Usability and Acceptability Testing of a Modified Early Warning Scoring (MEWS) Tool Using Simulation

2.50
Hdl Handle:
http://hdl.handle.net/10755/304443
Category:
Full-text
Type:
Presentation
Title:
Usability and Acceptability Testing of a Modified Early Warning Scoring (MEWS) Tool Using Simulation
Author(s):
Roney, Jamie K.; Long, JoAnn D.; Maples, Jessica; Stunkard, Kimberley A.; Whitley, Barbara Erin; Futrell, Lexie Scarborough
Lead Author STTI Affiliation:
Iota Mu
Author Details:
Jamie K. Roney, BSN, RN, CCRN, jroney@covhs.org; JoAnn D. Long, RN, PhD, NEA-BC; Jessica Maples, BSN, RN; Kimberley A. Stunkard, RN; Barbara Erin Whitley, BSN, RN; Lexie Scarborough Futrell, MSN, RN, CCRN;
Abstract:

Session presented on: Thursday, July 25, 2013

Purpose: Anticipating barriers when introducing a new form to nurses for incorporation into their daily routine, Kurt Lewin's action research model for change was used as a framework for this study. The purpose was to determine usability and acceptability of the Modified Early Warning Scoring (MEWS) tool by healthcare providers from the hospital units where the tool will be implemented. '

Methods: The study used a mixed-methods design. The low-fidelity simulation selected for use in testing usability and acceptability called mock hospital was used. Mannequins were used to represent hospitalized patients in four simulated hospital rooms with four charts for each, thus matching the number of scenarios written. Realistic clinical situations encountered in practice allowed for focus on cognitive and psychological simulation fidelity. The feedback loop included closure through reflection on the experience by reviewing the simulation experiences through a structured, scripted debriefing in a comfortable place independent of distraction. An evaluation tool designed to probe usability, together with attitudes towards the instrument and the use of simulation, using 5-point likert questions and both verbal and written open ended questions was used.

Results:'Six 5-point Likert questions evaluating the usability and acceptability if the MEWS tool ranged from 4.44 to 4.84. This indicated subjects 'agreed' to 'strongly agreed' that the MEWS tool was both easy to use and that attitudes towards the tool were positive about the tool's ability to detect at-risk for deterioration patients.' The Crobach's alpha level was .83 for the items on the Likert-type evaluation tool.' Qualitative feedback demonstrated that the participants valued the form and felt that it would easily fit into their daily routine. Notably, multiple favorable comments were also made regarding usability.

'Conclusion: Simulation was successfully used to test both usability and acceptability of a clinical screening tool for identifying the at-risk for deteriorating patient.

Keywords:
Low-fidelity Simulation; Usability/Acceptability Testing; Modified Early Warning Scoring (MEWS)
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleUsability and Acceptability Testing of a Modified Early Warning Scoring (MEWS) Tool Using Simulationen
dc.contributor.authorRoney, Jamie K.en
dc.contributor.authorLong, JoAnn D.en
dc.contributor.authorMaples, Jessicaen
dc.contributor.authorStunkard, Kimberley A.en
dc.contributor.authorWhitley, Barbara Erinen
dc.contributor.authorFutrell, Lexie Scarboroughen
dc.contributor.departmentIota Muen
dc.author.detailsJamie K. Roney, BSN, RN, CCRN, jroney@covhs.org; JoAnn D. Long, RN, PhD, NEA-BC; Jessica Maples, BSN, RN; Kimberley A. Stunkard, RN; Barbara Erin Whitley, BSN, RN; Lexie Scarborough Futrell, MSN, RN, CCRN;en
dc.identifier.urihttp://hdl.handle.net/10755/304443-
dc.description.abstract<p>Session presented on: Thursday, July 25, 2013</p><b>Purpose: </b>Anticipating barriers when introducing a new form to nurses for incorporation into their daily routine, Kurt Lewin's action research model for change was used as a framework for this study. The purpose was to determine usability and acceptability of the Modified Early Warning Scoring (MEWS) tool by healthcare providers from the hospital units where the tool will be implemented. ' <p><b>Methods:</b> The study used a mixed-methods design. The low-fidelity simulation selected for use in testing usability and acceptability called mock hospital was used. Mannequins were used to represent hospitalized patients in four simulated hospital rooms with four charts for each, thus matching the number of scenarios written. Realistic clinical situations encountered in practice allowed for focus on cognitive and psychological simulation fidelity. The feedback loop included closure through reflection on the experience by reviewing the simulation experiences through a structured, scripted debriefing in a comfortable place independent of distraction. An evaluation tool designed to probe usability, together with attitudes towards the instrument and the use of simulation, using 5-point likert questions and both verbal and written open ended questions was used. <p><b>Results:</b>'Six 5-point Likert questions evaluating the usability and acceptability if the MEWS tool ranged from 4.44 to 4.84. This indicated subjects 'agreed' to 'strongly agreed' that the MEWS tool was both easy to use and that attitudes towards the tool were positive about the tool's ability to detect at-risk for deterioration patients.' The Crobach's alpha level was .83 for the items on the Likert-type evaluation tool.' Qualitative feedback demonstrated that the participants valued the form and felt that it would easily fit into their daily routine. Notably, multiple favorable comments were also made regarding usability. <p><b>'</b><b>Conclusion: </b>Simulation was successfully used to<b> </b>test both usability and acceptability of a clinical screening tool for identifying the at-risk for deteriorating patient.en
dc.subjectLow-fidelity Simulationen
dc.subjectUsability/Acceptability Testingen
dc.subjectModified Early Warning Scoring (MEWS)en
dc.date.available2013-10-22T20:35:55Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:35:55Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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