Effect of a hybrid team-based advanced cardiopulmonary life support simulation program for clinical nurses.

Background: During in-hospital cardiac arrest events, clinical nurses are often the first responders; therefore, nurses require sufficient advanced cardiac life support (ACLS) competency. This study aimed to verify the effects of a hybrid team-based ACLS simulation (HTAS) program (developed in this study) on nurses' ACLS performance, specifically ACLS knowledge, cardiopulmonary resuscitation (CPR) self-efficacy, and CPR-related stress.

Methods: The developed HTAS comprised four lecture videos, one team-based skills training video, and a team-based ACLS simulation.