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Managing the deteriorating patient in a simulated environment: nursing students’ knowledge, skill and situation awareness

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  • Simon Cooper
  • Leigh Kinsman
  • Penny Buykx
  • Tracy McConnell‐Henry
  • Ruth Endacott
  • Julie Scholes

Abstract

Aim. To examine, in a simulated environment, the ability of final‐year nursing students to assess, identify and respond to patients either deteriorating or at risk of deterioration. Background. The early identification and management of patient deterioration has a major impact on patient outcomes. ‘Failure to rescue’ is of international concern, with significant concerns over nurses’ ability to detect deterioration, the reasons for which are unknown. Design. Mixed methods incorporating quantitative measures of performance (knowledge, skill and situation awareness) and, to be reported at a later date, a qualitative reflective review of decision processes. Methods. Fifty‐one final‐year, final‐semester student nurses attended a simulation laboratory. Students completed a knowledge questionnaire and two video‐recorded simulated scenarios (mannequin based) to assess skill performance. The scenarios simulated deteriorating patients with hypovolaemic and septic shock. Situation awareness was measured by randomly stopping each scenario and asking a series of questions relating to the situation. Results. The mean knowledge score was 74% (range 46–100%) and the mean skill performance score across both scenarios was 60% (range 30–78%). Skill performance improved significantly (p

Suggested Citation

  • Simon Cooper & Leigh Kinsman & Penny Buykx & Tracy McConnell‐Henry & Ruth Endacott & Julie Scholes, 2010. "Managing the deteriorating patient in a simulated environment: nursing students’ knowledge, skill and situation awareness," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(15‐16), pages 2309-2318, August.
  • Handle: RePEc:wly:jocnur:v:19:y:2010:i:15-16:p:2309-2318
    DOI: 10.1111/j.1365-2702.2009.03164.x
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    Cited by:

    1. Qazi, Atika & Qazi, Javaria & Naseer, Khulla & Zeeshan, Muhammad & Qazi, Shiza & Abayomi-Alli, Olusola & Said Ahmad, Ibrahim & Darwich, Mohammad & Ali Talpur, Bandeh & Hardaker, Glenn & Naseem, Usman , 2021. "Adaption of distance learning to continue the academic year amid COVID-19 lockdown," Children and Youth Services Review, Elsevier, vol. 126(C).
    2. Carol Della Ratta, 2016. "Challenging graduate nurses' transition: Care of the deteriorating patient," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(19-20), pages 3036-3048, October.
    3. Abdualrahman Saeed Alshehry & Jonas Preposi Cruz & Meshrif Ahmad Bashtawi & Khalid Obaid Almutairi & Regie B. Tumala, 2021. "Nursing Students’ Knowledge, Competence and Attitudes towards Vital Signs Monitoring during Clinical Practice," Journal of Clinical Nursing, John Wiley & Sons, vol. 30(5-6), pages 664-675, March.
    4. Ricardo M Padilla & Ann M Mayo, 2018. "Clinical deterioration: A concept analysis," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1360-1368, April.
    5. Dianne C Marshall & Mary P Finlayson, 2018. "Identifying the nontechnical skills required of nurses in general surgical wards," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1475-1487, April.
    6. Marion Tower & Bernadette Watson & Alison Bourke & Emma Tyers & Anne Tin, 2019. "Situation awareness and the decision‐making processes of final‐year nursing students," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(21-22), pages 3923-3934, November.
    7. Claire Foley & Maura Dowling, 2019. "How do nurses use the early warning score in their practice? A case study from an acute medical unit," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(7-8), pages 1183-1192, April.
    8. Patricia L. Hart & LeeAnna Spiva & Lonnie Dolly & Kristen Lang‐Coleman & Nadia Prince‐Williams, 2016. "Medical‐surgical nurses' experiences as first responders during deterioration events: a qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(21-22), pages 3241-3251, November.

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