Newly qualified Saudi nurses' ability to recognise the deteriorating child in hospital
Al-Thubaity, Daifallah; Williamson, Sue; Leavey, Ralph; Tume, Lyvonne N
Lyvonne Tume Lyvonne.Tume@uwe.ac.uk
Associate Professor in Child Health
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.
|Journal Article Type||Article|
|Publication Date||Sep 1, 2019|
|Journal||Nursing in Critical Care|
|Peer Reviewed||Not Peer Reviewed|
|APA6 Citation||Al-Thubaity, D., Williamson, S., Leavey, R., & Tume, L. N. (2019). Newly qualified Saudi nurses' ability to recognise the deteriorating child in hospital. Nursing in Critical Care, 24(5), 263-267. https://doi.org/10.1111/nicc.12356|
|Keywords||Early recognition skills, monitoring, deterioration, paediatrics; clinical vignettes|
|Additional Information||Additional Information : This is the peer reviewed version of the following article: [Al-Thubaity, D., Williamson, S., Leavey, R. and Tume, L. N. (2018) Newly qualified Saudi nurses' ability to recognise the deteriorating child in hospital. Nursing in Critical Care. ISSN 1478-5153 ], which has been published in final form at https://doi.org/10.1111/nicc.12356. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.|
Accepted article 20th April.pdf
You might also like
Paediatric intensive care nurses' decision-making around gastric residual volume measurement
Attitudes towards fever amongst UK paediatric intensive care staff
Nursing judgement and decision-making using the Sedation Withdrawal Score (SWS) in children