title: FIRST2ACT: educating nurses to identify patient deterioration - a theory-based model for best practice simulation education.
abstract: Delayed assessment and mismanagement of patient deterioration is a substantial problem for which educational preparation can have an impact. This paper describes the development of the FIRST(2)ACT simulation model based on well-established theory and contemporary empirical evidence. The model combines evidence-based elements of assessment, simulation, self-review and expert feedback, and has been tested in undergraduate nurses, student midwives and post-registration nurses. Participant evaluations indicated a high degree of satisfaction and substantial self-rated increases in knowledge, confidence and competence. This evidence-based model should be considered for both undergraduate and post-registration education programs.
authors.affiliation: School of Rural Health Monash University, PO Box 666 Bendigo Victoria 3552, Australia. penny.buykx@monash.edu
authors.forename: Penny
authors.initials: P
authors.lastname: Buykx
authors.forename: Leigh
authors.initials: L
authors.lastname: Kinsman
authors.forename: Simon
authors.initials: S
authors.lastname: Cooper
authors.forename: Tracy
authors.initials: T
authors.lastname: McConnell-Henry
authors.forename: Robyn
authors.initials: R
authors.lastname: Cant
authors.forename: Ruth
authors.initials: R
authors.lastname: Endacott
authors.forename: Julie
authors.initials: J
authors.lastname: Scholes
mesh_terms: D003194:Computer-Assisted Instruction; D004508:Education, Nursing, Baccalaureate / Q000379:methods; D004511:Education, Nursing, Graduate / Q000379:methods; D055318:Evidence-Based Nursing / Q000193:education*; D006801:Humans; D008880:Midwifery / Q000193:education; D005791:Patient Care / Q000592:standards; D016544:Patient Simulation