Leanne Skerry, Emily Kervin, Tracy A Freeze, Andrew Brillant, Jennifer Woodland, Natasha Hanson
"It's a lonely battle": A qualitative study of older adult Canadians' experiences with chronic obstructive pulmonary disease medication adherence and support
Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC
aim study 1 use cognitive task analysis describe final year nursing students situation awareness recognising responding escalating care deteriorating patients ward settings 2 make recommendations training practice mixed methods cognitive task analysis convergent triangulation design data collection involved observations 33 final year nursing students simulated deteriorating patient scenarios retrospective cognitive interviews process tracing technique applied identify cues deterioration participants perceived cue perception altered situational demands increased extent participants made connections perceived cues reached situational understanding factors influenced constrained participants situation awareness qualitative quantitative findings woven together presented using descriptive statistics illustrative quotations timeline extractions median cue perception 654 576 medical surgical scenarios respectively perception negatively influenced incomplete vital sign monitoring situations escalated limited physical assessments passive scanning behaviours poor task automaticity excessive cognitive demands incomplete perception poor cue integration underdeveloped mental models influenced situational understanding escalation calls always accurately reflect situations reporting mindset evident clinical exposure deteriorating patients described variable opportunistic study reported accordance good reporting mixed methods study gramms checklist patients public involved research