good mews, bad mews

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