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Teaching Situational Awareness in Clinical Settings Using the GREAT Mnemonic
1About the Author Emily C. Evans, PhD, RN, is an assistant professor, University of Virginia School of Nursing, Charlottesville, Virginia. The author acknowledges Ann McQueen Blair and Donna Binding for their contributions as lab instructors and colleagues in the development of this teaching tool. For more information, contact Dr. Evans at ece5c@virginia.edu .
Situational awareness is a critical nursing skill for patient safety, often overlooked in training. The GREAT mnemonic provides a simple framework for nursing students to quickly assess patient safety and needs during initial encounters.
Area of Science:
- Nursing Education
- Patient Safety
- Clinical Assessment
Background:
- Developing situational awareness is crucial for nursing students entering clinical practice.
- This essential skill, vital for patient safety, is frequently underdeveloped or assumed.
- Nurses require rapid assessment abilities to identify immediate patient needs.
Purpose of the Study:
- To introduce the GREAT mnemonic as a tool for nursing students.
- To enhance the development of situational awareness in early clinical encounters.
- To provide a structured approach to patient safety and quality assessment.
Main Methods:
- Development of the GREAT mnemonic (G-Grievance, R-Response, E-Environment, A-Assessment, T-Team).
- Application of the mnemonic in simulated or early clinical nursing education.
- Focus on critical elements for initial patient assessment.
Main Results:
- The GREAT mnemonic offers a straightforward method for students.
- It aids in remembering key patient safety and quality assessment components.
- Facilitates quicker and more effective initial patient evaluations.
Conclusions:
- The GREAT mnemonic can improve nursing students' situational awareness.
- It serves as a practical tool for foundational patient assessment skills.
- Emphasizes the importance of structured assessment for patient safety.
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