A cognitive load theory simulation design to assess and manage deteriorating patients

Journal article


Say, Richard, Visentin, Denis, Betihavas, Vasiliki and Minutillo, Susannah. (2019). A cognitive load theory simulation design to assess and manage deteriorating patients. International Journal of Nursing Education Scholarship. 16(1), pp. 1-9. https://doi.org/10.1515/ijnes-2019-0009
AuthorsSay, Richard, Visentin, Denis, Betihavas, Vasiliki and Minutillo, Susannah
Abstract

Background: Cognitive load theory (CLT) uses an understanding of brain architecture for educational design, with implications for simulation. Since working memory is limited, minimising extraneous cognitive load improves learning of new tasks (intrinsic load) and use of existing knowledge (germane load). This study evaluates the effectiveness of low-fidelity simulation (LFS) utilising CLT principles in the assessment and management of the deteriorating patient (AMDP).

Method: CLT design principles informed the choice of LFS and simulation design. The self-rated ability of 13 undergraduate nurses across seven aspects of AMDP was measured in a pre-post design. Results: Self-rated ability increased from 2.98 (SD = 0.19) to 4.47 (SD = 0.12) (p < 0.001), with improvements across all AMDP aspects.

Conclusion: This study indicates that CLT informed design has benefits for simulation. LFS may be preferred to high fidelity simulation for AMDP teaching and medical simulation for novice learners.

Keywordspatient assessment; simulation; nursing education; learning; selfassessment; self; teaching; vital signs; nursing care; nurses; fidelity; working memory; memory load; brain
Year2019
JournalInternational Journal of Nursing Education Scholarship
Journal citation16 (1), pp. 1-9
PublisherDe Gruyter
ISSN1548-923X
Digital Object Identifier (DOI)https://doi.org/10.1515/ijnes-2019-0009
Scopus EID2-s2.0-85072917577
Research or scholarlyResearch
Page range1-9
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online04 Oct 2019
Publication process dates
Accepted05 Jun 2019
Deposited09 Jul 2021
Permalink -

https://acuresearchbank.acu.edu.au/item/8w56v/a-cognitive-load-theory-simulation-design-to-assess-and-manage-deteriorating-patients

