Portal de Periódicos da CAPES

The FIRST 2 ACT simulation program improves nursing practice in a rural Australian hospital

2012; Wiley; Volume: 20; Issue: 5 Linguagem: Inglês

10.1111/j.1440-1584.2012.01296.x

1440-1584

Leigh Kinsman, Penny Buykx, Robyn Cant, R.H. Champion, Simon Cooper, Ruth Endacott, Tracy McConnell‐Henry, Karen Missen, Jo Porter, Julie Scholes,

Sepsis Diagnosis and Treatment

Abstract Objective: To measure the impact of the Feedback Incorporating Review and Simulation Techniques to Act on Clinical Trends (FIRST 2 ACT) simulation program on nursing observations and practice relevant to patient deterioration in a rural Australian hospital. Design: Interrupted time series analysis. Setting: A rural Australian hospital. Participants: All registered nurses (Division 1) employed on an acute medical/surgical ward. Intervention: The FIRST 2 ACT simulation program. Outcome measures: Appropriate frequency of a range of observations and administration of oxygen therapy. Results: Thirty‐four nurses participated (83% of eligible nurses) in the FIRST 2 ACT program, and 258 records were audited before the program and 242 records after. There were statistically significant reductions in less than satisfactory frequency of observations ( P = 0.009) and pain score charting ( P = 0.003). There was no measurable improvement in the administration of oxygen therapy ( P = 0.143), while the incidence of inappropriate nursing practice for other measures both before and after the intervention was too low to warrant analysis. Conclusion: FIRST 2 ACT was associated with measurable improvements in nursing practice.