Situation awareness in undergraduate nursing students managing simulated patient deterioration

McKenna, Lisa, Missen, Karen, Cooper, Simon, Bogossian, Fiona, Bucknall, Tracey and Cant, Robyn (2014) Situation awareness in undergraduate nursing students managing simulated patient deterioration. Nurse Education Today, 34 6: . doi:10.1016/j.nedt.2013.12.013

Author McKenna, Lisa
Missen, Karen
Cooper, Simon
Bogossian, Fiona
Bucknall, Tracey
Cant, Robyn
Title Situation awareness in undergraduate nursing students managing simulated patient deterioration
Journal name Nurse Education Today   Check publisher's open access policy
ISSN 0260-6917
Publication date 2014-01-11
Sub-type Article (original research)
DOI 10.1016/j.nedt.2013.12.013
Open Access Status
Volume 34
Issue 6
Total pages 5
Place of publication Kidlington, United Kingdom
Publisher Churchill Livingstone
Collection year 2015
Language eng
Formatted abstract
Background: Nursing work often occurs in complex and potentially hazardous settings. Awareness of patient and practice environments is an imperative for nurses in practice.

Objectives: To explore nursing students' situation awareness while engaging in simulated patient deterioration scenarios.

Design: The educational process of FIRST2ACT was the model for the nurse intervention. Situation awareness was measured quantitatively using the Situation Awareness Global Assessment tool. Four domains were measured: physiological perception (patient parameters), global perception (surroundings), comprehension (interpretation of information), and projection (forecasting outcomes).

Settings: Clinical laboratories at each of three participating universities.

Participants: Ninety-seven nursing students from three Australian universities.

Methods: Between March and July 2012, students participated in three video-recorded simulation events, in which a trained actor played patient roles and groups of three students worked as teams. To measure situation awareness, following the simulation each team leader was taken to a separate room and asked to report on a question set regarding the patient's vital signs, bedside setting and medical diagnosis.

Results and Conclusions: Overall, situation awareness was low (41%). Of the four domains, physiological perceptions scored the lowest (26%) and projection the highest (59%). Final year nursing students may not have well developed situation awareness skills, especially when dealing with these types of scenarios. Education providers need to consider ways to assist students to fully develop this attribute. Findings suggest that this is an aspect of undergraduate nursing education that requires significant consideration by curriculum developers. 
Keyword Decision making
Nursing student
Simulation education
Situation awareness
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Nursing, Midwifery and Social Work Publications
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Created: Wed, 19 Feb 2014, 13:19:14 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work