Preparing for RN Practice:ᅠThe Impact of a Deteriorating Patient Simulation on Senior Students' Clinical Skill Capabilities and Responses

2.50
Hdl Handle:
http://hdl.handle.net/10755/243175
Category:
Abstract
Type:
Presentation
Title:
Preparing for RN Practice:ᅠThe Impact of a Deteriorating Patient Simulation on Senior Students' Clinical Skill Capabilities and Responses
Author(s):
Kelly, Michelle A.; Forber, Jan; Conlon, Lisa; Stasa, Helen; Roche, Michael A.
Author Details:
Kelly, Michelle A., RN, BSc, MN, Michelle.Kelly@uts.edu.au; Forber, Jan, RN, BHS, MCLS; Conlon, Lisa, RN, BHS, MCN; Stasa, Helen, BA (Phil), BA (Psy); Roche, Michael A., RN, PhD, MHSc, BHSc, DipAppSc, CertMHN;
Abstract:
Purpose: Opportunities for undergraduate students to observe or care of a deteriorating patient cannot be guaranteed during clinical experiences. Tailored simulations enable deliberate rehearsal of such situations and provide opportunity to reiterate recommended practices based on patient safety research (Australian Commission on Safety and Quality in Health Care 2011; Gantt & Webb-Corbett 2010). The study aim was to evaluate the contribution of a deteriorating patient simulation to senior nursing students’ clinical skill capabilities and responses.

 Methods: Final year nursing students engaged in a team-based simulation encounter. A pre-post design using a locally developed and piloted survey was adopted. Sixty two students completed the surveys rating their perceived performance on 10 clinical variables including patient assessment, communication, technical ability, team interactions and seeking help.

Results: Overall, self-rated ability across all variables demonstrated significant improvement post simulation: total mean scores, from a possible range of 10 – 40, (pre and post respectively) were 23.8 (SD 3.77) and 27.4 (SD 4.14) (p<0.01). Specific variables which showed significant differences post simulation (range of 1-4) were: assessing and recognising a deteriorating patient (2.42 Vs 2.67, p<0.01); approaching a medical officer for help (2.62 Vs 2.78, p=0.021); and approaching external services e.g. a medical emergency team for help (2.35 Vs 2.73, p<0.01).

Conclusion: The simulation encounter significantly improved self-rated ability across several domains. Most improvement was seen in the critical areas of patient assessment and approaching others for help. These results provide evidence of the positive impact such learning experiences can offer students in preparing them for the RN role.

Australian Commission on Safety and Quality in Health Care 2011, Windows into safety and quality in health care 2011, Sydney.

Gantt, L. & Webb-Corbett, R. 2010, 'Using simulation to teach patient safety behaviors in undergraduate nursing education', Journal of Nursing Education, vol. 49, no. 1, p. 48.

 

Keywords:
clinical performance; deteriorating patient simulation; patient safety
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titlePreparing for RN Practice:ᅠThe Impact of a Deteriorating Patient Simulation on Senior Students' Clinical Skill Capabilities and Responsesen_GB
dc.contributor.authorKelly, Michelle A.en_GB
dc.contributor.authorForber, Janen_GB
dc.contributor.authorConlon, Lisaen_GB
dc.contributor.authorStasa, Helenen_GB
dc.contributor.authorRoche, Michael A.en_GB
dc.author.detailsKelly, Michelle A., RN, BSc, MN, Michelle.Kelly@uts.edu.au; Forber, Jan, RN, BHS, MCLS; Conlon, Lisa, RN, BHS, MCN; Stasa, Helen, BA (Phil), BA (Psy); Roche, Michael A., RN, PhD, MHSc, BHSc, DipAppSc, CertMHN;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243175-
dc.description.abstract<b>Purpose: </b>Opportunities for undergraduate students to observe or care of a deteriorating patient cannot be guaranteed during clinical experiences. Tailored simulations enable deliberate rehearsal of such situations and provide opportunity to reiterate recommended practices based on patient safety research (<a href="uploadabstract.cgi?RecordType=Paper&Recordid=50683&Hash=3b2f62445eec003fece7ffb2b193a281&step=6&password=223281#_ENREF_1" title="Australian Commission on Safety and Quality in Health Care, 2011 #1080">Australian Commission on Safety and Quality in Health Care 2011</a>; <a href="uploadabstract.cgi?RecordType=Paper&Recordid=50683&Hash=3b2f62445eec003fece7ffb2b193a281&step=6&password=223281#_ENREF_2" title="Gantt, 2010 #591">Gantt &amp; Webb-Corbett 2010</a>). The study aim was to evaluate the contribution of a deteriorating patient simulation to senior nursing students&rsquo; clinical skill capabilities and responses. <p>&nbsp;<b>Methods: </b>Final year nursing students engaged in a team-based simulation encounter. A pre-post design using a locally developed and piloted survey was adopted. Sixty two students completed the surveys rating their perceived performance on 10 clinical variables including patient assessment, communication, technical ability, team interactions and seeking help. <p><b>Results: </b>Overall, self-rated ability across all variables demonstrated significant improvement post simulation: total mean scores, from a possible range of 10 &ndash; 40, (pre and post respectively) were 23.8 <i>(SD 3.77)</i> and 27.4 <i>(SD 4.14)</i> <i>(p&lt;0.01).</i> Specific variables which showed significant differences post simulation (range of 1-4) were: assessing and recognising a deteriorating patient (2.42 Vs 2.67, <i>p&lt;0.01</i>); approaching a medical officer for help (2.62 Vs 2.78, <i>p=0.021</i>); and approaching external services e.g. a medical emergency team for help (2.35 Vs 2.73, <i>p&lt;0.01</i>). <p><b>Conclusion: </b>The simulation encounter significantly improved self-rated ability across several domains. Most improvement was seen in the critical areas of patient assessment and approaching others for help. These results provide evidence of the positive impact such learning experiences can offer students in preparing them for the RN role. <p>Australian Commission on Safety and Quality in Health Care 2011, <i>Windows into safety and quality in health care 2011</i>, Sydney. <p>Gantt, L. &amp; Webb-Corbett, R. 2010, 'Using simulation to teach patient safety behaviors in undergraduate nursing education', <i>Journal of Nursing Education</i>, vol. 49, no. 1,<b> </b>p. 48. <p>&nbsp;en_GB
dc.subjectclinical performanceen_GB
dc.subjectdeteriorating patient simulationen_GB
dc.subjectpatient safetyen_GB
dc.date.available2012-09-12T09:18:31Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:18:31Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
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