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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.

Nursing Education Perspectives

|October 26, 2021

Summary

This summary is machine-generated.

This study explored using the National Early Warning Score (NEWS) in nursing simulations to improve clinical judgment and early detection of patient decline. While no significant differences were found, valuable insights were gained for future research.

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Area of Science:

Nursing Education
Clinical Judgment Development
Patient Safety

Background:

Nurse educators utilize simulation to develop clinical judgment.
Early detection of patient deterioration is crucial for patient safety.
National Early Warning Score (NEWS) is a tool for assessing acute illness severity.

Purpose of the Study:

To evaluate the effectiveness of using NEWS as cues in high-fidelity simulation.
To guide nursing students in developing clinical judgment for early detection of patient deterioration.
To assess differences in clinical judgment scores and detection speed between students trained in NEWS and those not.

Main Methods:

Experimental feasibility study design.
Comparison of junior-level nursing students.
Utilized high-fidelity simulation with and without NEWS cues.

Main Results:

No significant differences detected in clinical judgment scores or speed of deterioration detection between groups.
Valuable lessons were learned regarding simulation design and implementation.

Conclusions:

Further research is needed to optimize the use of NEWS in simulation for clinical judgment development.
Simulation remains a valuable tool for nursing education, with potential for incorporating standardized assessment tools like NEWS.