IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v26y2017i23-24p4848-4856.html
   My bibliography  Save this article

The impact of a Web‐based educational program on the recognition and management of deteriorating patients

Author

Listed:
  • Sok Ying Liaw
  • Devon Yun Jia Chng
  • Lai Fun Wong
  • Jasmine Tze Yin Ho
  • Siti Zubaidah Mordiffi
  • Simon Cooper
  • Wei Ling Chua
  • Emily Neo Kim Ang

Abstract

Aims and objectives To evaluate the effectiveness of a Web‐based educational program to enhance enrolled nurses’ knowledge and skills in the recognition and management of deteriorating patients. Background Ward nurses of different skill levels play a pivotal role in detecting and responding to deteriorating patients. A skill mix of registered nurses, enrolled nurses, licensed practical nurses or healthcare assistants is often employed for the provision of nursing care in acute settings. Non‐registered nurses frequently perform bedside care and are in the best position to detect deteriorating patients and initiate immediate actions, including commanding the attention of registered nurses. Education is needed to improve the knowledge and skills of these nurses. Design A randomised controlled trial with a pretest–post‐test design. Methods The sample included enrolled nurses from an acute care tertiary hospital. Following a baseline evaluation, the experimental group received a Web‐based educational intervention. Pre–post assessment of skills and knowledge was performed with a simulated scenario and a knowledge questionnaire. Sixty‐four nurses completed the entire study. Results Following the intervention, participants from the experimental group were significantly more likely than those in the control group to monitor the patient's respiratory and pulse rates. In addition, they had significantly higher post‐test mean scores for knowledge and skills in assessing and managing clinical deterioration and reporting deterioration. Conclusion The Web‐based educational intervention significantly improved enrolled nurses’ knowledge and skills in the recognition and management of a deteriorating patient in a simulated setting. Relevance to clinical practice Ease of access to the Web‐based platform contributed to the feasibility and acceptability of this study, which has the potential to positively impact patient safety.

Suggested Citation

  • Sok Ying Liaw & Devon Yun Jia Chng & Lai Fun Wong & Jasmine Tze Yin Ho & Siti Zubaidah Mordiffi & Simon Cooper & Wei Ling Chua & Emily Neo Kim Ang, 2017. "The impact of a Web‐based educational program on the recognition and management of deteriorating patients," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4848-4856, December.
    • Handle: RePEc:wly:jocnur:v:26:y:2017:i:23-24:p:4848-4856
    DOI: 10.1111/jocn.13955
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.13955
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.13955?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Mandy Odell, 2015. "Detection and management of the deteriorating ward patient: an evaluation of nursing practice," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(1-2), pages 173-182, January.
    2. Julie Considine & Carissa Trotter & Judy Currey, 2016. "Nurses' documentation of physiological observations in three acute care settings," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(1-2), pages 134-143, January.
    3. Simon Cooper & Robyn Cant & Louise Sparkes, 2014. "Respiratory rate records: the repeated rate?," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(9-10), pages 1236-1238, May.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Patrick Yongxing Lin & Wei Ling Chua & Wen Qi Mok & Sok Ying Liaw, 2016. "Using a case‐based animation on physiological compensatory mechanism to remediate nurses' misconceptions about changes in patient vital signs," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(3-4), pages 566-568, February.
    2. Clint Douglas & Catriona Booker & Robyn Fox & Carol Windsor & Sonya Osborne & Glenn Gardner, 2016. "Nursing physical assessment for patient safety in general wards: reaching consensus on core skills," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(13-14), pages 1890-1900, July.
    3. Doug Elliott & Emily Allen & Sharon McKinley & Lin Perry & Christine Duffield & Margaret Fry & Robyn Gallagher & Rick Iedema & Michael Roche, 2016. "User acceptance of observation and response charts with a track and trigger system: a multisite staff survey," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(15-16), pages 2211-2222, August.
    4. Chiara Dall’Ora & Peter Griffiths & Joanna Hope & Hannah Barker & Gary B Smith, 2020. "What is the nursing time and workload involved in taking and recording patients’ vital signs? A systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(13-14), pages 2053-2068, July.
    5. Joanna Hope & Alejandra Recio‐Saucedo & Carole Fogg & Peter Griffiths & Gary B Smith & Greta Westwood & Paul E Schmidt, 2018. "A fundamental conflict of care: Nurses’ accounts of balancing patients' sleep with taking vital sign observations at night," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(9-10), pages 1860-1871, May.
    6. Erika Gray & Judy Currey & Julie Considine, 2018. "Hospital in the Home nurses’ recognition and response to clinical deterioration," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(9-10), pages 2152-2160, May.
    7. Gitte Bunkenborg & Lars Smith‐Hansen & Ingrid Poulsen, 2019. "Implementing mandatory early warning scoring impacts nurses’ practice of documenting free text notes," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(15-16), pages 2990-3000, August.
    8. 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.
    9. Katherine Lambe & Judy Currey & Julie Considine, 2017. "Emergency nurses’ decisions regarding frequency and nature of vital sign assessment," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(13-14), pages 1949-1959, July.
    10. Stephanie K. Sprogis & Judy Currey & Julie Considine, 2019. "Patient acceptability of wearable vital sign monitoring technologies in the acute care setting: A systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(15-16), pages 2732-2744, August.
    11. Suad Mohammmed Iddrisu & Ana F Hutchinson & Yasmin Sungkar & Julie Considine, 2018. "Nurses' role in recognising and responding to clinical deterioration in surgical patients," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(9-10), pages 1920-1930, May.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:26:y:2017:i:23-24:p:4848-4856. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.