ArticleJournal of medical Internet research2016
Effectiveness of a Web-Based Simulation in Improving Nurses' Workplace Practice With Deteriorating Ward Patients: A Pre- and Postintervention Study.
Article in Journal of medical Internet research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Nurse-Physician Communication Team Training in Virtual Reality Versus Live Simulations: Randomized Controlled Trial on Team Communication and Teamwork Attitudes.Journal of medical Internet research · 2020Trial
- Comparative value of a simulation by gaming and a traditional teaching method to improve clinical reasoning skills necessary to detect patient deterioration: a randomized study in nursing students.BMC medical education · 2020Trial
- Finding the Right Blend of Technologically Enhanced Learning Environments: Randomized Controlled Study of the Effect of Instructional Sequences on Interprofessional Learning.Journal of medical Internet research · 2019Trial
- Employing Kirkpatrick's framework to evaluate nurse training: an integrative review.Revista latino-americana de enfermagem · 2025Review
- Determining the effectiveness of a virtual service /patient-based education program on patient care and clinical decision-making in nursing: A quasi-experimental study.Northern clinics of Istanbul · 2024Article
- Expansion of MyDispense: A Descriptive Report of Simulation Activities and Assessment in a Certified Pharmacy Technician Training Program.Pharmacy (Basel, Switzerland) · 2023Article
- Implementation of a Web-Based Educational Intervention for Promoting Flipped Classroom Pedagogy: A Mixed-Methods Study.Medical science educator · 2023Article
- Improving practicing nurses' knowledge of the cognitive impairment, continence, and mobility needs of older people.International journal of nursing education scholarship · 2023Article
- The transcultural adaptation and validation of the Chinese version of the Attitudes Toward Recognizing Early and Noticeable Deterioration scale.Frontiers in psychology · 2022Article
- Using a 360° Virtual Reality or 2D Video to Learn History Taking and Physical Examination Skills for Undergraduate Medical Students: Pilot Randomized Controlled Trial.JMIR serious games · 2021Article
- Determining the effects of blended learning using the community of inquiry on nursing students' learning gains in sudden patient deterioration module.Nursing open · 2021Article
- Awakening Canadians to ageism: a study protocol.BMC nursing · 2021Article
- Asynchronous group learning in learn from the learner approach: A Learning Object That Enhances and Facilitates Distance Self and Shared Learning.Annals of medicine and surgery (2012) · 2021Article
- Integration of a Virtual Dispensing Simulator "MyDispense" in an Experiential Education Program to Prepare Students for Community Introductory Pharmacy Practice Experience.Pharmacy (Basel, Switzerland) · 2021Article
- Assessing validity evidence for a serious game dedicated to patient clinical deterioration and communication.Advances in simulation (London, England) · 2020Article
- Participant perceptions of virtual simulation to develop non-technical skills in health professionals.Journal of research in nursing : JRN · 2019Article
- Effectiveness of a learning support program for respiratory physical assessment: A quasi-experimental study.PloS one · 2018Article
- Qualitative study exploring factors influencing escalation of care of deteriorating children in a children's hospital.BMJ paediatrics open · 2018Article
- Assessing the performance and satisfaction of medical residents utilizing standardized patient versus mannequin-simulated training.Advances in medical education and practice · 2017Article
- Evaluating Clinical Skill Competence and Professional Behaviors in Nursing Students Following Simulation Training at the University of Tabuk.SAGE open nursingArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNurses 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.
objectiveThe 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.
methodsA 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.
resultsThe number of deteriorating patients triggered by ward nurses in a medical general ward increased significantly (P<.001) from pre- (84/937, 8.96%) to postintervention (91/624, 14.58%). The nurses reported positively on the transfer of learning (mean 3.89, SD 0.49) from the Web-based simulation to clinical practice. A significant increase (P<.001) on knowledge posttest score from pretest score was also reported. The nurses also perceived positively their motivation (mean 3.78, SD 0.56) to engage in the Web-based simulation.
conclusionsThis study provides evidence on the effectiveness of Web-based simulation in improving nursing practice when recognizing and responding to deteriorating patients. This educational tool could be implemented by nurse educators worldwide to address the educational needs of a large group of hospital nurses responsible for patients in clinical deterioration.
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