Recognizing and managing a deteriorating patient: a randomized controlled trial investigating the effectiveness of clinical simulation in improving clinical performance in undergraduate nursing students

Stayt, Louise and Merriman, Clair and Ricketts, Barry and Morton, Sean and Simpson, Trevor (2015) Recognizing and managing a deteriorating patient: a randomized controlled trial investigating the effectiveness of clinical simulation in improving clinical performance in undergraduate nursing students. Journal of Advanced Nursing, 71 (10). p. 2455. ISSN 1365-2648

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Item Type:Article
Item Status:Live Archive

Abstract

Aims. To report the results of a randomized controlled trial which explored
the effectiveness of clinical simulation in improving the clinical performance of
recognizing and managing an adult deteriorating patient in hospital.
Background. There is evidence that final year undergraduate nurses may lack
knowledge, clinical skills and situation awareness required to manage a
deteriorating patient competently. The effectiveness of clinical simulation as a
strategy to teach the skills required to recognize and manage the early signs of
deterioration needs to be evaluated.
Design. This study was a two centre phase II single, randomized, controlled trial
with single blinded assessments.
Method. Data were collected in July 2013. Ninety-eight first year nursing
students were randomized either into a control group, where they received a
traditional lecture, or an intervention group where they received simulation.
Participants completed a pre- and postintervention objective structured clinical
examination. General Perceived Self Efficacy and Self-Reported Competency
scores were measured before and after the intervention. Student satisfaction with
teaching was also surveyed.
Results. The intervention group performed significantly better in the postobjective
structured clinical examination. There was no significant difference in
the postintervention General Perceived Self Efficacy and Self-Reported
Competency scores between the control and intervention group. The intervention
group was significantly more satisfied with their teaching method.

Conclusion. Simulation-based education may be an effective educational strategy
to teach nurses the skills to effectively recognize and manage a deteriorating
patient.
Keywords: clinical performance, critical illness, nursing education, patient deterioration,
patient simulation, randomized controlled trial, self-efficacy

Keywords:clinical performance, critical illness, nursing education, patient deterioration, NotOAChecked
Subjects:X Education > X200 Research and Study Skills in Education
X Education > X342 Academic studies in Higher Education
B Subjects allied to Medicine > B700 Nursing
Divisions:College of Social Science > School of Health & Social Care
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ID Code:18554
Deposited On:09 Sep 2015 15:12

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