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Research in brief

Evaluating a critical care course

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A study looked at how final-year student nurses felt they benefited from taking part in a critical care course

  • Keywords: Acutely ill/Competence/ Confidence/Deteriorating patient/Early recognition skills
  • This article has been double-blind peer reviewed
  • Figures and tables can be seen in the attached print-friendly PDF file of the complete article

Increasingly complex medical and surgical procedures, together with shorter lengths of stay, has increased the risk of patients becoming critically ill in a hospital ward (National Institute for Health and Clinical Excellence, 2007).
The ability to recognise physiological abnormalities and communicate these findings to the rest of the clinical team are important factors in preventing patients from deteriorating further.
In 2010, Hartigan et al highlighted that the assessment and management of deteriorating patients was a challenging area of practice for newly qualified staff. Furthermore, in 2008, Duchscher suggested that new graduates lacked confidence and clinical knowledge when caring for acutely ill patients.

Aim

The aim of this article was to evaluate a two-day critical care course delivered to a cohort of adult branch student nurses.

Method

In August 2009, nearly 200 final-year adult branch student nurses at the School of Nursing and Midwifery at Queen’s University Belfast took part in the two-day course. These students were doing their final placement before qualifying.

Data collection and analysis

A 16-item Likert scale questionnaire was developed to collect quantitative data. An open-ended response section was also included to collect qualitative responses.
The study questionnaire was designed to establish: students’ perceptions and attitudes in relation to confidence in caring for patients; and improvement in knowledge and skills.
In addition to the quantitative assessment, we analysed qualitative responses on a thematic basis. Qualitative aspects of the questionnaire sought information on the elements of the course that students valued the most and the least, and any other comments they wished to make.

Results

Of the 182 students who took part in the course, 135 completed questionnaires. Findings established that participants felt positively about the course.

Confidence in caring for critically ill patients

Most (90%) of the respondents (n=121) agreed or strongly agreed that the two-day course had improved their confidence in caring for critically ill patients.
Qualitative comments supported this. One student said: “I feel the critical care course was very beneficial to my practice. It has provided me with confidence.”

Improvement of knowledge and skills

When participants were asked if they felt their knowledge and skills had improved by the end of the course, 88% (n=119) responded positively.
Most participants (87%, n=117) said that all final-year student nurses should complete critical care training.

Useful to revise and practice ABCDE

Ninety-four per cent of respondents (n=127) agreed or strongly agreed that it was useful to revise the ABCDE approach to assess and manage critically unwell patients.
Students suggested this assessment tool enhanced their skills, with one describing how “it helped to go over ABCDE approach and revise my emergency skills”.

Discussion

The results from this evaluation demonstrate that students who took part in this course had a positive experience.
The results also showed the value of placing it at the end of a student’s third year, just before registration. Most participants valued the opportunity to revisit material on assessing and managing critically ill patients.
Students who took part in the course felt their confidence in caring for critically ill patients had been enhanced.

Conclusion

The positive attitudes of undergraduate nurses support the introduction of critical care training. The success of this course highlights a need for more education on this subject area in the undergraduate nursing curriculum.
Essential skills including assessment, management and effective communication concerning deteriorating patients should be taught throughout the curriculum. A student-selective module concentrating on critical illness may go some way to addressing challenges of assessment and managing critically ill patients. NT

This article is a summary of: Gallagher P et al (2011) An evaluation of a critical care course for undergraduate nursing students. Nursing in Critical Care; 16: 5, 261-269.

Patrick Gallagher, Billiejoan Rice, Paul Tierney, Karen Page and Aidin McKinney are all teaching fellows at the School of Nursing and Midwifery, Queen’s University Belfast

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