Open Access Open Badges Study protocol

Managing patient deterioration: a protocol for enhancing undergraduate nursing students’ competence through web-based simulation and feedback techniques

Simon Cooper1*, Alison Beauchamp2, Fiona Bogossian3, Tracey Bucknall4, Robyn Cant2, Brett DeVries5, Ruth Endacott16, Helen Forbes4, Robyn Hill7, Leigh Kinsman8, Victoria J Kain3, Lisa McKenna9, Jo Porter10, Nicole Phillips4 and Susan Young3

Author Affiliations

1 School of Nursing and Midwifery, PO Box 1071, 100 Clyde Rd, Narre Warren, VIC, 3805, Australia

2 School of Nursing and Midwifery, Monash University, Berwick, VIC, Australia

3 School of Nursing & Midwifery, The University of Queensland, Salisbury Road, IPSWICH, 4305, Australia

4 School of Nursing & Midwifery, Deakin University, Burwood Highway, Burwood, 3125, Australia

5 School of Nursing and Midwifery, Northways Rd, Churchill, VIC, 3842, Australia

6 School of Nursing and Midwifery, University of Plymouth, Devon, UK

7 GippsTAFE, Warragul Campus, Warragul, VIC, Australia

8 School of Rural Health, Monash University, Bendigo, VIC, Australia

9 School of Nursing and Midwifery, Monash University, Clayton, VIC, Australia

10 Academic School of Nursing and Midwifery, Northways rd, Churchill, VIC, 3842, Australia

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BMC Nursing 2012, 11:18  doi:10.1186/1472-6955-11-18

Published: 28 September 2012



To describe a funded proposal for the development of an on-line evidence based educational program for the management of deteriorating patients.


There are international concerns regarding the management of deteriorating patients with issues around the ‘failure to rescue’. The primary response to these issues has been the development of medical emergency teams with little focus on the education of primary first responders.


A mixed methods triangulated convergent design.

In this four phase proposal we plan to 1. examine nursing student team ability to manage deteriorating patients and based upon these findings 2. develop web based educational material, including interactive scenarios. This educational material will be tested and refined in the third Phase 3, prior to evaluation and dissemination in the final phase.


This project aims to enhance knowledge development for the management of deteriorating patients through rigorous assessment of team performance and to produce a contemporary evidence-based online training program.

Education; Nursing; Patient deterioration; Simulation