The impact of virtual simulation on the recognition and response to the rapidly deteriorating patient among undergraduate nursing students

Goldsworthy, S., Muir, N., Baron, S., Button, D., Goodhand, K., Hunter, S., McNeill, L., Perez, G., McParland, T., Fasken, L. and Peachey, L. (2022) The impact of virtual simulation on the recognition and response to the rapidly deteriorating patient among undergraduate nursing students. Nurse Education Today, 110. p. 105264. ISSN 1532-2793

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Abstract

A major patient safety challenge is recognition and response to deteriorating patients since early warning signs are often not detected in a timely manner. Nursing students typically learn the skills for early identification through clinical placement, but clinical placements are not guaranteed to provide exposure to deteriorating patients. Nursing students require practice with emergency scenarios to develop their competency and confidence to act in this area. This study aimed to explore the impact of a virtual simulation intervention on the recognition and response to the rapidly deteriorating patient among undergraduate nursing students. A mixed methods study involving a quasi-experimental pre/post design and focus groups. The participants were third or final year undergraduate nursing students from five university sites across four countries (Canada, England, Scotland and Australia, n = 88). Students were randomly assigned to a treatment or control group. The treatment group received a virtual simulation intervention and participated in a focus group. The virtual simulation intervention had a significant effect on improving nursing student knowledge and clinical self-efficacy in the recognition and response to the rapidly deteriorating patient. Students reported that the virtual simulations decreased anxiety, helped them prioritize, filled gaps in their learning, and encouraged autonomous learning within a safe 'low risk' environment. Virtual simulation is an effective strategy for improving knowledge and confidence in recognizing and responding to the rapidly deteriorating patient among undergraduate nursing students.

Publication Type: Articles
Additional Information: ** From PubMed via Jisc Publications Router ** History: received 20-06-2021; revised 10-12-2021; accepted 29-12-2021.
Uncontrolled Keywords: Nursing student's safety, Nursing students, Virtual simulation, Simulation, Nursing, Patient safety, Clinical placement, Deteriorating patient
Subjects: H Social Sciences > H Social Sciences (General)
L Education > L Education (General)
R Medicine > RT Nursing
T Technology > T Technology (General)
Divisions: Academic Areas > School of Nursing and Allied Health
Related URLs:
SWORD Depositor: Publications Router Jisc
Depositing User: Publications Router Jisc
Date Deposited: 16 Feb 2022 15:30
Last Modified: 16 Feb 2022 15:30
URI: https://eprints.chi.ac.uk/id/eprint/6121

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