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Experienced nurses met time goals in patient deterioration simulations, while novices improved but still lagged. Time goals offer an objective measure for developing novice nursing competence.

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Area of Science:

  • Nursing Education
  • Clinical Skills Assessment
  • Patient Safety

Background:

  • Time goals have not been previously evaluated as a measure of nursing competence.
  • Assessing time-based performance is crucial for effective patient care.

Purpose of the Study:

  • To investigate the role of time goals in assessing nursing competence.
  • To compare the performance of novice and expert nurses in time-sensitive patient deterioration scenarios.

Main Methods:

  • A multisite study utilized a known-groups approach comparing prelicensure nursing students (novices) and experienced nurses (experts).
  • Participants engaged in two patient deterioration simulations incorporating specific time goals.
  • Eye-tracking technology was employed for video capture during simulations.

Main Results:

  • Experts demonstrated higher success rates in achieving time-to-task goals (44% and 95%) across simulations.
  • A statistically significant difference was observed between novice and expert groups in meeting time goals (P < .01).
  • Novices showed significant improvement in achieving time goals between the two simulations (P = .04).

Conclusions:

  • This study successfully differentiated expert nurses as more proficient in timed assessments.
  • Novice nurses exhibited improvement, highlighting an opportunity for skill development in managing patient deterioration.
  • Time-based assessments can serve as an objective metric for enhancing novice nursing skills.