Nursing Students' Recognition of and Response to Deteriorating Patients

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.

Study Overview

• Status: Completed
• Conditions: Knowledge, Attitudes, Practice
• Intervention / Treatment: Other: High-fidelity simulation

Detailed Description

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:

1. To describe and estimate the change in undergraduate nursing students' knowledge and perceived self-confidence after an high-fidelity simulation intervention.
2. 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.

• Study Type: Interventional
• Enrollment (Actual): 183
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• All undergraduate nursing students at two universities enrolling in a specific course that includes high-fidelity simulation

Exclusion Criteria:

- None

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

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

What is the study measuring?

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)

Collaborators and Investigators

• Sponsor: University of Agder
• Investigators: Study Chair: Mariann Fossum, Professor, University of Agder

Publications and helpful links

General Publications

• Haddeland K, Slettebo A, Fossum M. Enablers of the successful implementation of simulation exercises: a qualitative study among nurse teachers in undergraduate nursing education. BMC Nurs. 2021 Nov 22;20(1):234. doi: 10.1186/s12912-021-00756-3.

Study record dates

Study Major Dates

• Study Start (Actual): August 15, 2016
• Primary Completion (Actual): December 16, 2018
• Study Completion (Actual): December 16, 2018

Study Registration Dates

• First Submitted: June 21, 2019
• First Submitted That Met QC Criteria: August 17, 2019
• First Posted (Actual): August 21, 2019

Study Record Updates

• Last Update Posted (Actual): August 22, 2019
• Last Update Submitted That Met QC Criteria: August 20, 2019
• Last Verified: August 1, 2019

More Information

Terms related to this study

• Keywords: Questionnaire; High-fidelity simulation; Self-confidence; Deteriorating patients; Ordinal data
• Other Study ID Numbers: 52110

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No