P78 Simulation based nurse training days are essential to improve the management of acutely unwell patients

Background/Context/Aims Nursing staff play a vital role in managing patients with respiratory conditions. National audits report sub-optimal practice in oxygen prescription, knowledge of inhaler technique, appropriate use of non-invasive ventilation and chest drain management. 1 For critically unwell respiratory patients e.g., acute asthma, simulation based education allows consideration of human factors during such emergency situations, focusing on team interactions. The provision of a dedicated simulation based training day for respiratory nurses was considered to be an effective resource in enhancing professional development, competency and morale of the nursing workforce, with the potential to improve patient safety and outcomes. Methodology/Education Programme or Project Description The Respiratory Simulation Day for Nurses was organised in collaboration with the Trust Simulation Team. The Faculty included consultants, specialist nurses, respiratory physiotherapists and specialist registrars experienced in simulation and debrief. A variety of simulation modalities were employed including Sim Man 3G to deliver clinical scenarios aligned with specific learner objectives and organisational expectations followed by debrief. The programme was run bi-annually in response to demand with regular evaluation to ensure quality and appropriateness. Table 1 Example scenarios, learning objectives including ABCDE, communication, leadership and teamwork. Results/Outcomes Approximately 20 nursing staff attended each event from various specialties: A and E, AMU, research, general medicine and respiratory. Acute and common scenarios were assessed supported with debrief and reflection. Formal feedback was excellent with candidates reporting recognition of personal and team strengths/weaknesses. Completed post-course questionnaires indicated greater confidence. Pre and post assessments demonstrated better knowledge of the intended learning objectives e.g., appropriate oxygen use. A letter of appreciation was received from the Trust Board acknowledging the value of the programme. Conclusions Simulation based Nurse Training Days are an essential activity for interprofessional education and as highlighted in national simulation standards, critical to avoid training in silos. Having improved local practice, results and stakeholder engagement, the implementation of such training across trusts may contribute a greater impact in delivering quality care nationally. Based on such results, organisations should promote simulation education programmes for the nursing workforce involved in management of acute unwell patients across other acute specialties. Reference 1. Kim J, et al. Effectiveness of simulation-based nursing education depending on fidelity: A meta-analysis. BMC Medical Education 2016;16:152.