Restricted files

Publisher's version

  • 72
    total views
  • 0
    total downloads
  • 4
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Resilience, posttraumatic growth and psychological wellbeing of paramedicine clinicians : An integrative review
Coyte, Benjamin, Betihavas, Vasiliki, Devenish, Anthony and Foster, Kim Narelle. (2024). Resilience, posttraumatic growth and psychological wellbeing of paramedicine clinicians : An integrative review. Paramedicine. 21(1), pp. 16-35. https://doi.org/10.1177/27536386231206501
The perspectives of internationally qualified nurses regarding their specialty skill transition to Australia : A cross-sectional survey
Kurup, Chanchal, Burston, Adam Scott, Betihavas, Vasiliki and Jacob, Elisabeth. (2024). The perspectives of internationally qualified nurses regarding their specialty skill transition to Australia : A cross-sectional survey. Journal of Advanced Nursing. 80(5), pp. 1-14. https://doi.org/10.1111/jan.15952
Role of nurse-surgeons in global surgical care : A scoping review
Grota, Tenber, Betihavas, Vasiliki, Burston, Adam and Jacob, Elisabeth. (2023). Role of nurse-surgeons in global surgical care : A scoping review. Journal of Advanced Nursing. pp. 1-31. https://doi.org/10.1111/jan.15906
Strategies employed by developed countries to facilitate the transition of internationally qualified nurses specialty skills into clinical practice : An integrative review
Kurup, Chanchal, Betihavas, Vasiliki, Burston, Adam Scott and Jacob, Elisabeth. (2023). Strategies employed by developed countries to facilitate the transition of internationally qualified nurses specialty skills into clinical practice : An integrative review. Nursing Open. 10(12), pp. 7528-7543. https://doi.org/10.1002/nop2.2023
Risk factors for nosocomial infections and/or sepsis in adult burns patients : An integrative review
Tan, Xue Ying Debbie, Wiseman, Taneal and Betihavas, Vasiliki. (2022). Risk factors for nosocomial infections and/or sepsis in adult burns patients : An integrative review. Intensive and Critical Care Nursing. 73, p. Article 103292. https://doi.org/10.1016/j.iccn.2022.103292
Impact of nurse-surgeons on patient-centred outcomes : A systematic review
Grota, Tenber, Betihavas, Vasiliki, Burston, Adam and Jacob, Elisabeth. (2022). Impact of nurse-surgeons on patient-centred outcomes : A systematic review. International Journal of Nursing Studies Advances. 4, p. Article 100086. https://doi.org/10.1016/j.ijnsa.2022.100086
Current methods of nurse-surgeon training and education : Systematic review
Grota, Tenber, Betihavas, Vasiliki, Burston, Adam and Jacob, Elisabeth. (2021). Current methods of nurse-surgeon training and education : Systematic review. International Journal of Nursing Studies Advances. 3, p. Article 100048. https://doi.org/10.1016/j.ijnsa.2021.100048
Biomedical, socioeconomic and demographic predictors of heart failure readmissions : A systematic review
Choi, Eun Sun, Wiseman, Taneal and Betihavas, Vasiliki. (2021). Biomedical, socioeconomic and demographic predictors of heart failure readmissions : A systematic review. Heart, Lung and Circulation. 30(6), pp. 817-836. https://doi.org/10.1016/j.hlc.2020.11.011
The association between unexplained falls and cardiac arrhythmias : A scoping literature review
Wiseman, Taneal and Betihavas, Vasiliki. (2019). The association between unexplained falls and cardiac arrhythmias : A scoping literature review. Australian Critical Care. 32(5), pp. 434-441. https://doi.org/10.1016/j.aucc.2018.08.003
The effect of nurse-led education on hospitalisation, readmission, quality of life and cost in adults with heart failure. A systematic review
Rice, Helena, Say, Richard and Betihavas, Vasiliki. (2018). The effect of nurse-led education on hospitalisation, readmission, quality of life and cost in adults with heart failure. A systematic review. Patient Education and Counseling. 101(3), pp. 363-374. https://doi.org/10.1016/j.pec.2017.10.002
Resilience and the rehabilitation of adult spinal cord injury survivors : A qualitative systematic review
Kornhaber, Rachel, McLean, Loyola, Betihavas, Vasiliki and Cleary, Michelle. (2018). Resilience and the rehabilitation of adult spinal cord injury survivors : A qualitative systematic review. Journal of Advanced Nursing. 74(1), pp. 23-33. https://doi.org/10.1111/jan.13396
Impact of community based nurse-led clinics on patient outcomes, patient satisfaction, patient access and cost effectiveness: A systematic review
