Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

An Exploration of Nurses’ Experience following a Face-to-Face or Web-Based Intervention on Patient Deterioration

Version 1 : Received: 10 October 2023 / Approved: 10 October 2023 / Online: 11 October 2023 (03:55:31 CEST)

A peer-reviewed article of this Preprint also exists.

Kim, J.-A.; Jones, L.K.; Terry, D.; Connell, C. An Exploration of Nurses’ Experience Following a Face-to-Face or Web-Based Intervention on Patient Deterioration. Healthcare 2023, 11, 3112. Kim, J.-A.; Jones, L.K.; Terry, D.; Connell, C. An Exploration of Nurses’ Experience Following a Face-to-Face or Web-Based Intervention on Patient Deterioration. Healthcare 2023, 11, 3112.

Abstract

A clinical simulation web-based program, known as FIRST2ACT (Feedback Incorporating Review and Simulation Techniques to Act on Clinical Trends) is designed to increase the efficacy of cli-nicians’ actions in the recognition and immediate response to a patient’s deterioration. This study, which was nested in a larger mixed method project, used ten focus groups (n=65) of graduate, enrolled, registered nurses, Associate Nurse Unit Managers, and general manag-ers/educators/coordinators from four different institutions to investigate whether nurses felt their practice was influenced by participating in either a face-to-face or web-based simulation educa-tional programme about patient deterioration. Results indicate individuals who were less ‘tech-savvy’ appreciated the flexibility of web-based learning, which increased their confidence. Face-to-face students appreciated self-reflection through performance evaluation. While face-to-face simulations were unable to completely duplicate symptoms, they did show nurses' adaptability. Both interventions enhanced clinical practice by improving documentation and re-plies while also boosting confidence and competence. Web learners initially experienced tech-related anxiety, which gradually subsided, demonstrating healthcare professionals' resilience to new learning approaches. Overall, the study highlighted the advantages and challenges of web-based and face-to-face education in clinical practice, emphasising the importance of adapta-bility and reflective learning for healthcare professionals. Further exploration of specific topics is required to improve practice, encourage knowledge sharing among colleagues, and improve early detection of patient deterioration.

Keywords

clinical simulation; web-based intervention; face-to-face intervention; patient deterioration; patient safety; nurses; FIRST2ACT

Subject

Public Health and Healthcare, Nursing

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