Nursing Students' Recognition of and Response to Deteriorating Patients

Study Overview
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Brief Summary
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The overall aim of this intervention study is to examine the effects of an high-fidelity simulation intervention in undergraduate nursing education developed to identify recognizing and responding to patient deterioration. Half of the participants will receive an intervention with high-fidelity simulation, while the other half will not receive any instructional intervention.

Detailed Description
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Simulation-based nursing education is an increasingly used pedagogical approach. The overall aim of this intervention study is to examine the effects of an high-fidelity simulation intervention developed to identify how recognizing and responding to patient deterioration improves the knowledge and self-confidence of undergraduate nursing students. Specific aims: To describe and estimate the change in undergraduate nursing students' knowledge and perceived self-confidence after an high-fidelity simulation intervention. To identify the barriers and enablers that may impact on a successful implementation of the high-fidelity simulation intervention. Half of the participants will receive an intervention with high-fidelity simulation, while the other half will not receive any instructional intervention. All participants will answer a questionnaire developed to measure perceived knowledge and levels of self-confidence pre- and post-intervention or before and after a meeting (control group). Five students and six faculty members will also be interviewed as a part of a process evaluation. The study is part of a PhD project.

Official Title
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Nursing Students' Recognition of and Response to Deteriorating Patients

Conditions
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Knowledge, Attitudes, Practice

Intervention / Treatment
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* Other: High-fidelity simulation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All undergraduate nursing students at two universities enrolling in a specific course that includes high-fidelity simulation Exclusion Criteria: - None
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: High-fidelity simulation<br>The participants in the intervention group will receive an high-fidelity simulation intervention | Other: High-fidelity simulation<br>* The set up in the high-fidelity simulation intervention is a deteriorating patient scenario.<br>|
| No Intervention: Control<br>The participants in the control group will not receive any instructional intervention | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Knowledge | Change in total score from 0-20 using 20 multiple choice questions about vital signs, clinical changes in vital signs after major acute blood loss, and nursing procedures. Higher scores at post-intervention represent a better outcome. | Baseline (immediately before intervention) and immediately after intervention (the intervention will last for 3 hours) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Levels of self-confidence | Change in total responses using 20 questions with five response alternatives (from not at all confident to very confident) about vital signs, clinical changes in vital signs after major acute blood loss, and nursing procedures . Higher scores at post-intervention represent a better outcome. | Baseline (immediately before intervention) and immediately after intervention (the intervention will last for 3 hours) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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High-fidelity simulation, Self-confidence, Deteriorating patients, Ordinal data, Questionnaire