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 ID41339
Article CategoryArticle
AuthorsTutticci, Naomi, Johnston, Sandra, Gillan, Pauline, McEnroe, Georgia, Lesse, Ryan, Currie, Jane, Ramsbotham, Joanne, Theobald, Karen and Delaney, Lori
Journal TitleClinical Simulation in Nursing
Journal Citation91
Article Number101534
Number of Pages8
Year2024
PublisherElsevier
Place of PublicationUnited States
ISSN1876-1399
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.

Keywordsnursing; simulation training; education; undergraduate nursing; facilitation; deteriorating patient; clinical deterioration; situational awareness
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 20204205. Nursing
Byline AffiliationsQueensland University of Technology
Griffith University
Charles Sturt University
Royal Brisbane and Women’s Hospital, Australia
University of Queensland
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