Code White: A branching spherical video learning experience for continuing competency mental health nursing education

IF 2.5 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2025-10-14 DOI:10.1016/j.ecns.2025.101834

Don M Leidl RN, BSN, MN, EdD , Manal Kleib RN, BSN, MN, PhD , Hua Li RN, BSN, MN, PhD , Jay Wilson BA, BEd, Med, EdD, MBA

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引用次数: 0

Abstract

Background

Patient aggression toward mental health nurses is a critical issue, impacting clinician anxiety and patient care quality. Traditional training may not adequately prepare nurses for managing aggressive patients in clinical environments, or Code Whites. Branching spherical video learning offers an immersive training approach, allowing nurses to refine their skills in a safe and controlled environment.

Methods

A mixed-methods design included a quasi-experimental pre-/post-test study and qualitative interviews. Participants were mental health nurses from a Western Canadian acute care mental health and addictions department. Anxiety and confidence were measured using the NASCCDM© and NCSE© scales before and after five training sessions. Qualitative data were gathered through individual interviews and analyzed using NVivo. SPSS was used for quantitative analysis.

Results

Twenty-two nurses participated, with significant improvements in confidence (12.3%) and self-efficacy (8.3%), alongside an 8.6% reduction in anxiety related to Code White clinical situations. Qualitative themes highlighted benefits such as realism of the scenario, skill reinforcement, and communication enhancement.

Conclusion

Branching spherical video learning effectively reduced anxiety and enhanced clinician confidence in high-risk psychiatric nursing scenarios. Addressing implementation challenges can maximize its educational potential.

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白色代码：一个分支球形视频学习经验，为持续能力心理健康护理教育

患者对心理健康护士的攻击行为是影响临床医生焦虑和患者护理质量的一个重要问题。传统的培训可能不能使护士充分准备好在临床环境或白色代码中管理有攻击性的病人。分支球形视频学习提供了一种身临其境的培训方法，允许护士在安全和受控的环境中完善他们的技能。方法采用混合方法设计，包括准实验前/测试后研究和定性访谈。参与者是来自加拿大西部急症护理心理健康和成瘾部门的心理健康护士。采用NASCCDM©和NCSE©量表对5次训练前后的焦虑和信心进行测量。通过个人访谈收集定性数据，并使用NVivo进行分析。采用SPSS软件进行定量分析。结果共有22名护士参与，她们的自信心（12.3%）和自我效能感（8.3%）均有显著提高，与白色代码临床情况相关的焦虑水平下降了8.6%。定性主题强调了场景的现实性、技能强化和沟通增强等好处。结论分支球形视频学习能有效减少精神科高危护理情境中临床医生的焦虑，增强临床医生的信心。解决实施方面的挑战可以最大限度地发挥其教育潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.