- Title
- Identifying patient deterioration: using simulation and reflective interviewing to examine decision making skills in a rural hospital
- Creator
- Endacott, Ruth; Scholes, Julie; Cooper, Simon J.; McConnell-Henry, Tracy; Porter, Joanne; Missen, Karen; Kinsman, Leigh; Champion, Robert
- Date
- 2012
- Type
- Text; Journal article
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/37858
- Identifier
- vital:6261
- Identifier
-
https://doi.org/10.1016/j.ijnurstu.2011.11.018
- Identifier
- ISSN:0020-7489
- Abstract
- Objectives The study aim was to examine how Registered Nurses identify and respond to deteriorating patients during in-hospital simulation exercises. Design Mixed methods study using simulated actors. Setting A rural hospital in Victoria, Australia. Participants Thirty-four Registered Nurses each completed two simulation exercises. Methods Data were obtained from the following sources: (a) Objective Structured Clinical Examination (OSCE) rating to assess performance of Registered Nurses during two simulation exercises (chest pain and respiratory distress); (b) video footage of the simulation exercises; (c) reflective interview during participants’ review of video footage. Qualitative thematic analysis of video and interview data was undertaken. Results Themes generated from the data were: (1) exhausting autonomous decision-making; (2) misinterpreting the evidence; (3) conditioned response; and (4) missed cues. Assessment steps were more likely to be omitted in the chest pain simulation, for which there was a hospital protocol in place. Conclusions Video review revealed additional insights into nurses’ decision-making that were not evident from OSCE scoring alone. Feedback during video review was a highly valued component of the simulation exercises.
- Relation
- International Journal of Nursing Studies Vol. 49, no. 6 (2012), p. 710-717
- Rights
- Copyright Elsevier
- Rights
- This metadata is freely available under a CCO license
- Subject
- Decision making; Rural hospitals; Safety management; Nursing
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