Effectiveness of a Web-Based Simulation in Improving Nurses' Workplace Practice With Deteriorating Ward Patients: A Pre- and Postintervention Study

Journal of Medical Internet Research
Sok Ying LiawEmily Neo Kim Ang

Abstract

Nurses play an important role in detecting patients with clinical deterioration. However, the problem of nurses failing to trigger deteriorating ward patients still persists despite the implementation of a patient safety initiative, the Rapid Response System. A Web-based simulation was developed to enhance nurses' role in recognizing and responding to deteriorating patients. While studies have evaluated the effectiveness of the Web-based simulation on nurses' clinical performance in a simulated environment, no study has examined its impact on nurses' actual practice in the clinical setting. The objective of this study was to evaluate the impact of Web-based simulation on nurses' recognition of and response to deteriorating patients in clinical settings. The outcomes were measured across all levels of Kirkpatrick's 4-level evaluation model with clinical outcome on triggering rates of deteriorating patients as the primary outcome measure. A before-and-after study was conducted on two general wards at an acute care tertiary hospital over a 14-month period. All nurses from the two study wards who undertook the Web-based simulation as part of their continuing nursing education were invited to complete questionnaires at various time ...Continue Reading

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Citations

Nov 8, 2017·Nursing·Shirley A Jackson
Nov 15, 2018·Journal of Clinical Nursing·Claire Foley, Maura Dowling
Jul 30, 2019·Journal of Continuing Education in Nursing·Tiffany Bryant, Laurie Posey
Aug 25, 2020·Journal of Continuing Education in Nursing·Sherry DahlkeOluwakemi Amoudu
Apr 1, 2017·Western Journal of Nursing Research·Sabrina B Orique, Lorraine J Phillips
Jan 13, 2021·Annual Review of Nursing Research·Susan Prion, Katie Anne Haerling
Jul 22, 2021·International Journal of Nursing Education Scholarship·Sherry DahlkeMaya R Kalogirou
Oct 11, 2021·BMC Nursing·Sherry DahlkeElaine Moody

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