Mock Code Training SimulationNCT05945316
Performance Improvement: Does Mock Code Simulation Improve the Confidence Level of Newly Graduated Nurses?
An observational study of Mock Code Training Simulation, run by Methodist Health System at 1 site in United States.
Trial summary
The study is a descriptive correlational study over three surveys that will examine the improvement of confidence level associated between the implementation of mock code training simulation and the real live event. Read more about this study
- Who is it for?
- Ages 18 to 75 yearsHealthy volunteers can take part
- Conditions the study is for
- Mock Code Training Simulation
- What is being tested?
- Accessing Confidence levels of Nursing students
- Type of treatment
- Lifestyle or therapy programme
- How many people
- 150 participants
- Where
- 1 siteUnited States
- Study dates
- 16 Mar 2022to 22 Jul 2025
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Study population: All newly graduated nurses and nurse fellows in a residency training program at MCMC Able to read and understand English
Who may be able to join
- All newly graduated nurses and nurse fellows in a residency training program at MCMC Able to read and understand English
Who cannot join
- Clinical staff not affiliated with the residency and fellowship program.
Trial locations and contacts
1 site in 1 country.
United States1 site
Methodist Dallas Medical Center
Dallas, Texas, 75203
About this study
The study is a descriptive correlational study over three surveys that will examine the improvement of confidence level associated between the implementation of mock code training simulation and the real live event.
Read the detailed description
Participants will be asked to respond online to a questionnaire or survey launched via Survey Monkey®. Demographic information will be collected first Appendix B. A self-reported confidence level via the Student Satisfaction and self-confidence in learning scale will be utilized and serves as a data collection tool. The scale will be deployed via email as a scale A B and C Appendix C to each study participant and is the same scale. The participants will complete survey A after completion of the initial educational simulation training the survey B will be completed when the participants attended an unannounced simulation activity. Survey C will be completed after the first actively involved Code Blue situation. The survey is a 13-item instrument designed to measure student satisfaction five items with the simulation activity and self-confidence in learning eight items using a five-point scale. Reliability was tested using Cronbach's alpha: satisfaction equals 0.94 self-confidence equals 0.87 Franklin Burns and Lee 2014.
- Conditions
- Mock Code Training Simulation
- Being tested
- Accessing Confidence levels of Nursing students
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Accessing Confidence levels of Nursing studentsBehavioural
Also called Performance during CODE BLUE over time
Three mock CODE BLUE training events for Spring, Summer, and Fall Nursing Residents and Nursing Fellows are scheduled for 2022 followed by an actively participated CODE BLUE event. The PI plan to collect data from all new residents meeting the inclusion/exclusion criteria with voluntary participation to complete.
What is being measured
The primary outcome is the main question the study is designed to answer.
Accessing Confidence levels of Nursing students during CODE BLUE
The confidence level will be measured utilizing the Student Satisfaction and Self-Confidence in Learning Scale (SCLS). SCLS is a 13-item survey instrument designed to measure student satisfaction (five items) with the simulation activity and self-confidence in learning (eight items). Statements will be confirmed with answers on a five-point Likert scale: strongly disagree (1), disagree (2), undecided (3), agree (4), and strongly agree (5). Measures will occur during three different activities.
Measured: 2 years
Secondary outcomes (1)
Simulated cardiopulmonary resuscitation will improve confidence level in newly graduated nurses and nurse fellows during their residency training
The confidence level will be measured utilizing the Student Satisfaction and Self Confidence in Learning Scale (SCLS). SCLS is a 13-item survey instrument designed to measure student satisfaction (five items) with the simulation activity and self-confidence in learning (eight items). Statements will be confirmed with answers on a five-point Likert scale: strongly disagree (1), disagree (2), undecided (3), agree (4), and strongly agree (5). Measures will occur during three different activities.
Measured: 2 yrs
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Jul 2023
- Study start16 Mar 2022
- Primary completion22 Jul 2025
- Study completion22 Jul 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (10)Papers the sponsor has linked to this study.
- Other trials for Mock Code Training SimulationStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Ecologic or community
- Time perspective
- Prospective
- Enrolment
- 150 participants (actual)
Sponsor and investigators
- Lead sponsor
- Methodist Health System
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Anne-Gret Friedrich-Cuntz, EdD, Principal investigator, Methodist Charlton Medical Center (Methodist Health System-
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05945316
- Sponsor's protocol ID
- 008.NUR.2022.C
- Status last verified
- Jul 2025
- First submitted
- 6 Jul 2023
- Last updated
- 25 Jul 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: The PI is committed to disseminate research results in a timely fashion. Sharing of results generated by the data analysis during the course of the project will be through presentation at national scientific meetings and/or publication in open access journals. All information obtained will be source de-identified and presented on a large scale and not traceable to any one particular individual.
