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Lessons Learned: Utilizing the NEWS Tool in High-Fidelity Simulation
Brenda Wiles1, Celeste M Alfes, Mary Dolansky
1About the Authors Brenda Wiles, DNP, RN, is an assistant professor, Xavier University College of Nursing, Cincinnati, Ohio. Celeste M. Alfes, DNP, RN, CNE, CHSE-A, FAAN, is an associate professor and director, Center for Nursing Education, Simulation, & Innovation, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio. Mary Dolansky, PhD, RN, is an associate professor, Frances Payne Bolton School of Nursing, Case Western Reserve University. For more information, contact Dr. Wiles at Wilesb@xavier.edu or blw53@case.edu.
Abstract:
Nurse educators can enhance students' clinical judgment by providing cues to guide decision-making during simulation. The purpose of this experimental feasibility study was to evaluate the effectiveness of using the National Early Warning Score as a set of cues during high-fidelity simulation to guide students in the development of clinical judgment, resulting in early detection of patient deterioration. Differences in clinical judgment scores and speed of detection of patient deterioration between groups of junior-level nursing students trained in the use of National Early Warning Score versus those who were not were evaluated. No significant differences were detected between the groups; however, valuable lessons were learned.
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