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Nurses' Responses and Reactions to an Emergent Pediatric Simulation Exercise
Kenneth Hoffman1, Victoria von Sadovszky
1Kenneth Hoffman, MS, RN, is Program Manager EMS/ECC/PBX, Nationwide Children's Hospital, Columbus, Ohio. Victoria von Sadovszky, PhD, RN, FAAN, is Nurse Scientist, Nationwide Children's Hospital, Columbus, Ohio.
Journal for Nurses in Professional Development
|January 4, 2018
Summary
Pediatric nurses’ reactions to incorrect medication orders in simulations were studied. While errors occurred, nurses corrected them during debriefing, suggesting authority gradient influences clinical decisions.
Area of Science:
- Nursing Education
- Patient Safety
- Clinical Simulation
Background:
- Pediatric nurses' responses during emergent simulations require further investigation.
- Authority gradient theory provides a framework for understanding hierarchical communication in healthcare.
Purpose of the Study:
- To examine pediatric nurses' reactions to incorrect medication dosages during emergency simulations.
- To explore the influence of authority gradient on clinical decision-making in simulated critical events.
Main Methods:
- Ten groups of noncritical care pediatric nurses participated in simulated emergency scenarios.
- Participants were videotaped throughout the simulation and debriefing phases.
- The study specifically analyzed responses to directed incorrect medication doses.
Main Results:
- Errors were identified during the simulation exercise.
- All nurse groups correctly addressed the medication errors during the debriefing session.
- These findings suggest a potential role for authority gradient in clinical decision-making.
Conclusions:
- Authority gradient may influence how pediatric nurses respond to potentially harmful orders in simulated emergencies.
- Effective debriefing is crucial for identifying and correcting errors in clinical practice.
- Further research is needed to fully understand the impact of authority gradient on patient safety in pediatric nursing.