Tracy McConnell-Henry

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AIM To examine, in a simulated environment, the ability of final-year nursing students to assess, identify and respond to patients either deteriorating or at risk of deterioration. BACKGROUND The early identification and management of patient deterioration has a major impact on patient outcomes. 'Failure to rescue' is of international concern, with(More)
Interviewing is a key strategy used to elicit data in qualitative research. Whilst many nurse researchers are cognizant of the skills required to conduct a successful research interview, researchers may be less comfortable with the notion of interviewing a participant with whom the researcher claims a pre-existing, or dual relationship; a phenomenon(More)
Delayed assessment and mismanagement of patient deterioration is a substantial problem for which educational preparation can have an impact. This paper describes the development of the FIRST(2)ACT simulation model based on well-established theory and contemporary empirical evidence. The model combines evidence-based elements of assessment, simulation,(More)
AIM To examine, in a simulated environment, rural nurses' ability to assess and manage patient deterioration using measures of knowledge, situation awareness and skill performance. BACKGROUND Nurses' ability to manage deterioration and 'failure to rescue' are of significant concern with questions over knowledge and clinical skills. Simulated emergencies(More)
AIM This is a report of a study investigating processes used by final-year nursing students to recognize and act on clinical cues of deterioration in a simulated environment. BACKGROUND Initial decisions about patients who are deteriorating in medical and surgical wards are often made by newly qualified nurses and doctors, increasing the risk of clinical(More)
BACKGROUND Medical Records Reviews (MRR) are commonly used in research and quality activities in health care, however, there is a paucity of literature offering a step by step guide to devising a reliable, user-friendly tool. AIM This instructional paper focuses on the stages used to design and implement successful MRR using examples from two reviews in(More)
OBJECTIVES The study aim was to examine how Registered Nurses identify and respond to deteriorating patients during in-hospital simulation exercises. DESIGN Mixed methods study using simulated actors. SETTING A rural hospital in Victoria, Australia. PARTICIPANTS Thirty-four Registered Nurses each completed two simulation exercises. METHODS Data were(More)
Although member-checking has long been accepted as the gold standard in quantitative research, it is not the pinnacle for expressing rigour in Heideggerian phenomenology because it contradicts many o the underpinning philosophies. Similarly, employing 'experts' to confirm findings conflicts with the values of interpretivism. In this paper, th authors argue(More)
OBJECTIVE To assess the ability of rural Australian nurse teams to manage deteriorating patients. METHODS This quasi-experimental design used pre- and post-intervention assessments and observation to evaluate nurses' simulated clinical performance. Registered nurses (n=44) from two hospital wards completed a formative knowledge assessment and three(More)
Evidence shows the management of deteriorating patients needs to be improved, particularly in midwifery care. In a series of three simulation-based studies in Australia we examined qualified nurses', student nurses' and midwives' ability to manage patient deterioration. Nurses' knowledge levels were acceptable but their skill performance was low and there(More)