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Randomised controlled trial
Web-based educational intervention improves enrolled nurses’ knowledge and performance with deteriorating patients
  1. Patrick Lavoie1,2
  1. 1 William F. Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts, USA
  2. 2 Faculty of Nursing, Universite de Montreal, Montreal, Quebec, Canada
  1. Correspondence to Dr Patrick Lavoie, William F. Connell School of Nursing, Boston College, 140 Commonwealth Ave, Chestnut Hill, MA 02467, USA; patrick.lavoie.1{at}

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Commentary on: Liaw SY, Chng DYJ, Wong LF, et al. The impact of a web-based educational program on the recognition and management of deteriorating patient. J Clin Nurs 2017;26:4848–56.

Implications for practice and research

  • Web-based education improved enrolled nurses’ knowledge and performance in the assessment and communication of patient deterioration.

  • Future research should examine if this intervention results in improved clinical outcomes and if this web-based format is superior to other delivery modalities.


Nurses who provide bedside care, including enrolled nurses—or licenced practical nurses in Canada and in the USA—are in a pivotal position to recognise, manage and report on signs and symptoms of patient deterioration. However, many educational interventions to improve recognition and response to patient deterioration are intended for undergraduates or registered nurses; there is a lack of research that examines educational interventions for enrolled nurses. This study evaluated the effectiveness of a web-based educational intervention designed to improve enrolled …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.