- Title
- The impact of emerging simulation-based technologies on the management of deteriorating patients : aiming for a gold standard educational evaluation
- Creator
- Cooper, Simon J.; Cant, Robyn; Chung, Catherine; First Act Impact Team
- Date
- 2020
- Type
- Text; Journal article
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/173371
- Identifier
- vital:14644
- Identifier
-
https://doi.org/10.1016/j.ecns.2020.05.004
- Identifier
- ISBN:1876-1399 (ISSN)
- Abstract
- Background: Measuring the impact of patient safety interventions is challenging. This article aims to illustrate a “gold standard” model of program evaluation incorporating examples from two patient deterioration programs. Methods: Australian nurses were trained in primary responses to emergencies in four hospitals using either face-to-face (F2F) or screen-based simulation versions of a simulation program. Evaluation outcomes were measured using Kirkpatrick's evaluation hierarchy covering participant ‘reaction’, ‘learning’, ‘behaviour’ change and ‘results’—based on 1,564 pre–post intervention vital signs chart reviews. Results: Seventy-four nurses participated. Reaction—participant confidence/competence ratings and Learning improved significantly in both modalities (p <.001). Behaviour—oxygen delivery systems were used more appropriately after training in the F2F group (p =.037). Applicable recording of oxygen saturation (SpO2) improved significantly (p ≤.008) in both modalities. Results—at least a two-fold increase in the overall initiation of a clinical review after training, in both modalities (p <.001; effect: d = 0.41 F2F and d = 0.35 screen-based simulation). Conclusions: Kirkpatrick's evaluation model enables a suitable template for gold standard education evaluations. © 2020 International Nursing Association for Clinical Simulation and Learning; Funding details: State Government of Victoria, 31362
- Publisher
- Elsevier Inc.
- Relation
- Clinical Simulation in Nursing Vol. 45, no. (2020), p. 50-59
- Rights
- Copyright @ 2020 International Nursing Association for Clinical Simulation and Learning
- Rights
- This metadata is freely available under a CCO license
- Subject
- 1110 Nursing; Clinical education; Nursing; Patient-deterioration; Simulation; Translational science
- Reviewed
- Funder
- Funding details: State Government of Victoria, 31362
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