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

Autor:	Jasmine Tze Yin Ho, Lai Fun Wong, Siti Zubaidah Mordiffi, Eunice Ya Ping Lim, Sandhya Mujumdar, Emily Ang, Sok Ying Liaw, Sophia Bee Leng Ang
Rok vydání:	2016
Předmět:	Adult Male Web-based simulation medicine.medical_specialty 020205 medical informatics online learning Nurses Health Informatics 02 engineering and technology 03 medical and health sciences Patient safety Nursing Surveys and Questionnaires Acute care 0202 electrical engineering electronic engineering information engineering Humans Learning Medicine Nurse education Workplace Nursing practice Internet Original Paper 030504 nursing business.industry nursing education nursing practice Female clinical deterioration General ward 0305 other medical science Transfer of learning business Rapid response system transfer of learning
Zdroj:	Journal of Medical Internet Research
ISSN:	1438-8871
DOI:	10.2196/jmir.5294
Popis:	Background: 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. Objective: 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. Methods: 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 points to measure their motivational reaction, knowledge, and perceived transfer of learning. Clinical records on cases triggered by ward nurses from the two study wards were evaluated for frequency and types of triggers over a period of 6 months pre- and 6 months postintervention. Results: The number of deteriorating patients triggered by ward nurses in a medical general ward increased significantly ( P
Databáze:	OpenAIRE
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