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Effects of patient deterioration simulation using inattentional blindness for final year nursing students: A randomized controlled trial

Nurse Educ Today. 2021 Jul 24;106:105080. doi: 10.1016/j.nedt.2021.105080. Online ahead of print.

ABSTRACT

BACKGROUND: Patient deterioration should be detected early and responded appropriately for patient safety. It is necessary to strengthen situational awareness regarding patient deterioration. Inattentional blindness is a major factor that hinders situational awareness about patient deterioration in the clinical setting.

OBJECTIVES: To analyze the impact of patient deterioration simulation using inattentional blindness (PDS-IB) on situational awareness and patient safety competency-attitude among final year nursing students.

DESIGN: A randomized controlled trial.

PARTICIPANTS: Final year nursing students at a university in South Korea.

METHODS: Students were randomly assigned to an experimental or control group. The experimental group (n = 47) was given a PDS-IB. The control group (n = 44) received a simple patient deterioration simulation. Situational awareness and patient safety competency-attitude were measured at baseline, post intervention, and at 2 weeks follow-up. Data were analyzed using a two-way repeated measures ANOVA.

RESULTS: There were statistically significant group effects, time effects, and group and time interaction effects in situational awareness and patient safety competency-attitude.

CONCLUSION: PDS-IB is an effective educational strategy that increases situational awareness and patient safety competency-attitude in final year nursing students.

PMID:34340194 | DOI:10.1016/j.nedt.2021.105080

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