Newly qualified Saudi nurses' ability to recognize the deteriorating child in hospital

Daifallah Al-Thubaity; Susan Williamson; Ralph Leavey; Lyvonne N Tume

doi:10.1111/nicc.12356

Newly qualified Saudi nurses' ability to recognize the deteriorating child in hospital

Daifallah Al-Thubaity, Susan Williamson, Ralph Leavey, Lyvonne N Tume

Allied Health, Social Work & Wellbeing

Research output: Contribution to journal › Article (journal) › peer-review

3 Citations (Scopus)

Abstract

BACKGROUND: It is recognized that nurses' failure to recognize and respond promptly to deterioration in children's physiological status can result in increased morbidity and mortality.

AIM: The aim of this study was to explore the ability of Saudi-educated, newly qualified nurses, working in paediatric wards, to recognize children's deterioration.

METHODS: A pilot study was carried out to assess nurses' responses to three clinical vignettes (deteriorating child, improving child and ambiguous scenarios). The nurses' ability to make a correct identification was captured using a 'Think Aloud' approach and quantified using a visual analogue scale.

RESULTS: Twenty-seven nurses in two geographical regions in Saudi Arabia participated. Only half the nurses (51·8%) correctly identified the deteriorating child vignette. Of those who could not, 37% were unsure and 11% responded incorrectly. No nurses correctly identified all three vignettes, and four nurses (15%) responded incorrectly to all vignettes.

CONCLUSIONS: The recognition of the deteriorating child is complex, and even in non-stressful simulated scenarios using vignettes, many newly qualified nurses working with children failed to recognize clear signs of deterioration. A focused (culturally specific) educational intervention is being developed to target this, taking into account Saudi nurses' perceived education and training needs.

RELEVANCE TO CLINICAL PRACTICE: Newly qualified nurses working in paediatric wards frequently find it difficult to identify the deteriorating child.

Original language	English
Pages (from-to)	263-267
Number of pages	5
Journal	Nursing in Critical Care
Volume	24
Issue number	5
DOIs	https://doi.org/10.1111/nicc.12356
Publication status	Published - 1 Sept 2019

Keywords

Adolescent
Adult
Child
Child, Preschool
Clinical Competence/standards
Clinical Deterioration
Critical Care Nursing/standards
Early Diagnosis
Female
Humans
Infant
Infant, Newborn
Male
Middle Aged
Monitoring, Physiologic/standards
Nursing Staff, Hospital/education
Pilot Projects
Practice Guidelines as Topic
Saudi Arabia

Access to Document

10.1111/nicc.12356

Cite this

@article{b9e242646ef9406bb2ab9e46556cd21d,

title = "Newly qualified Saudi nurses' ability to recognize the deteriorating child in hospital",

abstract = "BACKGROUND: It is recognized that nurses' failure to recognize and respond promptly to deterioration in children's physiological status can result in increased morbidity and mortality.AIM: The aim of this study was to explore the ability of Saudi-educated, newly qualified nurses, working in paediatric wards, to recognize children's deterioration.METHODS: A pilot study was carried out to assess nurses' responses to three clinical vignettes (deteriorating child, improving child and ambiguous scenarios). The nurses' ability to make a correct identification was captured using a 'Think Aloud' approach and quantified using a visual analogue scale.RESULTS: Twenty-seven nurses in two geographical regions in Saudi Arabia participated. Only half the nurses (51·8%) correctly identified the deteriorating child vignette. Of those who could not, 37% were unsure and 11% responded incorrectly. No nurses correctly identified all three vignettes, and four nurses (15%) responded incorrectly to all vignettes.CONCLUSIONS: The recognition of the deteriorating child is complex, and even in non-stressful simulated scenarios using vignettes, many newly qualified nurses working with children failed to recognize clear signs of deterioration. A focused (culturally specific) educational intervention is being developed to target this, taking into account Saudi nurses' perceived education and training needs.RELEVANCE TO CLINICAL PRACTICE: Newly qualified nurses working in paediatric wards frequently find it difficult to identify the deteriorating child.",

keywords = "Adolescent, Adult, Child, Child, Preschool, Clinical Competence/standards, Clinical Deterioration, Critical Care Nursing/standards, Early Diagnosis, Female, Humans, Infant, Infant, Newborn, Male, Middle Aged, Monitoring, Physiologic/standards, Nursing Staff, Hospital/education, Pilot Projects, Practice Guidelines as Topic, Saudi Arabia",

author = "Daifallah Al-Thubaity and Susan Williamson and Ralph Leavey and Tume, {Lyvonne N}",

note = "Publisher Copyright: {\textcopyright} 2018 British Association of Critical Care Nurses",

year = "2019",

month = sep,

day = "1",

doi = "10.1111/nicc.12356",

language = "English",

volume = "24",

pages = "263--267",

journal = "Nursing in Critical Care",

issn = "1362-1017",

publisher = "Blackwell Publishing",

number = "5",

}

TY - JOUR

T1 - Newly qualified Saudi nurses' ability to recognize the deteriorating child in hospital