Randall, Sue, Crawford, Tonia, Currie, Jane, River, Jo and Betihavas, Vasiliki. (2017). Impact of community based nurse-led clinics on patient outcomes, patient satisfaction, patient access and cost effectiveness: A systematic review. International Journal of Nursing Studies. 73, pp. 24-33. https://doi.org/10.1016/j.ijnurstu.2017.05.008
The evidence for 'flipping out' : A systematic review of the flipped classroom in nursing education
Betihavas, Vasiliki, Bridgman, Heather, Kornhaber, Rachel and Cross, Merylin. (2016). The evidence for 'flipping out' : A systematic review of the flipped classroom in nursing education. Nurse Education Today. 38, pp. 15-21. https://doi.org/10.1016/j.nedt.2015.12.010
The benefits and challenges of academic writing retreats : An integrative review
Kornhaber, Rachel, Cross, Merylin, Betihavas, Vasiliki and Bridgman, Heather. (2016). The benefits and challenges of academic writing retreats : An integrative review. Higher Education Research and Development. 35(6), pp. 1210-1227. https://doi.org/10.1080/07294360.2016.1144572
A systematic review examining the effectiveness of blending technology with team-based learning
River, Jo, Currie, Jane, Crawford, Tonia, Betihavas, Vasiliki and Randall, Sue. (2016). A systematic review examining the effectiveness of blending technology with team-based learning. Nurse Education Today. 45, pp. 185-192. https://doi.org/10.1016/j.nedt.2016.08.012
Patient, provider and system factors influencing rehospitalisation in adults with heart failure
Betihavas, Vasiliki, Newton, Phillip, Frost, Shaun, Macdonald, Peter and Davidson, Patricia. (2013). Patient, provider and system factors influencing rehospitalisation in adults with heart failure. Contemporary Nurse. 43(2), pp. 244-256. https://doi.org/10.5172/conu.2013.43.2.244
Importance of Predictors of Rehospitalisation in Heart Failure : A Survey of Heart Failure Experts
Betihavas, Vasiliki, Newton, Phillip, Frost, Shaun, Alexandrou, Evan, Macdonald, Peter and Davidson, Patricia. (2013). Importance of Predictors of Rehospitalisation in Heart Failure : A Survey of Heart Failure Experts. Heart Lung and Circulation. 22(3), pp. 179-183. https://doi.org/10.1016/j.hlc.2012.05.008
Training of undergraduate clinicians in vascular access : An integrative review
Alexandrou, Evan, Ramjan, Lucie, Murphy, Jeff, Hunt, Leanne, Betihavas, Vasiliki and Frost, Steven A.. (2012). Training of undergraduate clinicians in vascular access : An integrative review. Journal of the Association for Vascular Access. 17(3), pp. 146-158. https://doi.org/10.1016/j.java.2012.07.001
What are the factors in risk prediction models for rehospitalisation for adults with chronic heart failure?
Betihavas, Vasiliki, Davidson, Patricia, Newton, Phillip, Frost, Steven and Macdonald, Peter. (2012). What are the factors in risk prediction models for rehospitalisation for adults with chronic heart failure? Australian Critical Care. 25(1), pp. 31 - 40. https://doi.org/10.1016/j.aucc.2011.07.004
Health span or life span : The role of patient-reported outcomes in informing health policy
Chang, Sungwon, Gholizadeh, Leila, Salamonson, Yenna, DiGiacomo, Michelle, Betihavas, Vasiliki and Davidson, Patricia M.. (2011). Health span or life span : The role of patient-reported outcomes in informing health policy. Health Policy. 100(1), pp. 96-104. https://doi.org/10.1016/j.healthpol.2010.07.001
Australia's health care reform agenda: implications for the nurses' role in chronic heart failure management
Betihavas, Vasiliki, Newton, Phillip, Du, HuiYun, Macdonald, Peter, Frost, Shaun, Stewart, Simon and Davidson, Patricia. (2011). Australia's health care reform agenda: implications for the nurses' role in chronic heart failure management. Australian Critical Care. 24(3), pp. 189 - 197. https://doi.org/10.1016/j.aucc.2010.08.003
Can a heart failure-specific cardiac rehabilitation program decrease hospitalizations and improve outcomes in high-risk patients?
Davidson, Patricia, Cockburn, Jill, Newton, Phillip, Webster, Julie K., Betihavas, Vasiliki, Howes, Laurie and Owensbye, Dwain O.. (2010). Can a heart failure-specific cardiac rehabilitation program decrease hospitalizations and improve outcomes in high-risk patients? European Journal of Preventative Cardiology. 17(4), pp. 393-402. https://doi.org/10.1097/HJR.0b013e328334ea56
The role of b-type natriuretic peptide in heart failure management
Newton, Phillip, Betihavas, Vasiliki and Macdonald, Peter. (2009). The role of b-type natriuretic peptide in heart failure management. Australian Critical Care. 22(3), pp. 117-123. https://doi.org/10.1016/j.aucc.2009.06.001