Show simple item record

dc.contributor.authorBogossian, Fiona
dc.contributor.authorCooper, Simon
dc.contributor.authorCant, Robyn
dc.contributor.authorBeauchamp, Alison
dc.contributor.authorPorter, Joanne
dc.contributor.authorKain, Victoria
dc.contributor.authorBucknall, Tracey
dc.contributor.authorPhillips, Nicole M
dc.date.accessioned2017-05-03T14:28:30Z
dc.date.available2017-05-03T14:28:30Z
dc.date.issued2014
dc.identifier.issn0260-6917
dc.identifier.doi10.1016/j.nedt.2013.09.015
dc.identifier.urihttp://hdl.handle.net/10072/66926
dc.description.abstractBackground Early recognition and situation awareness of sudden patient deterioration, a timely appropriate clinical response, and teamwork are critical to patient outcomes. High fidelity simulated environments provide the opportunity for undergraduate nursing students to develop and refine recognition and response skills. Objectives This paper reports the quantitative findings of the first phase of a larger program of ongoing research: Feedback Incorporating Review and Simulation Techniques to Act on Clinical Trends (FIRST2ACTTM). It specifically aims to identify the characteristics that may predict primary outcome measures of clinical performance, teamwork and situation awareness in the management of deteriorating patients. Design Mixed-method multi-centre study. Setting High fidelity simulated acute clinical environment in three Australian universities. Participants A convenience sample of 97 final year nursing students enrolled in an undergraduate Bachelor of Nursing or combined Bachelor of Nursing degree were included in the study. Method In groups of three, participants proceeded through three phases: (i) pre-briefing and completion of a multi-choice question test, (ii) three video-recorded simulated clinical scenarios where actors substituted real patients with deteriorating conditions, and (iii) post-scenario debriefing. Clinical performance, teamwork and situation awareness were evaluated, using a validated standard checklist (OSCE), Team Emergency Assessment Measure (TEAM) score sheet and Situation Awareness Global Assessment Technique (SAGAT). A Modified Angoff technique was used to establish cut points for clinical performance. Results Student teams engaged in 97 simulation experiences across the three scenarios and achieved a level of clinical performance consistent with the experts' identified pass level point in only 9 (1%) of the simulation experiences. Knowledge was significantly associated with overall teamwork (p = .034), overall situation awareness (p = .05) and clinical performance in two of the three scenarios (p = .032 cardiac and p = .006 shock). Situation awareness scores of scenario team leaders were low overall, with an average total score of 41%. Conclusions Final year undergraduate nursing students may have difficulty recognising and responding appropriately to patient deterioration. Improving pre-requisite knowledge, rehearsal of first response and team management strategies need to be a key component of undergraduate nursing students' education and ought to specifically address clinical performance, teamwork and situation awareness.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoen_US
dc.publisherChurchill Livingstone
dc.publisher.placeUnited Kingdom
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom691
dc.relation.ispartofpageto696
dc.relation.ispartofissue5
dc.relation.ispartofjournalNurse Education Today
dc.relation.ispartofvolume34
dc.rights.retentionY
dc.subject.fieldofresearchNursing not elsewhere classified
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode111099
dc.subject.fieldofresearchcode1110
dc.titleUndergraduate nursing students' performance in recognising and responding to sudden patient deterioration in high psychological fidelity simulated environments: an Australian multi-centre study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.date.issued2015-06-04T03:43:06Z
gro.hasfulltextNo Full Text
gro.griffith.authorKain, Victoria J.


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record