Publications
Advice, P.R.N. (2004). Staff development: Mock code, real value. Nursing2004
Carroll L, Pignataro S. Use of portable simulation manikins to increase the frequency of mock code training on four inpatient surgical units. J Contin Educ Nurs. 2009 Jun;40(6):250-1. doi: 10.3928/00220124-20090522-04.
PubMed 19639913Carney P. Mock code: a game that saves lives. RN (For Managers). 1983 Jul;46(7):18P. No abstract available.
PubMed 6553335Cardoza MP, Hood PA. Comparative study of baccalaureate nursing student self-efficacy before and after simulation. Comput Inform Nurs. 2012 Mar;30(3):142-7. doi: 10.1097/NCN.0b013e3182388936.
PubMed 22080746Franklin AE, Burns P, Lee CS. Psychometric testing on the NLN Student Satisfaction and Self-Confidence in Learning, Simulation Design Scale, and Educational Practices Questionnaire using a sample of pre-licensure novice nurses. Nurse Educ Today. 2014 Oct;34(10):1298-304. doi: 10.1016/j.nedt.2014.06.011. Epub 2014 Jul 9.
PubMed 25066650Hill CR, Dickter L, Van Daalen EM. A matter of life and death: the implementation of a Mock Code Blue Program in acute care. Medsurg Nurs. 2010 Sep-Oct;19(5):300-2, 304. No abstract available.
PubMed 21189744Huseman KF. Improving code blue response through the use of simulation. J Nurses Staff Dev. 2012 May-Jun;28(3):120-4. doi: 10.1097/NND.0b013e3182551506.
PubMed 22617782Kakora-Shiner N. Using ward-based simulation in cardiopulmonary training. Nurs Stand. 2009 May 27-Jun 2;23(38):42-7. doi: 10.7748/ns2009.05.23.38.42.c6975.
PubMed 19552045Marsch SC, Muller C, Marquardt K, Conrad G, Tschan F, Hunziker PR. Human factors affect the quality of cardiopulmonary resuscitation in simulated cardiac arrests. Resuscitation. 2004 Jan;60(1):51-6. doi: 10.1016/j.resuscitation.2003.08.004.
PubMed 14987784Ngo DQ, Vu C, Nguyen T, Sotolongo P, Talati M, Zahabi N, Platt K. The Effect of Mock Code Blue Simulations and Dedicated Advanced Cardiac Life Support Didactics on Resident Perceived Competency. Cureus. 2020 Nov 25;12(11):e11705. doi: 10.7759/cureus.11705.
PubMed 33391938
Study at a glance
From the registry record, last updated by the sponsor on 25 Jul 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Performance Improvement: Does Mock Code Simulation Improve the Confidence Level of Newly Graduated Nurses?
- ClinicalTrials.gov ID
- NCT05945316
- Acronym / sponsor ID
- 008.NUR.2022.C
- Conditions
- Mock Code Training Simulation
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 150 participants (actual)
- Lead sponsor
- Methodist Health SystemUniversity, hospital or other
- Study start
- 16 Mar 2022 (actual)
- Primary completion
- 22 Jul 2025 (actual)
- Study completion
- 22 Jul 2025 (actual)
- First posted
- 14 Jul 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study is a descriptive correlational study over three surveys that will examine the improvement of confidence level associated between the implementation of mock code training simulation and the real live event.
Detailed description
Participants will be asked to respond online to a questionnaire or survey launched via Survey Monkey®. Demographic information will be collected first Appendix B. A self-reported confidence level via the Student Satisfaction and self-confidence in learning scale will be utilized and serves as a data collection tool. The scale will be deployed via email as a scale A B and C Appendix C to each study participant and is the same scale. The participants will complete survey A after completion of the initial educational simulation training the survey B will be completed when the participants attended an unannounced simulation activity. Survey C will be completed after the first actively involved Code Blue situation. The survey is a 13-item instrument designed to measure student satisfaction five items with the simulation activity and self-confidence in learning eight items using a five-point scale. Reliability was tested using Cronbach's alpha: satisfaction equals 0.94 self-confidence equals 0.87 Franklin Burns and Lee 2014.
