Undergraduate nursing students' performance in recognising and responding to sudden patient deterioration in high psychological fidelity simulated environments: an Australian multi-centre study

Bogossian, Fiona E., Cooper, Simon, Cant, Robyn, Beauchamp, Alison, Porter, Joanne, Kain, Victoria, Bucknall, Tracey, Phillips, Nicole M. and The FIRST2ACT Research Team (2014) Undergraduate nursing students' performance in recognising and responding to sudden patient deterioration in high psychological fidelity simulated environments: an Australian multi-centre study. Nurse Education Today, 34 5: 691-696. doi:10.1016/j.nedt.2013.09.015


Author Bogossian, Fiona E.
Cooper, Simon
Cant, Robyn
Beauchamp, Alison
Porter, Joanne
Kain, Victoria
Bucknall, Tracey
Phillips, Nicole M.
The FIRST2ACT Research Team
Title Undergraduate nursing students' performance in recognising and responding to sudden patient deterioration in high psychological fidelity simulated environments: an Australian multi-centre study
Journal name Nurse Education Today   Check publisher's open access policy
ISSN 0260-6917
1532-2793
Publication date 2014-05
Year available 2013
Sub-type Article (original research)
DOI 10.1016/j.nedt.2013.09.015
Open Access Status
Volume 34
Issue 5
Start page 691
End page 696
Total pages 6
Place of publication Kidlington, United Kingdom
Publisher Churchill Livingstone
Collection year 2014
Language eng
Formatted abstract
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.
Keyword Education
Nursing
Patient deterioration
Clinical performance
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online 29 September 2013

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Nursing, Midwifery and Social Work Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 19 times in Thomson Reuters Web of Science Article | Citations
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Created: Mon, 02 Dec 2013, 14:13:11 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work