An evidence-based practice project for recognition of clinical deterioration: Utilization of simulation-based education

Date

2014-04

Authors

Bell-Gordon, Charyll
Gigliotti, Elizabeth
Mitchell, Katy

Journal Title

Journal ISSN

Volume Title

Publisher

Sciedu Press

Abstract

BACKGROUND: As more complex patients are hospitalized, the need for highly skilled and competent nurses to recognize clinical deterioration becomes more apparent. The literature supports the use of simulation-based education to enhance the recognition of clinical deterioration. The purpose of this evidence-based practice project was to utilize simulation as an educational modality to improve the knowledge of registered nurses in the recognition of clinical deterioration among their patients.


METHODS: This evidence-based practice project was conducted from May through June 2013 in a 900-bed facility. Participation was voluntary and included 15 medical-surgical, procedural, and post-anesthesia care unit registered nurses. Simulation-based education was utilized for assessing the recognition, management, and reporting of clinical deterioration by nurses while supporting learning in a safe environment. Each participant managed two simulated patients in deteriorating states. Baseline performance was obtained during the initial simulation scenario by utilizing RAPIDS, a validated tool that evaluates assessment, management, and clinical deterioration reporting. A post-simulation debriefing and education session occurred that included a review of all required critical action elements. Debriefing was followed by a second post-intervention simulated clinical deterioration scenario.


RESULTS: The results indicated statistically significant improvement in mean assessment and management scores when the post-intervention results were compared with baseline [t (14) =2.04, p = .03]. Post-intervention reporting scores were also improved, although this change was not statistically significant.


CONCLUSIONS: Simulation-based education may be an effective strategy for impacting a nurse’s ability to recognize clinical deterioration and thereby allow for timely intervention.

Description

Article originally published in Journal of Nursing Education and Practice, 4(6), 69. English. Published online 2014. https://doi.org/10.5430/jnep.v4n6p69

Keywords

Clinical deterioration, Simulation, Evidence-based practice, Registered nurse, RAPIDS

Citation

This is a published version of an article that is available at https://doi.org/10.5430/jnep.v4n6p69. Recommended citation: Bell-Gordon, C., Gigliotti, E., & Mitchell, K. (2014). An evidence-based practice project for recognition of clinical deterioration: Utilization of simulation-based education. Journal of Nursing Education and Practice, 4(6), 69. This item has been deposited in accordance with publisher copyright and licensing terms and with the author’s permission.