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From simulation to bedside: enhancing clinicians’ preparedness for recognising and responding to acute deterioration

Donnelly, Nikita orcid iconORCID: 0000-0003-1808-8955, Zanotti, Sahn, Trudgett, Matthew and Lamont, Scott orcid iconORCID: 0000-0003-2497-1314 (2026) From simulation to bedside: enhancing clinicians’ preparedness for recognising and responding to acute deterioration. Contemporary Nurse . ISSN 1037-6178

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Official URL: https://doi.org/10.1080/10376178.2026.2629241

Abstract

Background
Failure to recognise and respond to patient deterioration is a global patient safety issue. Simulation-based learning may enhance clinicians’ preparedness, decision-making, and teamwork during clinical emergencies.

Aims
To evaluate clinicians’ experience of a simulation-based workshop preparing for recognition and response to acute patient deterioration in hospital settings.

Design
A single-group, post-test, repeated cross-sectional exploratory study was conducted across three metropolitan hospitals in Sydney, Australia.

Methods
Nurses and medical officers attending mandatory workshops completed the Simulation Effectiveness Tool-Modified (SET-M) and provided qualitative feedback. Additional questions sought contextual information about participants’ training backgrounds in patient deterioration, as well as open-ended feedback on the workshop's strengths and areas for improvement. Descriptive statistics and content analysis were performed.

Results
Among 153 participants, most were nurses attending orientation training. Over 90% agreed that simulation improved confidence and preparedness. Pre-briefing, scenario learning, and debriefing were rated highly. Participants valued hands-on experience and interdisciplinary collaboration.

Conclusions
The ‘’program effectively enhanced clinical preparedness and confidence. Ensuring completion prerequisites and addressing logistical challenges may further improve outcomes.


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