Deteriorating Patients: Global Reach and Impact of an E-Simulation Program

Simon J. Cooper, Ruben Hopmans, Robyn P. Cant, Fiona Bogossian, Anita Giannis, Rosey King

Research output: Contribution to journalArticleResearchpeer-review

11 Citations (Scopus)


Background E-simulation may enable a feasible education solution to the management of deteriorating patients. Method The study involves a pre–post quasi-experimental evaluation of global data on educational outcomes from an e-simulation program. Results Qualified nurses (n = 1,229) and final year nursing students (n = 1,742) were among 5,511 participants from 20 countries who completed the program. Both groups’ knowledge and performance improved significantly (p = <.001) with no difference between groups. Regression analysis revealed predictors of performance were education level, knowledge, experience, and being female. Participants positively evaluated the program and mode of delivery. Conclusion E-simulation may enhance students’ preparation for practice and improve qualified nurses’ management of deteriorating patients.

Original languageEnglish
Pages (from-to)562-572
Number of pages11
JournalClinical Simulation in Nursing
Issue number11
Publication statusPublished - 1 Nov 2017


  • clinical knowledge
  • continuing education
  • e-simulation
  • nursing
  • nursing assessment
  • students
  • work readiness

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