Learning & Teaching Conference 8
2011: parallel session 24
GOOD MEWS,
BAD MEWS
Paul Marshall
Kevin Stevenson
School of Healthcare
Using simulated learning to increase confidence and
decision making skills when managing medical
emergencies – third year nursing students
Learning & Teaching Conference 2011
GOOD MEWS, BAD MEWS
Session outcomes:
•
Briefly discuss simulation as a way to enhance decision
making
•
Discussion of three simulated case scenarios and
organisation of session (Managing Medical Emergencies)
•
Consider the use of the ABCDE approach as a clinical
assessment method and the use of MEWS scoring
•
Delegates complete MEWS scoring based on a case example
•
Summary of student evaluations of the Managing Medical
Emergencies simulation sessions
Learning & Teaching Conference 2011
GOOD MEWS, BAD MEWS
Simulation as a learning approach
Learning & Teaching Conference 2011
GOOD MEWS, BAD MEWS
MEWS scoring tool
Airway
Breathing
Circulation
Disability
Exposure
Learning & Teaching Conference 2011
GOOD MEWS, BAD MEWS
Three scenarios: Managing Medical Emergencies
ABCDE
LUTube - University of
Leeds
Acute post-operative
complication - bleeding
Cardiac arrest
http://lutube.lee
ds.ac.uk/hcspm
/videos/4222
Learning & Teaching Conference 2011
GOOD MEWS, BAD MEWS
Scenario example:
•
Post-operative patient following abdominal surgery
(see hand out)
In groups of two or three read the patient scenario and
using the Modified Early Warning Scoring System (MEWS) decide
on the score you would give
On warding -
1
Following deterioration -
14
Learning & Teaching Conference 2011
GOOD MEWS, BAD MEWS
MEWS scoring - following deterioration:
Learning & Teaching Conference 2011
GOOD MEWS, BAD MEWS
Student evaluations (pre-session n = 68):
Confidence
5
5
4
4
4.5
Confidence level
4
3.5
3
3
pre-session
2.5
post-session
2
1.5
1
0.5
0
Using MEWS
P < 0.001
Responding to emergency
P < 0.001
Learning & Teaching Conference 2011
GOOD MEWS, BAD MEWS
Student evaluation (cont):
Perceived skills development (n = 69)
45 (64%)
45
Number of students
40
35
23 (33%)
30
25
20
15
1 (2%)
10
5
0
Three
Responses 3-5 indicate
students perceived the
session increased their
skills highly
Four
Five
Level of skills development
Learning & Teaching Conference 2011
GOOD MEWS, BAD MEWS
Qualitative statements:
I do feel more confident and find
simulation is a positive way to learn and develop skills
Learning & Teaching Conference 2011
GOOD MEWS, BAD MEWS
Thank you for listening &
participating
Any questions