AU - Al-Thubaity, Daifallah

AU - Williamson, Susan

AU - Leavey, Ralph

AU - Tume, Lyvonne N

PY - 2019/9/1

Y1 - 2019/9/1

N2 - BACKGROUND: It is recognized that nurses' failure to recognize and respond promptly to deterioration in children's physiological status can result in increased morbidity and mortality.AIM: The aim of this study was to explore the ability of Saudi-educated, newly qualified nurses, working in paediatric wards, to recognize children's deterioration.METHODS: A pilot study was carried out to assess nurses' responses to three clinical vignettes (deteriorating child, improving child and ambiguous scenarios). The nurses' ability to make a correct identification was captured using a 'Think Aloud' approach and quantified using a visual analogue scale.RESULTS: Twenty-seven nurses in two geographical regions in Saudi Arabia participated. Only half the nurses (51·8%) correctly identified the deteriorating child vignette. Of those who could not, 37% were unsure and 11% responded incorrectly. No nurses correctly identified all three vignettes, and four nurses (15%) responded incorrectly to all vignettes.CONCLUSIONS: The recognition of the deteriorating child is complex, and even in non-stressful simulated scenarios using vignettes, many newly qualified nurses working with children failed to recognize clear signs of deterioration. A focused (culturally specific) educational intervention is being developed to target this, taking into account Saudi nurses' perceived education and training needs.RELEVANCE TO CLINICAL PRACTICE: Newly qualified nurses working in paediatric wards frequently find it difficult to identify the deteriorating child.

AB - BACKGROUND: It is recognized that nurses' failure to recognize and respond promptly to deterioration in children's physiological status can result in increased morbidity and mortality.AIM: The aim of this study was to explore the ability of Saudi-educated, newly qualified nurses, working in paediatric wards, to recognize children's deterioration.METHODS: A pilot study was carried out to assess nurses' responses to three clinical vignettes (deteriorating child, improving child and ambiguous scenarios). The nurses' ability to make a correct identification was captured using a 'Think Aloud' approach and quantified using a visual analogue scale.RESULTS: Twenty-seven nurses in two geographical regions in Saudi Arabia participated. Only half the nurses (51·8%) correctly identified the deteriorating child vignette. Of those who could not, 37% were unsure and 11% responded incorrectly. No nurses correctly identified all three vignettes, and four nurses (15%) responded incorrectly to all vignettes.CONCLUSIONS: The recognition of the deteriorating child is complex, and even in non-stressful simulated scenarios using vignettes, many newly qualified nurses working with children failed to recognize clear signs of deterioration. A focused (culturally specific) educational intervention is being developed to target this, taking into account Saudi nurses' perceived education and training needs.RELEVANCE TO CLINICAL PRACTICE: Newly qualified nurses working in paediatric wards frequently find it difficult to identify the deteriorating child.

KW - Adolescent

KW - Adult

KW - Child

KW - Child, Preschool

KW - Clinical Competence/standards

KW - Clinical Deterioration

KW - Critical Care Nursing/standards

KW - Early Diagnosis

KW - Female

KW - Humans

KW - Infant

KW - Infant, Newborn

KW - Male

KW - Middle Aged

KW - Monitoring, Physiologic/standards

KW - Nursing Staff, Hospital/education

KW - Pilot Projects

KW - Practice Guidelines as Topic

KW - Saudi Arabia

UR - http://www.scopus.com/inward/record.url?scp=85050506081&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85050506081&partnerID=8YFLogxK

U2 - 10.1111/nicc.12356

DO - 10.1111/nicc.12356

M3 - Article (journal)

C2 - 30004156

SN - 1362-1017

VL - 24

SP - 263

EP - 267

JO - Nursing in Critical Care

JF - Nursing in Critical Care

IS - 5

ER -

Newly qualified Saudi nurses' ability to recognize the deteriorating child in hospital

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this