title: The Effectiveness of Simulation on Recognizing and Managing Clinical Deterioration: Meta-Analyses.
abstract: The purpose of these meta-analyses was to quantitatively synthesize the effectiveness of simulation on student nurses' and registered nurses' ability to recognize and manage clinical deterioration in the acute care setting. A search of the literature resulted in 22 reports and 19 studies meeting inclusion criteria. Four random-effects analyses were conducted to examine two-group posttest and single-group pre-posttest intervention effect sizes for knowledge and performance. A total of 41 effect sizes were calculated from the data extracted. The standardized mean difference ( d) for two-group posttest knowledge was d = 0.964 ( p = .001) and for performance was d = 1.382 ( p ≤ .001). The standardized mean difference for single-group pre-posttest knowledge was d = 1.231 ( p ≤ .001) and performance was d = 1.610 ( p ≤ .001). Findings indicate that simulation-based interventions have a positive effect on knowledge and performance. As simulation is increasingly used as a teaching modality in nursing, further research should aim to test standardized simulation-based education programs.
authors.affiliation: 1 University of Missouri, Columbia, MO, USA.|2 Kaweah Delta Health Care District, Visalia, CA, USA.
authors.forename: Sabrina B
authors.initials: SB
authors.lastname: Orique
authors.affiliation: 1 University of Missouri, Columbia, MO, USA.
authors.forename: Lorraine J
authors.initials: LJ
authors.lastname: Phillips
mesh_terms: D000075902:Clinical Deterioration; D006801:Humans; D016544:Patient Simulation; D015397:Program Evaluation / Q000592:standards*; D013338:Students, Nursing / Q000523:psychology*
keywords: meta-analyses; methods; nurses as subjects; nursing education; patient deterioration; patient safety; simulation