School of Rural Health Monash University, PO Box 666 Bendigo Victoria 3552, Australia.
Nurse Educ Today. 2011 Oct;31(7):687-93. doi: 10.1016/j.nedt.2011.03.006. Epub 2011 Apr 8.
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.
延迟评估和患者病情恶化管理不善是一个重大问题，而教育准备可以对此产生影响。本文描述了基于成熟理论和当代实证证据的 FIRST(2)ACT 模拟模型的开发。该模型结合了评估、模拟、自我审查和专家反馈的循证要素，并已在本科护士、学生助产士和注册后护士中进行了测试。参与者评估表明，他们非常满意，并且知识、信心和能力有了实质性的自我评估提高。这种基于证据的模型应考虑用于本科和注册后教育计划。
