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Volume 23, Issue 1, Pages e1-e8 (February 2010)


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A study of the relationship of nursing interventions and cognitions to the physiologic outcomes of care in a simulated task environment

James Whyte IV, ND, ARNPaCorresponding Author Information, Roxanne Pickett-Hauber, PhD, RNa, Eileen Cormier, PhD, RNa, Laurie Grubbs, PhD, ARNPa, Paul Ward, PhDb

Received 28 June 2008; received in revised form 3 February 2009; accepted 9 February 2009. published online 10 July 2009.

Abstract 

This study, based on the Expert Performance Approach, examined the clinical nursing performance of participants who were introduced into a simulated task environment requiring them to administer care to a client experiencing an exacerbation of Congestive Heart Failure. This was undertaken to identify cognitive and physiologic variables that differentiate performance levels among participants. Data on participant actions and verbal reports were coded to characterize their relationship with physiologic responses of the Human Patient Simulator. The results demonstrated that physiologic responses to nursing interventions reflect a reliable pattern that can be used to differentiate performance levels.

a College of Nursing, The Florida State University, Tallahassee, FL 32310-4310, USA

b Department of Psychology and Learning Systems Institute, The Florida State University, Tallahassee, FL 32310-4310, USA

Corresponding Author InformationCorresponding author.

 This research was supported from a grant by the Office of Naval Research.

PII: S0897-1897(09)00034-2

doi:10.1016/j.apnr.2009.02.004


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