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      Managing patient deterioration: a protocol for enhancing undergraduate nursing students’ competence through web-based simulation and feedback techniques

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          Abstract

          Aims

          To describe a funded proposal for the development of an on-line evidence based educational program for the management of deteriorating patients.

          Background

          There are international concerns regarding the management of deteriorating patients with issues around the ‘failure to rescue’. The primary response to these issues has been the development of medical emergency teams with little focus on the education of primary first responders.

          Design/Methods

          A mixed methods triangulated convergent design.

          In this four phase proposal we plan to 1. examine nursing student team ability to manage deteriorating patients and based upon these findings 2. develop web based educational material, including interactive scenarios. This educational material will be tested and refined in the third Phase 3, prior to evaluation and dissemination in the final phase.

          Conclusion

          This project aims to enhance knowledge development for the management of deteriorating patients through rigorous assessment of team performance and to produce a contemporary evidence-based online training program.

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          Most cited references26

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          Learning Styles and Learning Spaces: Enhancing Experiential Learning in Higher Education

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            Aligning assessment with long‐term learning

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              Simulation-based learning in nurse education: systematic review.

              This paper is a report of a review of the quantitative evidence for medium to high fidelity simulation using manikins in nursing, in comparison to other educational strategies. Human simulation is an educational process that can replicate clinical practices in a safe environment. Although endorsed in nursing curricula, its effectiveness is largely unknown. A systematic review of quantitative studies published between 1999 and January 2009 was undertaken using the following databases: CINAHL Plus, ERIC, Embase, Medline, SCOPUS, ProQuest and ProQuest Dissertation and Theses Database. The primary search terms were 'simulation' and 'human simulation'. Reference lists from relevant papers and the websites of relevant nursing organizations were also searched. The quality of the included studies was appraised using the Critical Appraisal Skills Programme criteria. Twelve studies were included in the review. These used experimental or quasi-experimental designs. All reported simulation as a valid teaching/learning strategy. Six of the studies showed additional gains in knowledge, critical thinking ability, satisfaction or confidence compared with a control group (range 7-11%). The validity and reliability of the studies varied due to differences in design and assessment methods. Medium and/or high fidelity simulation using manikins is an effective teaching and learning method when best practice guidelines are adhered to. Simulation may have some advantage over other teaching methods, depending on the context, topic and method. Further exploration is needed to determine the effect of team size on learning and to develop a universal method of outcome measurement.
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                Author and article information

                Journal
                BMC Nurs
                BMC Nurs
                BMC Nursing
                BioMed Central
                1472-6955
                2012
                28 September 2012
                : 11
                : 18
                Affiliations
                [1 ]School of Nursing and Midwifery, PO Box 1071, 100 Clyde Rd, Narre Warren, VIC, 3805, Australia
                [2 ]School of Nursing and Midwifery, Monash University, Berwick, VIC, Australia
                [3 ]School of Nursing & Midwifery, The University of Queensland, Salisbury Road, IPSWICH, 4305, Australia
                [4 ]School of Nursing & Midwifery, Deakin University, Burwood Highway, Burwood, 3125, Australia
                [5 ]School of Nursing and Midwifery, Northways Rd, Churchill, VIC, 3842, Australia
                [6 ]School of Nursing and Midwifery, University of Plymouth, Devon, UK
                [7 ]GippsTAFE, Warragul Campus, Warragul, VIC, Australia
                [8 ]School of Rural Health, Monash University, Bendigo, VIC, Australia
                [9 ]School of Nursing and Midwifery, Monash University, Clayton, VIC, Australia
                [10 ]Academic School of Nursing and Midwifery, Northways rd, Churchill, VIC, 3842, Australia
                Article
                1472-6955-11-18
                10.1186/1472-6955-11-18
                3534359
                23020906
                95fd056b-0c21-4de6-a8fe-fd0d5142fc04
                Copyright ©2012 Cooper et al.; licensee BioMed Central Ltd.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 7 August 2012
                : 12 September 2012
                Categories
                Study Protocol

                Nursing
                patient deterioration,simulation,nursing,education
                Nursing
                patient deterioration, simulation, nursing, education

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