Doing the right thing at the right time: Assessing responses to patient deterioration in electronic simulation scenarios using course-of-action analysis

Cooper, Simon, Cant, Robyn P., Bogossian, Fiona, Bucknall, Tracey and Hopmans, Ruben 2015, Doing the right thing at the right time: Assessing responses to patient deterioration in electronic simulation scenarios using course-of-action analysis, Computer, Informatics, Nursing, vol. 33, no. 5, pp. 199-207, doi: 10.1097/CIN.0000000000000141.

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Title Doing the right thing at the right time: Assessing responses to patient deterioration in electronic simulation scenarios using course-of-action analysis
Author(s) Cooper, Simon
Cant, Robyn P.
Bogossian, Fiona
Bucknall, TraceyORCID iD for Bucknall, Tracey orcid.org/0000-0001-9089-3583
Hopmans, Ruben
Journal name Computer, Informatics, Nursing
Volume number 33
Issue number 5
Start page 199
End page 207
Total pages 9
Publisher Lippincott Williams & Wilkins
Place of publication Hagerstown, MD
Publication date 2015-05
ISSN 1538-9774
Summary International studies indicate that the recognition and management of deteriorating patients in hospitals are poor and that patient assessment is often inadequate. Face-to-face simulation programs have been shown to have an impact on educational and clinical outcomes; however, little is known about performance in contemporary healthcare e-simulation approaches. Using data from an open-access Web-based patient deterioration program (FIRSTACTWeb), the performance of 367 Australian nursing students in identification of treatment priorities and clinical actions was analyzed using a military model of Course of Action Simulation Analysis. Participants' performance in the whole program demonstrated a significant improvement in knowledge and skills (P ≤ .001) with high levels of participant satisfaction. Course of Action Simulation Analysis modeling identified three key participant groupings within which only 18% took the "best course of action" (the right actions and timing), with most (70%) completing the right actions but in the wrong order. The remaining 12% produced incomplete assessments and actions in an incorrect sequence. Contemporary approaches such as e-simulation do enhance educational outcomes. Measurement of performance when combined with Course of Action Simulation Analysis becomes a useful tool in the description of outcomes, an understanding of decision making, and the prediction of future events.
Language eng
DOI 10.1097/CIN.0000000000000141
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Lippincott Williams & Wilkins
Persistent URL http://hdl.handle.net/10536/DRO/DU:30074598

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