Show simple item record

dc.contributor.authorCooper, S
dc.contributor.authorMcConnell-Henry, T
dc.contributor.authorCant, R
dc.contributor.authorPorter, J
dc.contributor.authorMissen, K
dc.contributor.authorKinsman, L
dc.contributor.authorEndacott, R
dc.contributor.authorScholes, J
dc.date.accessioned2018-05-26T15:38:15Z
dc.date.issued2011-11-18
dc.identifier.issn1874-4346
dc.identifier.issn1874-4346
dc.identifier.urihttp://hdl.handle.net/10026.1/11601
dc.description.abstract

AIM: To examine, in a simulated environment, rural nurses' ability to assess and manage patient deterioration using measures of knowledge, situation awareness and skill performance. BACKGROUND: Nurses' ability to manage deterioration and 'failure to rescue' are of significant concern with questions over knowledge and clinical skills. Simulated emergencies may help to identify and develop core skills. METHODS: An exploratory quantitative performance review. Thirty five nurses from a single ward completed a knowledge questionnaire and two video recorded simulated scenarios in a rural hospital setting. Patient actors simulated deteriorating patients with an Acute Myocardial Infarction (AMI) and Chronic Obstructive Pulmonary Disease (COPD) as the primary diagnosis. How aware individuals were of the situation (levels of situation awareness) were measured at the end of each scenario. RESULTS: KNOWLEDGE OF DETERIORATION MANAGEMENT VARIED CONSIDERABLY (RANGE: 27%-91%) with a mean score of 67%. Average situation awareness scores and skill scores across the two scenarios (AMI and COPD) were low (50%) with many important observations and actions missed. Participants did identify that 'patients' were deteriorating but as each patient deteriorated staff performance declined with a reduction in all observational records and actions. In many cases, performance decrements appeared to be related to high anxiety levels. Participants tended to focus on single signs and symptoms and failed to use a systematic approach to patient assessment. CONCLUSION: Knowledge and skills were generally low in this rural hospital sample with notable performance decrements as patients acutely declined. Educational models that incorporate high fidelity simulation and feedback techniques are likely to have a significant positive impact on performance.

dc.format.extent120-126
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoeng
dc.publisherBentham Science Publishers Ltd.
dc.subjectEducation
dc.subjectnursing
dc.subjectpatient deterioration
dc.subjectsimulation
dc.subjectsituation awareness.
dc.titleManaging Deteriorating Patients: Registered Nurses’ Performance in a Simulated Setting
dc.typejournal-article
dc.typeJournal Article
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/22216077
plymouth.issue1
plymouth.volume5
plymouth.publisher-urlhttp://dx.doi.org/10.2174/18744346011050100120
plymouth.publication-statusPublished
plymouth.journalThe Open Nursing Journal
dc.identifier.doi10.2174/18744346011050100120
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Users by role
dc.publisher.placeUnited Arab Emirates
dcterms.dateAccepted2011-09-30
dc.identifier.eissn1874-4346
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.2174/18744346011050100120
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2011
rioxxterms.typeJournal Article/Review


Files in this item

Thumbnail
Thumbnail

This item appears in the following Collection(s)

Show simple item record


All items in PEARL are protected by copyright law.
Author manuscripts deposited to comply with open access mandates are made available in accordance with publisher policies. Please cite only the published version using the details provided on the item record or document. In the absence of an open licence (e.g. Creative Commons), permissions for further reuse of content should be sought from the publisher or author.
Theme by 
Atmire NV