Doing the right thing at the right time: Assessing responses to patient deterioration in electronic simulation scenarios using course-of-action analysis
Data(s) |
01/05/2015
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Resumo |
International studies indicate that the recognition and management of deteriorating patients in hospitals are poor and that patient assessment is often inadequate. Face-to-face simulation programs have been shown to have an impact on educational and clinical outcomes; however, little is known about performance in contemporary healthcare e-simulation approaches. Using data from an open-access Web-based patient deterioration program (FIRSTACTWeb), the performance of 367 Australian nursing students in identification of treatment priorities and clinical actions was analyzed using a military model of Course of Action Simulation Analysis. Participants' performance in the whole program demonstrated a significant improvement in knowledge and skills (P ≤ .001) with high levels of participant satisfaction. Course of Action Simulation Analysis modeling identified three key participant groupings within which only 18% took the "best course of action" (the right actions and timing), with most (70%) completing the right actions but in the wrong order. The remaining 12% produced incomplete assessments and actions in an incorrect sequence. Contemporary approaches such as e-simulation do enhance educational outcomes. Measurement of performance when combined with Course of Action Simulation Analysis becomes a useful tool in the description of outcomes, an understanding of decision making, and the prediction of future events. |
Identificador | |
Idioma(s) |
eng |
Publicador |
Lippincott Williams & Wilkins |
Relação |
http://dro.deakin.edu.au/eserv/DU:30074598/bucknall-doingthe-2015.pdf http://www.dx.doi.org/10.1097/CIN.0000000000000141 http://www.ncbi.nlm.nih.gov/pubmed/25905770 |
Direitos |
2015, Lippincott Williams & Wilkins |
Tipo |
Journal Article |