The impact of education and simulation on pediatric novice nurses' response and recognition to deteriorating

Kristen Straka1, Marnie Burkett, Michelle Capan

  • 1Children's Hospital of Pittsburgh of UPMC, Pennsylvania, USA. Kristen.Straka@chp.edu

Insights

Novice pediatric nurses can improve patient safety by recognizing and responding to early signs of deterioration. A specialized course using high-fidelity simulation enhances critical skills, leading to better patient outcomes during crises.

Area of Science:

  • Pediatric Nursing
  • Patient Safety
  • Clinical Simulation

Background:

  • Preventable errors in hospitals lead to adverse patient events.
  • Failure to recognize patient deterioration, especially in pediatrics, is a critical issue.
  • Pediatric symptom presentation during deterioration differs significantly from adults, often leading to delayed recognition.

Purpose of the Study:

  • To design an educational intervention for novice pediatric nurses.
  • To improve the recognition and management of pediatric patient deterioration.
  • To enhance clinical skills and patient outcomes through simulation.

Main Methods:

  • Development of a Pediatric Crisis Recognition and Management course.
  • Utilization of high-fidelity simulation for hands-on training.
  • Focus on enhancing novice nurses' ability to recognize and respond to critical symptoms.

Main Results:

  • The course aims to equip nurses with essential skills for crisis management.
  • Simulation enhances the practical application of theoretical knowledge.
  • Improved symptom recognition and response are expected outcomes.

Conclusions:

  • Early recognition and appropriate response to pediatric deterioration are crucial for patient safety.
  • High-fidelity simulation is an effective tool for training nurses in crisis management.
  • This educational approach has the potential to significantly improve pediatric patient outcomes.

Related Concept Videos

Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation01:20

Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation

Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning, patient...
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis01:24

Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis

The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data from the...
Current Trends in Nursing II01:30

Current Trends in Nursing II

Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
Current Trends in Nursing I01:28

Current Trends in Nursing I

Current trends in nursing include: