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The Effectiveness of Simulation on Recognizing and Managing Clinical Deterioration: Meta-Analyses
Sabrina B Orique1,2, Lorraine J Phillips1
11 University of Missouri, Columbia, MO, USA.
Western Journal of Nursing Research
|April 1, 2017
Summary
Simulation training significantly improves nursing students' and registered nurses' skills in recognizing and managing clinical deterioration. These findings highlight simulation
Area of Science:
- Nursing Education
- Medical Simulation
- Clinical Deterioration Management
Background:
- Clinical deterioration poses a significant risk in acute care settings.
- Effective recognition and management are crucial for patient safety.
- Simulation is an increasingly adopted teaching modality in nursing.
Purpose of the Study:
- To quantitatively synthesize the effectiveness of simulation on nursing students' and registered nurses' abilities.
- To assess simulation's impact on recognizing and managing clinical deterioration in acute care.
- To provide evidence for the efficacy of simulation-based nursing education.
Main Methods:
- Conducted meta-analyses of 19 studies from 22 reports.
- Utilized random-effects models to analyze effect sizes.
- Examined knowledge and performance outcomes using standardized mean differences (d).
Main Results:
- Simulation showed a positive effect on both knowledge (d = 0.964 to 1.231) and performance (d = 1.382 to 1.610).
- All calculated effect sizes were statistically significant (p ≤ .001).
- Interventions demonstrated substantial positive impacts on participants' abilities.
Conclusions:
- Simulation-based interventions are effective in enhancing nurses' knowledge and performance.
- Simulation is a valuable tool for improving clinical deterioration management skills.
- Further research should focus on standardized simulation programs for nursing education.