Effects of “FIRST2ACT” Model on Knowledge and Practical Skills of Difficult Airway Management in Nurse Anesthesia Students: An Interventional Study

Introduction: An important part of anesthesia management is opening and maintaining the patient’s airway. Failure to establish and maintain a safe airway for patients during anesthesia is a life-threatening condition. Despite advances in science and technology, difficult airway management is far fro...

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Main Authors: ALI KHALAFI, ALIREZA TORKASHVAND, REZA AKHOONDZADEH, SEYED MAHMOUD LATIFI
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2023-07-01
Series:Journal of Advances in Medical Education and Professionalism
Subjects:
Online Access:https://jamp.sums.ac.ir/article_49368_7cd3feac57f6ccb94d28a94e60639156.pdf
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author ALI KHALAFI
ALIREZA TORKASHVAND
REZA AKHOONDZADEH
SEYED MAHMOUD LATIFI
author_facet ALI KHALAFI
ALIREZA TORKASHVAND
REZA AKHOONDZADEH
SEYED MAHMOUD LATIFI
author_sort ALI KHALAFI
collection DOAJ
description Introduction: An important part of anesthesia management is opening and maintaining the patient’s airway. Failure to establish and maintain a safe airway for patients during anesthesia is a life-threatening condition. Despite advances in science and technology, difficult airway management is far from ideal. Providing a simulated environment for critical situations seems to be the best way to better educate and prevent medical errors. This study aimed to compare the effect of the FIRST2ACT (Feedback Incorporating Review and Simulation Techniques to Act on Clinical Trend) model on knowledge and practical skills of difficult airway management and respiratory accidents between the intervention and control groups.Methods: This study was a quasi-experimental intervention with before and after design. Sampling was done by census method and the participants were third and fourth-year nurse anesthesia students (n=62). The students were randomly allocated to an intervention group (n=31) educated and practicing based on the FIRST2ACT model and a control group (n=31). The intervention consisted of five stages: developing core knowledge, assessment, simulation, reflective review, and performance feedback, all based on the FIRST2ACT model. Theoretical and practical skills were examined in the participants. Data collection tools included a questionnaire and a checklist.Results: The results showed that after applying the FIRST2ACT model, the intervention group scored higher than the control group in both theoretical knowledge (17.87±1.43 vs. 12.67±1.35) and practical skills (134.28±3.21 vs. 81.58±8.55). This difference in results between the two groups was statistically significant (P˂0.001).Conclusion: It can be concluded that using this model was effective to improve the knowledge and practical skills of nurse anesthesia students in the field of difficult airway management and respiratory accidents during anesthesia.
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spelling doaj.art-0416053a910946afa587ffdabc36e4292023-07-05T03:17:46ZengShiraz University of Medical SciencesJournal of Advances in Medical Education and Professionalism2322-22202322-35612023-07-0111316417110.30476/jamp.2023.97683.177449368Effects of “FIRST2ACT” Model on Knowledge and Practical Skills of Difficult Airway Management in Nurse Anesthesia Students: An Interventional StudyALI KHALAFI0ALIREZA TORKASHVAND1REZA AKHOONDZADEH2SEYED MAHMOUD LATIFI3Department of Anesthesiology, School of Allied Medical Science, Ahvaz Jundishapur University of Medical Sciences. Ahvaz, IranDepartment of Anesthesiology, School of Allied Medical Science, Ahvaz Jundishapur University of Medical Sciences. Ahvaz, IranDepartment of Anesthesiology, School of Allied Medical Science, Ahvaz Jundishapur University of Medical Sciences. Ahvaz, IranDepartment of Biostatistics and Epidemiology, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranIntroduction: An important part of anesthesia management is opening and maintaining the patient’s airway. Failure to establish and maintain a safe airway for patients during anesthesia is a life-threatening condition. Despite advances in science and technology, difficult airway management is far from ideal. Providing a simulated environment for critical situations seems to be the best way to better educate and prevent medical errors. This study aimed to compare the effect of the FIRST2ACT (Feedback Incorporating Review and Simulation Techniques to Act on Clinical Trend) model on knowledge and practical skills of difficult airway management and respiratory accidents between the intervention and control groups.Methods: This study was a quasi-experimental intervention with before and after design. Sampling was done by census method and the participants were third and fourth-year nurse anesthesia students (n=62). The students were randomly allocated to an intervention group (n=31) educated and practicing based on the FIRST2ACT model and a control group (n=31). The intervention consisted of five stages: developing core knowledge, assessment, simulation, reflective review, and performance feedback, all based on the FIRST2ACT model. Theoretical and practical skills were examined in the participants. Data collection tools included a questionnaire and a checklist.Results: The results showed that after applying the FIRST2ACT model, the intervention group scored higher than the control group in both theoretical knowledge (17.87±1.43 vs. 12.67±1.35) and practical skills (134.28±3.21 vs. 81.58±8.55). This difference in results between the two groups was statistically significant (P˂0.001).Conclusion: It can be concluded that using this model was effective to improve the knowledge and practical skills of nurse anesthesia students in the field of difficult airway management and respiratory accidents during anesthesia.https://jamp.sums.ac.ir/article_49368_7cd3feac57f6ccb94d28a94e60639156.pdfanesthesiahigh fidelity simulation trainingeducationevaluation
spellingShingle ALI KHALAFI
ALIREZA TORKASHVAND
REZA AKHOONDZADEH
SEYED MAHMOUD LATIFI
Effects of “FIRST2ACT” Model on Knowledge and Practical Skills of Difficult Airway Management in Nurse Anesthesia Students: An Interventional Study
Journal of Advances in Medical Education and Professionalism
anesthesia
high fidelity simulation training
education
evaluation
title Effects of “FIRST2ACT” Model on Knowledge and Practical Skills of Difficult Airway Management in Nurse Anesthesia Students: An Interventional Study
title_full Effects of “FIRST2ACT” Model on Knowledge and Practical Skills of Difficult Airway Management in Nurse Anesthesia Students: An Interventional Study
title_fullStr Effects of “FIRST2ACT” Model on Knowledge and Practical Skills of Difficult Airway Management in Nurse Anesthesia Students: An Interventional Study
title_full_unstemmed Effects of “FIRST2ACT” Model on Knowledge and Practical Skills of Difficult Airway Management in Nurse Anesthesia Students: An Interventional Study
title_short Effects of “FIRST2ACT” Model on Knowledge and Practical Skills of Difficult Airway Management in Nurse Anesthesia Students: An Interventional Study
title_sort effects of first2act model on knowledge and practical skills of difficult airway management in nurse anesthesia students an interventional study
topic anesthesia
high fidelity simulation training
education
evaluation
url https://jamp.sums.ac.ir/article_49368_7cd3feac57f6ccb94d28a94e60639156.pdf
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