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Systematic review
Simulation training appears to improve nurses’ ability to recognise and manage clinical deterioration
  1. Wei Ling Chua
  1. Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore
  1. Correspondence to Wei Ling Chua, National University of Singapore, Level 1, Clinical Research Centre, Block MD 11, 10 Medical Drive, Singapore 117597, Singapore; chuaweiling{at}

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Commentary on: Orique SB, Phillips LJ. The effectiveness of simulation on recognizing and managing clinical deterioration. West J Nurs Res 2017. doi: 10.1177/0193945917697224. [Epub ahead of print 1 Mar 2017] .

Implications for practice and research

  • Evidence suggests that simulation training improves nurses’ clinical knowledge and performance in recognising and managing clinical deterioration in simulated environments.

  • More research is required to establish the most effective models of simulation training and the impact on patient outcomes in real clinical settings.

  • The development of a valid and reliable standardised evaluation tool could improve the comparability and consistency of simulation training in the recognition and management of clinical deterioration.


The importance of education has been highlighted to support nurses’ role in recognising and responding to clinical deterioration.1 Simulation is increasingly used as a teaching modality in both academic and clinical settings to improve nurses’ ability to …

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