Study design
- Observational model
- Ecologic or community
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- All newly graduated nurses and nurse fellows in a residency training program at MCMC Able to read and understand English
Key inclusion criteria (1 listed)
- All newly graduated nurses and nurse fellows in a residency training program at MCMC Able to read and understand English
Key exclusion criteria (1 listed)
- Clinical staff not affiliated with the residency and fellowship program.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Accessing Confidence levels of Nursing studentsAlso: Performance during CODE BLUE over timeThree mock CODE BLUE training events for Spring, Summer, and Fall Nursing Residents and Nursing Fellows are scheduled for 2022 followed by an actively participated CODE BLUE event. The PI plan to collect data from all new residents meeting the inclusion/exclusion criteria with voluntary participation to complete. | Behavioural | – |
Primary outcome
Accessing Confidence levels of Nursing students during CODE BLUE
Time frame: 2 years
The confidence level will be measured utilizing the Student Satisfaction and Self-Confidence in Learning Scale (SCLS). SCLS is a 13-item survey instrument designed to measure student satisfaction (five items) with the simulation activity and self-confidence in learning (eight items). Statements will be confirmed with answers on a five-point Likert scale: strongly disagree (1), disagree (2), undecided (3), agree (4), and strongly agree (5). Measures will occur during three different activities.
1 secondary outcome
Simulated cardiopulmonary resuscitation will improve confidence level in newly graduated nurses and nurse fellows during their residency training
Time frame: 2 yrs
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Jul 2025.
- BackgroundAdvice, P.R.N. (2004). Staff development: Mock code, real value. Nursing2004
- Background: PubMed 19639913Carroll L, Pignataro S. Use of portable simulation manikins to increase the frequency of mock code training on four inpatient surgical units. J Contin Educ Nurs. 2009 Jun;40(6):250-1. doi: 10.3928/00220124-20090522-04.
- Background: PubMed 6553335Carney P. Mock code: a game that saves lives. RN (For Managers). 1983 Jul;46(7):18P. No abstract available.
- Background: PubMed 22080746Cardoza MP, Hood PA. Comparative study of baccalaureate nursing student self-efficacy before and after simulation. Comput Inform Nurs. 2012 Mar;30(3):142-7. doi: 10.1097/NCN.0b013e3182388936.
- Background: PubMed 25066650Franklin AE, Burns P, Lee CS. Psychometric testing on the NLN Student Satisfaction and Self-Confidence in Learning, Simulation Design Scale, and Educational Practices Questionnaire using a sample of pre-licensure novice nurses. Nurse Educ Today. 2014 Oct;34(10):1298-304. doi: 10.1016/j.nedt.2014.06.011. Epub 2014 Jul 9.
- Background: PubMed 21189744Hill CR, Dickter L, Van Daalen EM. A matter of life and death: the implementation of a Mock Code Blue Program in acute care. Medsurg Nurs. 2010 Sep-Oct;19(5):300-2, 304. No abstract available.
- Background: PubMed 22617782Huseman KF. Improving code blue response through the use of simulation. J Nurses Staff Dev. 2012 May-Jun;28(3):120-4. doi: 10.1097/NND.0b013e3182551506.
- Background: PubMed 19552045Kakora-Shiner N. Using ward-based simulation in cardiopulmonary training. Nurs Stand. 2009 May 27-Jun 2;23(38):42-7. doi: 10.7748/ns2009.05.23.38.42.c6975.
- Background: PubMed 14987784Marsch SC, Muller C, Marquardt K, Conrad G, Tschan F, Hunziker PR. Human factors affect the quality of cardiopulmonary resuscitation in simulated cardiac arrests. Resuscitation. 2004 Jan;60(1):51-6. doi: 10.1016/j.resuscitation.2003.08.004.
- Background: PubMed 33391938Ngo DQ, Vu C, Nguyen T, Sotolongo P, Talati M, Zahabi N, Platt K. The Effect of Mock Code Blue Simulations and Dedicated Advanced Cardiac Life Support Didactics on Resident Perceived Competency. Cureus. 2020 Nov 25;12(11):e11705. doi: 10.7759/cureus.11705.
- Individual participant dataSharing planned: Yes. The PI is committed to disseminate research results in a timely fashion. Sharing of results generated by the data analysis during the course of the project will be through presentation at national scientific meetings and/or publication in open access journals. All information obtained will be source de-identified and presented on a large scale and not traceable to any one particular individual.
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Anne-Gret Friedrich-Cuntz, EdD principal investigator
Methodist Charlton Medical Center (Methodist Health System-
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Mock Code Training Simulation, run by Methodist Health System at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 25 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Accessing Confidence levels of Nursing students during CODE BLUE (time frame: 2 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05945316, which also lists 10 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Jul 2025.