Managing patient deterioration: a protocol for enhancing undergraduate nursing students’ competence through web-based simulation and feedback techniques

Abstract

AimsTo describe a funded proposal for the development of an on-line evidence based educational program for the management of deteriorating patients.BackgroundThere are international concerns regarding the management of deteriorating patients with issues around the ‘failure to rescue’. The primary response to these issues has been the development of medical emergency teams with little focus on the education of primary first responders.Design/MethodsA mixed methods triangulated convergent design.In this four phase proposal we plan to 1. examine nursing student team ability to manage deteriorating patients and based upon these findings 2. develop web based educational material, including interactive scenarios. This educational material will be tested and refined in the third Phase 3, prior to evaluation and dissemination in the final phase.ConclusionThis project aims to enhance knowledge development for the management of deteriorating patients through rigorous assessment of team performance and to produce a contemporary evidence-based online training program.

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

“…Following the intervention an audit of patients' medical records showed improvements in the charting of vital signs, in pain score recording and in the correct delivery of oxygen therapy. The current study builds on the previous research (Buykx et al, 2011) and forms the first phase of a larger program of research funded by the Australian Learning and Teaching Council, the protocol of which has been published elsewhere (Cooper et al, 2012). This phase focuses on understanding clinical performance, teamwork, situation awareness and decision-making in undergraduate nursing students and this paper reports quantitative findings from the first phase.…”

Patient Deterioration Education: Evaluation of Face-to-Face Simulation and e-Simulation Approaches

“…We then used the findings from this study to inform the development of an interactive Web-based simulation program (Phase 2). Details of the full project protocol are reported elsewhere (Cooper et al, 2012). The reader should note that the educational approaches and delivery were different, and therefore, the purpose of this article was to focus on performance outcomes and participant evaluations in relation to the feasibility of each approach, aiming to ascertain the learning achieved through each.…”

Barriers and enablers to learning during team-based clinical simulations: Reflective interviews with final year undergraduate nursing students

“…The study reported here was embedded in a larger project that ultimately produced a web-based e-Simulation interactive teaching resource (FIRST2ACTWeb.com). Details of the project protocol are published [17] as are student performance outcomes [18] .…”