title: Rescuing A Patient In Deteriorating Situations (RAPIDS): A simulation-based educational program on recognizing, responding and reporting of physiological signs of deterioration.
abstract: OBJECTIVE
  To describe the development, implementation and evaluation of an undergraduate nursing simulation program for developing nursing students' competency in assessing, managing and reporting of patients with physiological deterioration.
  
  
  METHODS
  A full-scale simulation program was developed and implemented in a pre-registered nursing curriculum. A randomized controlled study was performed with 31 third year nursing students. After a baseline evaluation of all participants in a simulated environment, the intervention group underwent four simulation scenarios in a 6h education session. All participants were then re-tested. The baseline and post-test simulation performances were scored using a validated tool. The students completed a survey to evaluate their learning experiences.
  
  
  RESULTS
  The clinical performances mean scores for assessment and management of deteriorating patients improved significantly after the training program compared to baseline scores (t=9.26; p<0.0001) and to post-test mean scores of the control group (F=77.28; p<0.0001). The post-test mean scores of the intervention group in reporting deterioration was significantly higher than the baseline mean scores (t=4.24; p<0.01) and the post-test means scores of the control group (F=8.98; p<0.01). The participants were satisfied with their simulation experiences, rated positively on features of the simulation and valued the program in developing their self-confidence.
  
  
  CONCLUSIONS
  The nursing students' competency in assessing, managing and reporting of deteriorating patient can be enhanced through a systematic development and implementation of a simulation-based educational program that utilized mnemonics to help students to remember key tasks.
authors.affiliation: Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11, Singapore 117597 Singapore. nurliaw@nus.edu.sg
authors.forename: Sok Ying
authors.initials: SY
authors.lastname: Liaw
authors.forename: Jan-Joost
authors.initials: JJ
authors.lastname: Rethans
authors.forename: Albert
authors.initials: A
authors.lastname: Scherpbier
authors.forename: Klainin-Yobas
authors.initials: KY
authors.lastname: Piyanee
mesh_terms: D000328:Adult; D016009:Chi-Square Distribution; D003198:Computer Simulation; D003479:Curriculum; D018450:Disease Progression; D004508:Education, Nursing, Baccalaureate / Q000458:organization & administration*; D004521:Educational Measurement; D005260:Female; D006801:Humans; D008297:Male; D017145:Models, Educational; D015999:Multivariate Analysis; D009733:Nursing Diagnosis; D016544:Patient Simulation; D011361:Professional Competence; D015397:Program Evaluation; D012016:Reference Values; D012846:Singapore; D013338:Students, Nursing / Q000706:statistics & numerical data; D055986:Vital Signs; D055815:Young Adult