Question

Article: The effect of unit-based simulation on nurse’s identification of deteriorating patient.

In today’s nursing practice environment, nurses are faced with patients with multiple, complex conditions that can change rapidly leading to an acute patient deterioration (APD) event (Bright, Walker, & Bion, 2004). Patients often exhibit early warning signs before APD events (Fuhrmann, Lippert, Perner, & Ostergard, 2008; Kause et al., 2004), but research supports that early warning signs are not always identified by healthcare providers and/or, if identified, are not addressed in an appropriate time frame. Multiple factors have been cited as reasons for failure to recognize and respond appropriately to APD events including lack of knowledge and skills, lack of confidence to handle APD events, not monitoring vital signs (VS) routinely, failure to seek assistance, communication failures, and confusion regarding role responsibilities (National Patient Safety Agency, 2007).  

As the acuity of patients increases, it becomes imperative that registered nurses (RNs) perform frequent assessments and intervene appropriately when patients’ conditions be- gan to deteriorate (Cooper et al., 2010). These interventions include providing appropriate care to stop the deterioration such as consultation with advanced practice nurses and/or physicians, ensuring/evaluating that the health plan is being implemented, and/or determining if transfer to critical care areas for higher level nursing care is required. The use of simulation as a teaching method assists nurses to improve their assessment skills and response to patient decline in a timely and knowledgeable manner (Cooper et al., 2010). The purpose of this pilot research study was to examine the effects of a unit-based, high-fidelity simulation initiative on cardiovascular step-down unit RNs’ identification and management of deteriorating patients.  

*In this assignment you will choose a study from the folder of selected studies and upload a Quantitative experimental or quasi-experimental designed research study.

*Review Experimental and Quasi-experimental studies of your textbook for definitions and specific types of experimental and quasi-experimental studies.

Directions:

From the article identify the following using 1 or 2 simple sentences

1. The study "Method" or "Design":  

2. Problem Statement:  

3. Purpose Statement:

4. Independent Variable and the Dependent Variable:  

5. The intervention:  

6. The hypothesis or research question:

Answer 1

1, The study "Method" or "Design":  Quasi Experimental study design

2. Problem Statement: A Quasi Experimental study to examine the effects of a unit-based, high-fidelity simulation initiative on RNs’ identification and management of deteriorating patients in cardiovascular step-down unit

3. Purpose Statement: To examine the effects of a unit-based, high-fidelity simulation initiative on cardiovascular step-down unit RNs’ identification and management of deteriorating patients.

4. Independent Variable and the Dependent Variable:

Independent Variable: Unit-based simulation

Dependent Variable: Nurse’s identification of deteriorating patient

5. The intervention: The use of simulation as a teaching method assists nurses to improve their assessment skills and response to patient decline in a timely and knowledgeable manner

6. The hypothesis or research question: Unit-based, high-fidelity simulation initiative will have impact on RNs’ identification and management of deteriorating patients