Abstract
Background: The first witnesses of inpatient emergency are mostly nurses, and life threatening events usually happen within 24 hours before the emergency. For patient safety, nurses need to recognize and cope with emergency at an early stage efficiently. Objective: This study was designed to develop a simulation-based educational program to improve nurses’ early recognition and coping ability at the respiratory emergency. Methods: The development of this educational program followed the step of analysis, design, development, and evaluation. In the analysis stage, the code blue report from the hospital was analyzed with Modified Early Warning Score. In the design stage, a simulation-based educational program consisting of scenario practice, debriefing and lecture was mapped out. The program was evaluated according to the prior publication review. In the development stage, three scenarios were created to help in improving the early emergency recognition and coping ability and the validity of the scenarios was tested by experts. These scenarios were based on the code blue report and Modified Early Warning Score. The educational program was verified by conducting the Pilot Program three times for the general ward nurses. Results: With the result of this study, 80 minutes of simulation based educational program was developed. The educational program consists of 10 minutes of early awareness of first state respiratory emergency simulation training, 30 minutes of early debriefing, 10 minutes of lecture, 10 minutes of early awareness of respiratory emergency simulation training and 20 minutes of debriefing. The performing ability evaluation tool comprised 27 items and self confidence evaluation tool comprised 5 items. Discussion: We expect nurses to improve their coping ability and self-confidence in early recognition of respiratory emergency. Conclusion: This educational program is expected to help nurses to improve their early recognition and coping ability in respiratory emergency which happens frequently in general wards.
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