Situation awareness assessment in patient deterioration simulations

Assessment tool:
Situation awareness assessment in patient deterioration simulations
Contributed by Patrick Lavoie on March 04, 2016, last updated on March 04, 2016.
Language:
English
Author(s):
  • First Name: 
    Patrick
    Last Name: 
    Lavoie
    Credentials/degrees: 
    RN, PhD candidate
    Organization: 
    Université de Montréal
  • First Name: 
    Sylvie
    Last Name: 
    Cossette
    Credentials/degrees: 
    RN, PhD
    Organization: 
    Université de Montréal
  • First Name: 
    Jacinthe
    Last Name: 
    Pepin
    Credentials/degrees: 
    RN, PhD
    Organization: 
    Université de Montréal

Goals & Objectives

Other Competencies:

Situation awareness as described by Endsley (2000): perception, comprehension, and projection of signs of deterioration.

Details

Simulation modality:
Manikin (high sophistication), Manikin (mid/low sophistication), Role-playing, Standardized/simulated patients or real patients

Validity Evidence

Evaluation/validation:

In a previous validation study in a scenario of hemorraghe (Lavoie, Cossette, & Pepin, 2016), all items obtained high content validity index and the instrument obtained a content validity index of 0.97. Most items showed proper psychometrics value (difficulty, discrimination, and reliability indices). Cronbach's alpha reached 0.64. The instrument should be used to compare nurses or nursing students' situation awareness in the same scenario. Comparison between different scenarios showed that the psychometrics properties of the instrument varied from one scenario to another.

References:

Lavoie, P., Cossette, S., & Pepin, J. (2016). Testing nursing students' clinical judgment in a patient deterioration scenario: Development of a situation awareness instrument. Nurse Education Today, 38, 61-67. doi: http://dx.doi.org/10.1016/j.nedt.2015.12.015

Sharing

CITATION

Lavoie 
P
 Situation awareness assessment in patient deterioration simulations. Simulation resource published by SIM-one Ontario Simulation Network; 2016. Available from http://www.sim-one.ca/scenario/situation-awareness-assessment-patient-deterioration-simulations.
Cossette 
S
 Situation awareness assessment in patient deterioration simulations. Simulation resource published by SIM-one Ontario Simulation Network; 2016. Available from http://www.sim-one.ca/scenario/situation-awareness-assessment-patient-deterioration-simulations.
Pepin 
J
 Situation awareness assessment in patient deterioration simulations. Simulation resource published by SIM-one Ontario Simulation Network; 2016. Available from http://www.sim-one.ca/scenario/situation-awareness-assessment-patient-deterioration-simulations.
What type of resource do you want to submit?: 
Assessment tool
How would you like to submit your resource?: 
I will provide a link (URL)
Language: 
English
Author(s): 
First Name: 
Patrick
Last Name: 
Lavoie
Credentials/degrees: 
RN, PhD candidate
Organization: 
Université de Montréal
First Name: 
Sylvie
Last Name: 
Cossette
Credentials/degrees: 
RN, PhD
Organization: 
Université de Montréal
First Name: 
Jacinthe
Last Name: 
Pepin
Credentials/degrees: 
RN, PhD
Organization: 
Université de Montréal
Authored Date: 
Tuesday, December 22, 2015
Interprofessional: 
No
Target of Assessment: 
An individual
An individual working as part of a team
Target learners: Profession(s): 
  • Nursing
Target learners: Level(s): 
Undergraduate / post-secondary
Continuing professional development
Healthcare field(s): 
Critical care
Medical
Surgical
Other Competencies: 

Situation awareness as described by Endsley (2000): perception, comprehension, and projection of signs of deterioration.

Brief Summary: 

This is an instrument to measure situation awareness in nurses participating in a patient deterioration simulation scenario. It measures nurses' perception of quantifiable signs of deterioration (e.g., vital signs, level of consciousness) and less quantifiable signs of deterioration (e.g., breath sounds, agitation, new pain). It also measures nurses' comprehension of the meaning of these signs and their projection of their status in the near future. The instrument has been used to operationalize the concept of clinical judgment in a RCT (publication under review).

Simulation modality(ies): 
  • Manikin (high sophistication)
  • Manikin (mid/low sophistication)
  • Role-playing
  • Standardized/simulated patients or real patients
Validity Evidence: 

In a previous validation study in a scenario of hemorraghe (Lavoie, Cossette, & Pepin, 2016), all items obtained high content validity index and the instrument obtained a content validity index of 0.97. Most items showed proper psychometrics value (difficulty, discrimination, and reliability indices). Cronbach's alpha reached 0.64. The instrument should be used to compare nurses or nursing students' situation awareness in the same scenario. Comparison between different scenarios showed that the psychometrics properties of the instrument varied from one scenario to another.

References/Publications: 

Lavoie, P., Cossette, S., & Pepin, J. (2016). Testing nursing students' clinical judgment in a patient deterioration scenario: Development of a situation awareness instrument. Nurse Education Today, 38, 61-67. doi: http://dx.doi.org/10.1016/j.nedt.2015.12.015

Development time: 
20
Research Collaboration: 
Yes
Peer Review: 
No
Setting: 
Critical care unit
Emergency room
Hospital ward
Keywords: 
Patient deterioration, deteriorating patient, situational awareness