good mews, bad mews using simulated learning to increase confidence and decision making skills when...
Post on 21-Dec-2015
213 Views
Preview:
TRANSCRIPT
GOOD MEWS,BAD MEWS
Using simulated learning to increase confidence and decision making skills when managing medical emergencies – third year nursing students
Learning & Teaching Conference 8 2011: parallel session 24
Paul MarshallKevin Stevenson School of Healthcare
Learning & Teaching Conference 2011GOOD MEWS, BAD MEWS
Session outcomes:
• Briefly discuss simulation as a way to enhance decisionmaking
• Discussion of three simulated case scenarios and organisation of session (Managing Medical Emergencies)
• Consider the use of the ABCDE approach as a clinicalassessment method and the use of MEWS scoring
• Delegates complete MEWS scoring based on a case example
• Summary of student evaluations of the Managing Medical Emergencies simulation sessions
Learning & Teaching Conference 2011GOOD MEWS, BAD MEWSSimulation as a learning approach
Learning & Teaching Conference 2011GOOD MEWS, BAD MEWS
MEWS scoring tool
AirwayBreathingCirculationDisabilityExposure
Learning & Teaching Conference 2011GOOD MEWS, BAD MEWS
Three scenarios: Managing Medical Emergencies
Acute chest pain
(acute coronary syndrome) Acute respiratory difficulty
Acute post-operative complication - bleeding
ABCDELUTube - University of Leeds
Cardiac arresthttp://lutube.leeds.ac.uk/hcspm/videos/4222
Learning & Teaching Conference 2011GOOD MEWS, BAD MEWS
Scenario example:
• Post-operative patient following abdominal surgery(see hand out)
In groups of two or three read the patient scenario and using the Modified Early Warning Scoring System (MEWS) decide on the score you would give
On warding -
Following deterioration -
1
14
Learning & Teaching Conference 2011GOOD MEWS, BAD MEWS
MEWS scoring - following deterioration:
Learning & Teaching Conference 2011GOOD MEWS, BAD MEWS
Student evaluations (pre-session n = 68):
P < 0.001
P < 0.001
Learning & Teaching Conference 2011GOOD MEWS, BAD MEWS
Student evaluation (cont):
Responses 3-5 indicatestudents perceived the session increased their skills highly
Learning & Teaching Conference 2011GOOD MEWS, BAD MEWS
Qualitative statements:
Enhanced my knowledge
& skillsI feel more confident to spot
problems before they occur
Made me realise that I do know
a lot more than I thought
I feel more confident to
handle emergency situations
I do feel more confident and find simulation is a positive way to learn and develop skills
Learning & Teaching Conference 2011GOOD MEWS, BAD MEWS
Thank you for listening &participating
Any questions
top related