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Analisis mengikuti kerangka PRISMA-ScR dengan penelusuran artikel open access PubMed, SciELO, dan ScienceDirect periode 2014–2024. Hasil sepuluh studi menunjukkan peningkatan signifikan pada kompetensi psikomotor serta kepatuhan algoritma ACLS (p\u003C0,05), namun juga ditemukan skills decay bermakna pada bulan ke-3 hingga ke-6. Pendekatan Unannounced Mock Codes dan Low-Dose High-Frequency (LDHF) menurunkan response time dari sekitar 3 menit menjadi di bawah 90 detik. Efikasi jangka panjang memerlukan program penyegaran berkelanjutan.",{"@graph":63,"@context":123},[64,81,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,72,75,78],{"item":68,"name":69,"@type":70,"position":71},"https://docshare.wps.com","Home","ListItem",1,{"item":73,"name":9,"@type":70,"position":74},"https://docshare.wps.com/id/document/",2,{"item":76,"name":31,"@type":70,"position":77},"https://docshare.wps.com/id/document/penelitian-laporan/",3,{"item":79,"name":59,"@type":70,"position":80},"https://docshare.wps.com/id/document/efficacy-of-megacode-simulation-training-on-nurses-clinical-competency-and-crisis-resource-management-crm-in-cardiopulmonary-resuscitation-a-scoping-review/370038/",4,{"url":79,"name":59,"@type":82,"image":83,"author":88,"headline":59,"publisher":91,"fileFormat":94,"inLanguage":57,"description":61,"dateModified":95,"datePublished":96,"encodingFormat":94,"isAccessibleForFree":97,"interactionStatistic":98},"DigitalDocument",{"url":84,"@type":85,"width":86,"height":87},"https://docshare.wps.com/thumbnails/efficacy-of-megacode-simulation-training-on-nurses-clinical-competency-and-crisis-resource-management-crm-in-cardiopulmonary-resuscitation-a-scoping-review/370038.png","ImageObject",300,407,{"name":89,"@type":90},"Levi","Person",{"url":68,"name":92,"@type":93},"DocShare","Organization","application/pdf","2026-10-03","2026-09-23",true,{"@type":99,"interactionType":100,"userInteractionCount":74},"InteractionCounter",{"@type":101},"ViewAction",{"@type":103,"mainEntity":104},"FAQPage",[105,111,115,119],{"name":106,"@type":107,"acceptedAnswer":108},"Apa tujuan utama scoping review ini?","Question",{"text":109,"@type":110},"Menelaah dan memetakan bukti ilmiah tentang efikasi pelatihan simulasi Megacode terhadap kompetensi klinis, keterampilan non-teknis (CRM), instrumen evaluasi, serta retensi kemampuan perawat di rumah sakit.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"Metode apa yang digunakan dalam penelitian ini?",{"text":114,"@type":110},"Scoping review disusun berdasarkan kerangka PRISMA-ScR. Pencarian dilakukan pada PubMed, SciELO, dan ScienceDirect untuk artikel open access berbahasa Inggris dan Indonesia periode 2014–2024, lalu dianalisis secara tematik.",{"name":116,"@type":107,"acceptedAnswer":117},"Apa temuan utama terkait kompetensi perawat setelah pelatihan?",{"text":118,"@type":110},"Pelatihan meningkatkan skor kompetensi psikomotor dan kepatuhan terhadap algoritma ACLS secara signifikan (p\u003C0,05). Pada aspek non-teknis, pelatihan efektif meningkatkan efikasi diri, kepemimpinan, dan komunikasi tim.",{"name":120,"@type":107,"acceptedAnswer":121},"Bagaimana kondisi retensi kemampuan dan apakah ada strategi yang lebih efektif?",{"text":122,"@type":110},"Seluruh studi melaporkan degradasi kemampuan (skills decay) signifikan mulai bulan ke-3 hingga ke-6. Unannounced Mock Codes dan pendekatan LDHF lebih efektif memangkas response time menjadi di bawah 90 detik dibanding pelatihan tahunan konvensional.","https://schema.org",{"og:url":79,"og:type":125,"og:title":59,"og:site_name":92,"og:description":61},"article",{"robots":127,"canonical":79},"index,follow",{"doc_id":129,"site_id":56},370038,1790987069,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":89,"user_avatar":134,"doc_module":4,"category_id":30,"category_name":31,"doc_title":59,"doc_description":61,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":74,"is_deleted":4,"is_public":71,"is_downloadable":71,"audit_status":71,"page_count":140,"language":141,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":61,"update_tm":145,"read_time":146},7971461740909,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","EFIKASI PELATIHAN SIMULASI MEGACODE TERHADAP KOMPETENSI KLINIS DAN CRISIS RESOURCE MANAGEMENT (CRM) PERAWAT DALAM RESUSITASI JANTUNG PARU: SEBUAH  \nSCOPING REVIEW  \nPanji Putro Pamungkas1  \n1Nursng Development Mayapada Hospital Surabaya  \nAbstrak  \nLatar Belakang: Kejadian henti jantung di rumah sakit (In-Hospital Cardiac Arrest) menuntutrespons tim yang cepat, terkoordinasi, dan kompeten. Simulasi Megacode dianggap sebagaistandar emas karena mampu mengintegrasikan keterampilan teknis (psikomotor) denganketerampilan non-teknis. Pemetaan literatur yang komprehensif diperlukan untuk mengevaluasiefektivitas metode ini dalam memitigasi penurunan kemampuan perawat. Tujuan: Menelaahdan memetakan bukti ilmiah terkait efikasi pelatihan simulasi Megacode