Nursing Students Managing Deteriorating Patients: A Systematic Review and Meta-Analysis

Kristine Haddeland, Åshild Slettebø, Patricia Carstens, Mariann Fossum

Research output: Contribution to journalReview articlepeer-review

20 Scopus citations


Background: The objective was to summarize knowledge and systematically collect and quantify meta-analytical results regarding the effects of high-fidelity simulation in nursing education to improve students' ability to recognize and respond to deteriorating patients. Methods: In total, 4048 citations were screened, 40 articles were selected for full-text screening, and 14 articles were included. Six articles were subsequently included in the meta-analysis. Results: Knowledge and performance increased after simulation. Four studies reported an increase in self-confidence. Conclusion: Findings support that studies with high-quality research designs and improved measurement practices are required to produce generalizable evidence concerning the effectiveness of simulation.

Original languageEnglish (US)
Pages (from-to)1-15
Number of pages15
JournalClinical Simulation in Nursing
StatePublished - Aug 2018


  • deteriorating patient
  • judgment
  • manikin
  • nursing education
  • problem solving
  • simulation

ASJC Scopus subject areas

  • Education
  • Modeling and Simulation
  • Nursing (miscellaneous)


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