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Brenda Wiles' Final Thesis.pdf (1.81 MB)

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Using The National Early Warning Score As A Set Of Deliberate Cues To Detect Patient Deterioration And Enhance Clinical Judgment In Simulation

Wiles, Brenda L.
http://rave.ohiolink.edu/etdc/view?acc_num=casednp1458074763

Abstract Details

2016, Doctor of Nursing Practice , Case Western Reserve University, School of Nursing.
Due to the high acuity of patients today, it is imperative that nurses quickly and appropriately respond to patient deterioration. Appropriate clinical judgment is key to early detection of deterioration. However, nurse managers indicate that the majority of new graduates lack clinical judgment skills. To overcome this critical barrier to providing safe patient care, nurse educators suggest better training of student nurses regarding clinical judgment skills. One way to teach clinical judgment is to deliberately provide cues to guide the student into making the correct decision. The purpose of this randomized control pilot study was to evaluate the effectiveness of using the National Early Warning Score (NEWS) as a deliberate set of cues during high-fidelity simulation to guide the student in the development of clinical judgment, and the early detection of patient deterioration. A single convenience sample of 57 junior level baccalaureate nursing students was recruited. Twenty-eight students were randomized into the treatment group and 29 into the control group. The students were then randomly placed into teams of 2-3 students each, resulting in an N of 14 in both the treatment and control groups. The treatment group was educated on the use of the NEWS tool. The research evaluated the differences in clinical judgment scores and speed of detection of patient deterioration during high-fidelity simulation between students trained in the use of the NEWS tool versus those who were not. No significant differences in elapse of time or clinical judgment were detected between the treatment and control groups; however, the data was suggestive of a trend towards increasing clinical judgment. Findings from this study confirm the need for further research to be done in this area to determine if utilizing the NEWS tool during high-fidelity simulation can enhance clinical judgment, resulting in early detection of patient deterioration.
Celeste Alfes (Committee Chair)
Mary Dolansky (Committee Member)
Joann Sullivan-Mann (Committee Member)
103 p.
Educational Evaluation; Higher Education; Nursing
Simulation; Patient deterioration; Clinical judgment; Tanner clinical judgment model; Lasater Clinical Judgment Rubric; National Early Warning Score tool; Recognition-primed decision model

Recommended Citations

Citations

  • Wiles, B. L. (2016). Using The National Early Warning Score As A Set Of Deliberate Cues To Detect Patient Deterioration And Enhance Clinical Judgment In Simulation [Doctoral dissertation, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1458074763

    APA Style (7th edition)

  • Wiles, Brenda. Using The National Early Warning Score As A Set Of Deliberate Cues To Detect Patient Deterioration And Enhance Clinical Judgment In Simulation. 2016. Case Western Reserve University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=casednp1458074763.

    MLA Style (8th edition)

  • Wiles, Brenda. "Using The National Early Warning Score As A Set Of Deliberate Cues To Detect Patient Deterioration And Enhance Clinical Judgment In Simulation." Doctoral dissertation, Case Western Reserve University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1458074763

    Chicago Manual of Style (17th edition)

casednp1458074763
352
© 2016, all rights reserved.
This open access ETD is published by Case Western Reserve University Doctor of Nursing Practice and OhioLINK.