork among emergency and critical care nurses. This study examined the effectiveness of HFS-based resuscitation training on resuscitation knowledge and team resource management (TRM). A quasi-experimental pretest–posttest design was conducted with 138 nurses from emergency and intensive care units of two hospitals in central Taiwan. The experimental group received structured HFS-based in-service training, whereas the control group received no intervention. Outcomes were measured using a validated Resuscitation Knowledge Scale and a TRM Scale, and analyzed using descriptive statistics, independent t tests, and ANCOVA. Qualitative data were also collected through post-training debriefing sessions to enrich interpretation of the quantitative findings. Results showed significant improvements in resuscitation knowledge (t = −6.30, p < .001) and overall TRM (t = −4.30, p < .001) in the experimental group. Significant gains were also observed in leadership, situation monitoring, and mutual support. ANCOVA demonstrated superior performance in the experimental group for resuscitation knowledge (F = 6.25, p = .014, η² = .047) and the leadership domain of TRM (F = 7.24, p = .008, η² = .054). Leadership improvement was particularly evident among nurses with lower baseline competence or junior roles. Debriefing findings revealed enhanced confidence, situational awareness, team coordination, communication, and clinical decision-making after training. HFS-based training effectively strengthens both technical and non-technical competencies. Integrating simulation into routine in-service education may enhance team performance, clinical preparedness, and patient safety in high-acuity settings.