Simulation strategies to Develop Undergraduate Nurses skills to identify patient deterioration. A quasi-experimental study

Article

Tutticci, Naomi, Johnston, Sandra, Gillan, Pauline, McEnroe, Georgia, Lesse, Ryan, Currie, Jane, Ramsbotham, Joanne, Theobald, Karen and Delaney, Lori. 2024. "Simulation strategies to Develop Undergraduate Nurses skills to identify patient deterioration. A quasi-experimental study." Clinical Simulation in Nursing. 91. https://doi.org/10.1016/j.ecns.2024.101534

Article Title	Simulation strategies to Develop Undergraduate Nurses skills to identify patient deterioration. A quasi-experimental study
ERA Journal ID	41339
Article Category	Article
Authors	Tutticci, Naomi, Johnston, Sandra, Gillan, Pauline, McEnroe, Georgia, Lesse, Ryan, Currie, Jane, Ramsbotham, Joanne, Theobald, Karen and Delaney, Lori
Journal Title	Clinical Simulation in Nursing
Journal Citation	91
Article Number	101534
Number of Pages	8
Year	2024
Publisher	Elsevier
Place of Publication	United States
ISSN	1876-1399
Digital Object Identifier (DOI)	https://doi.org/10.1016/j.ecns.2024.101534
Web Address (URL)	https://www.sciencedirect.com/science/article/pii/S1876139924000264
Abstract	Background Graduate nurses are unprepared to recognize and respond to patient deterioration. Simulation involving micro-debriefing with feedback and opportunities for repeated performance can improve simulated clinical practice. Methods A prospective quasi-experimental design evaluating two simulation approaches (Standard simulation versus Rapid Cycle Intentional Simulation) recruited 138 second year undergraduate nursing students. Results During simulations the intervention groups demonstrated behaviors associated with situational awareness, in context of a deteriorating patient. Conversely control groups initiated incorrect clinical actions throughout the scenario, potentially harming the simulated patient. Conclusions Simulation that involves interruptions and micro-debriefings has been shown to improve student performance in deteriorating patient simulations.
Keywords	nursing; simulation training; education; undergraduate nursing; facilitation; deteriorating patient; clinical deterioration; situational awareness
Contains Sensitive Content	Does not contain sensitive content
ANZSRC Field of Research 2020	4205. Nursing
Byline Affiliations	Queensland University of Technology
	Griffith University
	Charles Sturt University
	Royal Brisbane and Women’s Hospital, Australia
	University of Queensland

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