terhadap kompetensiklinis, keterampilan non-teknis (Crisis Resource Management), instrumen evaluasi yang digunakan, serta fenomena retensi kemampuan perawat di tatanan rumah sakit. Metode: Scoping review ini disusun berdasarkan kerangka kerja PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses for Scoping Reviews) . Pencarian literatur dilakukan pada basis data PubMed, SciELO, dan ScienceDirect untuk artikel openaccess berbahasa Inggris dan Indonesia dalam rentang waktu 10 tahun terakhir (2014–2024) . Analisis data dilakukan secara tematik untuk mengidentifikasi pola efikasi dan hambatan implementasi. Hasil: Dari sepuluh studi yang dianalisis (N=10), ditemukan bahwa simulasi Megacode meningkatkan skor kompetensipsikomotor dan kepatuhan terhadap algoritma ACLS secara signifikan (p \u003C 0,05). Dalam aspek non-teknis, pelatihan ini secara efektif meningkatkanefikasi diri, kepemimpinan, dan komunikasi dalam tim. Namun, seluruh studi melaporkanadanya degradasi kemampuan (skills decay) yang signifikan mulai bulan ke-3 hingga ke-6 pasca-pelatihan. Implementasi metode Unannounced Mock Codes dan pendekatan Low-Dose High-Frequency (LDHF) terbukti lebih efektif dalam memangkas waktu respons (response time) dari rata-rata 3 menit menjadi di bawah 90 detik dibandingkan pelatihan tahunan konvensional. Kesimpulan: Simulasi Megacode sangat efektif untuk meningkatkan kesiapan resusitasi, namun efikasinya bersifat sementara jika tidak didukung dengan program penyegaran berkelanjutan.  \nKata Kunci : Megacode; Resusitasi Jantung Paru; Crisis Resource Management; Skills Decay.  \nTHE EFFICACY OF MEGACODE SIMULATION TRAINING ON NURSES' CLINICAL AND NON-TECHNICAL COMPETENCIES IN CARDIOPULMONARY RESUSCITATION: A SCOPING REVIEW  \nAbstrack  \nBackground: In-hospital cardiac arrest (IHCA) requires a rapid, coordinated, and highly competent team response. Megacode simulation is considered the gold standardfor integrating technical (psychomotor) and non-technical skills. Given the vital role of Nursing Development departments in maintaining clinical quality, a comprehensive literature mapping is essential to optimize training strategies and mitigate competency degradation. Objective: To review and map scientific evidence regarding the efficacy of Megacode simulation, evaluation instruments, non-technical aspects (Crisis Resource Management), skill retention, and the clinical impact on hospital nurses. Methods: This scoping review followed the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses for Scoping Reviews) framework. A literature search was conducted across PubMed/PMC, SciELO, and ScienceDirect databases for open-access articles published within the last decade. Data were analyzed thematically to identify patterns of efficacy and implementation challenges. Results: Ten studies (N = 10) were included in the final analysis. Findings indicate that Megacode simulation significantly enhances psychomotor skills and adherence to ACLS algorithms (p \u003C 0.05). Regarding nontechnical skills, the training improves self-efficacy, leadership, and team communication. However, a sharp \"skills decay\" was consistently detected between the 3rd and 6th months posttraining. The i","cbCaiknnyrAxXPVA","https://ap.wps.com/l/cbCaiknnyrAxXPVA","pdf",1761221,11,"Indonesian","# Abstrak\n## Latar Belakang\n## Tujuan\n## Metode\n## Hasil\n## Kesimpulan\n# Latar Belakang\n## Tantangan IHCA dan dampaknya\n## Peran perawat dan tuntutan kompetensi ACLS\n## Kesenjangan praktik di lapangan","[{\"question\":\"Apa tujuan utama scoping review ini?\",\"answer\":\"Menelaah dan memetakan bukti ilmiah tentang efikasi pelatihan simulasi Megacode terhadap kompetensi klinis, keterampilan non-teknis (CRM), instrumen evaluasi, serta retensi kemampuan perawat di rumah sakit.\"},{\"question\":\"Metode apa yang digunakan dalam penelitian ini?\",\"answer\":\"Scoping review disusun berdasarkan kerangka PRISMA-ScR. Pencarian dilakukan pada PubMed, SciELO, dan ScienceDirect untuk artikel open access berbahasa Inggris dan Indonesia periode 2014–2024, lalu dianalisis secara tematik.\"},{\"question\":\"Apa temuan utama terkait kompetensi perawat setelah pelatihan?\",\"answer\":\"Pelatihan meningkatkan skor kompetensi psikomotor dan kepatuhan terhadap algoritma ACLS secara signifikan (p\\u003c0,05). Pada aspek non-teknis, pelatihan efektif meningkatkan efikasi diri, kepemimpinan, dan komunikasi tim.\"},{\"question\":\"Bagaimana kondisi retensi kemampuan dan apakah ada strategi yang lebih efektif?\",\"answer\":\"Seluruh studi melaporkan degradasi kemampuan (skills decay) signifikan mulai bulan ke-3 hingga ke-6. Unannounced Mock Codes dan pendekatan LDHF lebih efektif memangkas response time menjadi di bawah 90 detik dibanding pelatihan tahunan konvensional.\"}]","EFIKASI PELATIHAN SIMULASI MEGACODE TERHADAP KOMPETENSI KLINIS DAN CRISIS RESOURCE MANAGEMENT (CRM) PERAWAT DALAM RESUSITASI JANTUNG PARU - SEBUAH SCOPING REVIEW | PDF",1790186398,17]