FIRST2ACT: educating nurses to identify patient deterioration - a theory-based model for best practice simulation...

Area of Science:

• Medical Education
• Patient Safety
• Nursing Practice

Background:

• Delayed assessment and mismanagement of patient deterioration pose significant risks in healthcare settings.
• Effective educational preparation is crucial for healthcare professionals to address patient deterioration.
• Existing educational models may not adequately prepare clinicians for managing deteriorating patients.

Purpose of the Study:

• To describe the development of the FIRST(2)ACT simulation model.
• To evaluate the effectiveness of the FIRST(2)ACT model in enhancing healthcare professionals' skills in managing patient deterioration.
• To provide an evidence-based educational tool for undergraduate and post-registration nursing programs.

Main Methods:

• Development of the FIRST(2)ACT simulation model based on established theory and empirical evidence.
• Integration of evidence-based elements: assessment, simulation, self-review, and expert feedback.
• Testing the model with undergraduate nurses, student midwives, and post-registration nurses.

Main Results:

• Participant evaluations showed a high degree of satisfaction with the FIRST(2)ACT model.
• Participants reported substantial self-rated increases in knowledge, confidence, and competence in managing patient deterioration.
• The model demonstrated positive outcomes across different learner groups.

Conclusions:

• The FIRST(2)ACT simulation model is an effective educational tool for improving the management of patient deterioration.
• The model's evidence-based approach enhances participants' skills and confidence.
• This model should be considered for integration into both undergraduate and post-registration nursing education.