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The Effect of Unit-Based Simulation on Nurses’ Identification of Deteriorating Patients

Disher, Jocelyn MSN, RN; Burgum, Angela RN; Desai, Anisha BSN, RN; Fallon, Cynthia BSN, RN, ONC; Hart, Patricia L. PhD, RN; Aduddell, Kathie EdD, RN

Journal for Nurses in Professional Development: January/February 2014 - Volume 30 - Issue 1 - p 21–28
doi: 10.1097/NND.0b013e31829e6c83
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Patients are admitted to healthcare organizations with multiple, complex conditions that can lead to acute deterioration events. It is imperative that nurses are adequately trained to recognize and respond appropriately to these events to ensure positive patient outcomes. The purpose of this pilot research study was to examine the effects of a unit-based, high-fidelity simulation initiative on cardiovascular step-down unit registered nurses’ identification and management of deteriorating patients.

The authors present a pilot study designed to assess nurses’ knowledge and self-condence levels in their identication of deteriorating patients using simulation.

Jocelyn Disher, MSN RN, is Nurse Educator for Preventive Cardiology, Saint Joseph’s Hospital, Atlanta, Georgia.

Angela Burgum, RN, is Critical Care Float Nurse specializing in Cardiovascular ICU, Saint Joseph’s Hospital, Atlanta, Georgia.

Anisha Desai, BSN, RN, is Unit Nurse Educator for a Cardiovascular Step-down unit, Saint Joseph’s Hospital, Atlanta, Georgia.

Cynthia Fallon, BSN, RN, ONC, is Shift Nurse Manager for Outpatient Infusion, Saint Joseph’s Hospital, Atlanta, Georgia.

Patricia L. Hart, PhD, RN, is Assistant Professor of Nursing at Kennesaw State University, Georgia.

Kathie Aduddell, EdD, RN, is Associate Professor of Nursing at Kennesaw State University, Georgia.

This research was funded by a research grant through Saint Joseph’s Hospital of Atlanta, Center for Nursing Excellence. No external funding was obtained.

The authors have disclosed that they have no significant relationship with, or financial interest in, any commercial companies pertaining to this article.

ADDRESS FOR CORRESPONDENCE: Patricia L. Hart, PhD, RN, Kennesaw State University, 5181 Maarsden Trace, Powder Springs, GA 30127 (e-mail: hartrish@bellsouth.net; phart@kennesaw.edu).

© 2014 by Lippincott Williams & Wilkins, Inc.