title: A study of the relationship of nursing interventions and cognitions to the physiologic outcomes of care in a simulated task environment.
abstract: This study, based on the Expert Performance Approach, examined the clinical nursing performance of participants who were introduced into a simulated task environment requiring them to administer care to a client experiencing an exacerbation of Congestive Heart Failure. This was undertaken to identify cognitive and physiologic variables that differentiate performance levels among participants. Data on participant actions and verbal reports were coded to characterize their relationship with physiologic responses of the Human Patient Simulator. The results demonstrated that physiologic responses to nursing interventions reflect a reliable pattern that can be used to differentiate performance levels.
authors.affiliation: College of Nursing, The Florida State University, Tallahassee, FL 32310-4310, USA.
authors.forename: James
authors.initials: J
authors.lastname: Whyte
authors.forename: Roxanne
authors.initials: R
authors.lastname: Pickett-Hauber
authors.forename: Eileen
authors.initials: E
authors.lastname: Cormier
authors.forename: Laurie
authors.initials: L
authors.lastname: Grubbs
authors.forename: Paul
authors.initials: P
authors.lastname: Ward
mesh_terms: D000328:Adult; D002983:Clinical Competence / Q000592:standards; D003071:Cognition; D004508:Education, Nursing, Baccalaureate; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006333:Heart Failure / Q000378:metabolism / Q000451:nursing* / Q000503:physiopathology; D006801:Humans; D008297:Male; D008348:Manikins; D008991:Monitoring, Physiologic; D009730:Nursing Assessment / Q000458:organization & administration; D015403:Nursing Evaluation Research; D009736:Nursing Process / Q000458:organization & administration*; D019370:Observation; D017063:Outcome Assessment, Health Care; D010865:Pilot Projects; D012381:Role Playing; D015144:Southeastern United States; D013338:Students, Nursing / Q000523:psychology*; D013996:Time and Motion Studies