The FIRST²ACT simulation program improves nursing practice in a rural Australian hospital.

L Kinsman; P Buykx; R Cant; R Champion; S Cooper; R Endacott; T McConnell-Henry; K Missen; J Porter; J Scholes

doi:10.1111/j.1440-1584.2012.01296.x

The FIRST²ACT simulation program improves nursing practice in a rural Australian hospital.

L Kinsman, P Buykx, R Cant, R Champion, S Cooper, R Endacott, T McConnell-Henry, K Missen, J Porter, J Scholes

School of Nursing and Midwifery

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Pages (from-to)	270-274
Number of pages	0
Journal	Aust J Rural Health
Volume	20
Issue number	5
DOIs	https://doi.org/10.1111/j.1440-1584.2012.01296.x
Publication status	Published - Oct 2012

Keywords

Adult
Aged
80 and over
Critical Care
Heart Arrest
Hospitals
Rural
Humans
Inservice Training
Medical Audit
Middle Aged
Nursing Staff
Hospital
Patient Simulation
Program Evaluation
Respiratory Insufficiency
Retrospective Studies
Victoria
Young Adult

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10.1111/j.1440-1584.2012.01296.x

Cite this

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title = "The FIRST²ACT simulation program improves nursing practice in a rural Australian hospital.",

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.",

keywords = "Adult, Aged, 80 and over, Critical Care, Heart Arrest, Hospitals, Rural, Humans, Inservice Training, Medical Audit, Middle Aged, Nursing Staff, Hospital, Patient Simulation, Program Evaluation, Respiratory Insufficiency, Retrospective Studies, Victoria, Young Adult",

author = "L Kinsman and P Buykx and R Cant and R Champion and S Cooper and R Endacott and T McConnell-Henry and K Missen and J Porter and J Scholes",

year = "2012",

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AU - Buykx, P

AU - Cant, R

AU - Champion, R

AU - Cooper, S

AU - Endacott, R

AU - McConnell-Henry, T

AU - Missen, K

AU - Porter, J

AU - Scholes, J

PY - 2012/10

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N2 - 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.

AB - 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.

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ER -

The FIRST²ACT simulation program improves nursing practice in a rural Australian hospital.

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Keywords

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