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dc.contributor.authorCooper, Sen
dc.contributor.authorMcConnell-Henry, Ten
dc.contributor.authorCant, Ren
dc.contributor.authorPorter, Jen
dc.contributor.authorMissen, Ken
dc.contributor.authorKinsman, Len
dc.contributor.authorEndacott, Ren
dc.contributor.authorScholes, Jen
dc.date.accessioned2018-05-26T15:38:15Z
dc.date.issued2011en
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.

en
dc.format.extent120 - 126en
dc.languageengen
dc.language.isoengen
dc.subjectEducationen
dc.subjectnursingen
dc.subjectpatient deteriorationen
dc.subjectsimulationen
dc.subjectsituation awareness.en
dc.titleManaging deteriorating patients: registered nurses' performance in a simulated setting.en
dc.typeJournal Article
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/22216077en
plymouth.volume5en
plymouth.publication-statusPublisheden
plymouth.journalOpen Nurs Jen
dc.identifier.doi10.2174/18744346011050100120en
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/00 Groups by role
plymouth.organisational-group/Plymouth/00 Groups by role/Academics
plymouth.organisational-group/Plymouth/Faculty of Health and Human Sciences
plymouth.organisational-group/Plymouth/Faculty of Health and Human Sciences/School of Nursing and Midwifery
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
dc.publisher.placeUnited Arab Emiratesen
dcterms.dateAccepted2011-09-30en
dc.identifier.eissn1874-4346en
dc.rights.embargoperiodNot knownen
rioxxterms.versionofrecord10.2174/18744346011050100120en
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2011en
rioxxterms.typeJournal Article/Reviewen


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