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First do no harm: Teaching and assessing the recognition and rescue of deteriorating patients to nursing students

Tucker, Guy, Unsworth, John and Hindmarsh, Yvonne (2015) First do no harm: Teaching and assessing the recognition and rescue of deteriorating patients to nursing students. Journal of Nurse Education and Practice, 5 (6). pp. 31-38. ISSN 1925-4040

Item Type: Article

Abstract

Failure to recognise and appropriately rescue the deteriorating patient is a global issue which has the potential to cause serious harm to patients. Such recognition and rescue of a deteriorating patient requires both technical and non-technical skills and there are multiple points for potential failure. The taking and recording of vital observations is one of the cornerstones of recognising deterioration. However, such observations are often delegated to students and the least experienced staff. This paper explores the teaching and assessment of under-graduate nursing students to recognise and arrange the rescue of a deteriorating patient within the first 16 weeks of their course. The paper describes the development of an integrated Objective Structured Clinical Examination (OSCE) and the subsequent evaluation of this using survey data, student performance results and unobtrusive methods. The results suggest that it is possible to use an integrated OSCE to assess students even at such an early stage in their course. Although data from other Higher Education Institutions in the UK suggests that integrated OSCEs at such an early stage are rare. The appropriate teaching of vital observations, structured hand off and reporting enable students to contribute to safer care and to adhere to the maxim “First Do No Harm”.

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More Information

Depositing User: John Unsworth

Identifiers

Item ID: 9033
Identification Number: https://doi.org/10.5430/jnep.v5n6p31
ISSN: 1925-4040
URI: http://sure.sunderland.ac.uk/id/eprint/9033
Official URL: http://www.sciedu.ca/journal/index.php/jnep/articl...

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Catalogue record

Date Deposited: 26 Mar 2018 15:27
Last Modified: 18 Dec 2019 16:06

Contributors

Author: Guy Tucker
Author: John Unsworth
Author: Yvonne Hindmarsh

University Divisions

Faculty of Health Sciences and Wellbeing
Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences

Subjects

Sciences > Nursing

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