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Newly qualified Saudi nurses' ability to recognise the deteriorating child in hospital

Al-Thubaity, Daifallah; Williamson, Sue; Leavey, Ralph; Tume, Lyvonne N

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Authors

Daifallah Al-Thubaity

Sue Williamson

Ralph Leavey

Lyvonne Tume Lyvonne.Tume@uwe.ac.uk
Associate Professor in Child Health



Abstract

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
Print ISSN 1362-1017
Electronic ISSN 1478-5153
Publisher Wiley
Peer Reviewed Not Peer Reviewed
Volume 24
Issue 5
Pages 263-267
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
DOI https://doi.org/10.1111/nicc.12356
Keywords Early recognition skills, monitoring, deterioration, paediatrics; clinical vignettes
Publisher URL https://doi.org/10.1111/nicc.12356
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.

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