Effectiveness of High-Fidelity Patient Simulations on Nurses' Early Identification of Deteriorating Pediatric Patients, and on Patient Outcomes

2.50
Hdl Handle:
http://hdl.handle.net/10755/307866
Category:
Abstract
Type:
Presentation
Title:
Effectiveness of High-Fidelity Patient Simulations on Nurses' Early Identification of Deteriorating Pediatric Patients, and on Patient Outcomes
Author(s):
Martin, Melanie G.; Risch, Carol J; Keller, Leah A.; Long, Terri L; Ryan-Wenger, Nancy A.
Lead Author STTI Affiliation:
Kappa Lambda
Author Details:
Melanie G. Martin, RN MS, melanie.martin@nationwidechildrens.org; Carol J Risch, RN MSN; Leah A. Keller, RN; Terri L Long, RN, MSN; Nancy Ryan-Wenger, PhD, RN, FAAN
Abstract:

Session presented on: Monday, November 18, 2013

Deterioration of pediatric patients often goes unrecognized, leading to a respiratory or cardiopulmonary arrest (Code Blue).

The purpose of this study is to determine the effect of the “Cues of Deterioration Course” and pediatric high-fidelity pediatric simulations improve the accuracy of nurse’s clinical judgments and improve patient outcomes.

Subject Population: All 67 nurses on the pediatric medicine unit at our 400-bed free-standing pediatric hospital will participate.

Research Design: The design is a longitudinal, quasi-experimental clinical intervention in which subjects serve as their own controls.

Instruments: Health Sciences Reasoning Test (HSRT), Pediatric Early Warning Score (PEWS), Simulation Effectiveness Tool (SET), Leadership Evaluation Tool (LET), Nurses Self-Evaluation of Confidence and Competence in the Management of Deteriorating Patients (NSECC), Simulation Experience Questionnaire (SEQ), Nursing Demographic Form, Chart Audit Form

Procedure: October 2012: Demographics, SEQ, HSRT November 2012: Intervention “Cues of Deterioration” course (2 pediatric simulation experiences), SET, NSECC, LET. December 2012 and January 2013: 4 pediatric simulation experiences and SET. November 2012 thru October 2013 Data Collection: Chart Audit of 12 hours prior to each rapid response and code blue event to evaluate accuracy of PEWS, appropriateness of activation, if code blue was rapid response preventable, PICU transfer and survival to discharge.

Keywords:
Pediatric Outcomes; Human Patient Simulation; Clinical Deterioration
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEffectiveness of High-Fidelity Patient Simulations on Nurses' Early Identification of Deteriorating Pediatric Patients, and on Patient Outcomesen_GB
dc.contributor.authorMartin, Melanie G.en_GB
dc.contributor.authorRisch, Carol Jen_GB
dc.contributor.authorKeller, Leah A.en_GB
dc.contributor.authorLong, Terri Len_GB
dc.contributor.authorRyan-Wenger, Nancy A.en_GB
dc.contributor.departmentKappa Lambdaen_GB
dc.author.detailsMelanie G. Martin, RN MS, melanie.martin@nationwidechildrens.org; Carol J Risch, RN MSN; Leah A. Keller, RN; Terri L Long, RN, MSN; Nancy Ryan-Wenger, PhD, RN, FAANen_GB
dc.identifier.urihttp://hdl.handle.net/10755/307866-
dc.description.abstract<p>Session presented on: Monday, November 18, 2013</p>Deterioration of pediatric patients often goes unrecognized, leading to a respiratory or cardiopulmonary arrest (Code Blue). <p>The purpose of this study is to determine the effect of the “Cues of Deterioration Course” and pediatric high-fidelity pediatric simulations improve the accuracy of nurse’s clinical judgments and improve patient outcomes. <p>Subject Population: All 67 nurses on the pediatric medicine unit at our 400-bed free-standing pediatric hospital will participate. <p /="/">Research Design: The design is a longitudinal, quasi-experimental clinical intervention in which subjects serve as their own controls. <p /="/">Instruments: Health Sciences Reasoning Test (HSRT), Pediatric Early Warning Score (PEWS), Simulation Effectiveness Tool (SET), Leadership Evaluation Tool (LET), Nurses Self-Evaluation of Confidence and Competence in the Management of Deteriorating Patients (NSECC), Simulation Experience Questionnaire (SEQ), Nursing Demographic Form, Chart Audit Form <p>Procedure: October 2012: Demographics, SEQ, HSRT November 2012: Intervention “Cues of Deterioration” course (2 pediatric simulation experiences), SET, NSECC, LET. December 2012 and January 2013: 4 pediatric simulation experiences and SET. November 2012 thru October 2013 Data Collection: Chart Audit of 12 hours prior to each rapid response and code blue event to evaluate accuracy of PEWS, appropriateness of activation, if code blue was rapid response preventable, PICU transfer and survival to discharge.en_GB
dc.subjectPediatric Outcomesen_GB
dc.subjectHuman Patient Simulationen_GB
dc.subjectClinical Deteriorationen_GB
dc.date.available2013-12-19T17:23:16Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:23:16Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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