PT  - JOURNAL ARTICLE
AU  - Dorthe Soerensen
AU  - Kirsten Frederiksen
AU  - Groefte Thorbjoern
AU  - Kirsten Lomborg
TI  - From theory to complex intervention. High fidelity simulation to advance nurses' experience with non-invasive ventilation
DP  - 2011 Sep 01
TA  - European Respiratory Journal
PG  - p1328
VI  - 38
IP  - Suppl 55
4099  - http://erj.ersjournals.com/content/38/Suppl_55/p1328.short
4100  - http://erj.ersjournals.com/content/38/Suppl_55/p1328.full
SO  - Eur Respir J2011 Sep 01; 38
AB  - Introduction: Taking care of COPD patients in non-invasive ventilation (NIV) requires Complex Adaptive Responsiveness (CARe) from the involved nurses. Nurses are struggling to manage NIV and providing high quality nursing care for these patients requires plenty of practice.Aim: To develop an intervention through high-fidelity simulation as a tool for less experienced nurses to advance their skills in providing NIV nursing care.Method: We used the first two phases of the Medical Research Council framework. Firstly, in the preclinical phase we evolved the underpinning theories of the intervention. Secondly, in the modelling phase we identified the components of the intervention.Results: Phase 1: Underpinning theories.1) The newly developed theory of CARe emphasizes the need for solution-focused nursing integrating a double goal: patient wellbeing and treatment efficacy. According to CARe, patients expect to be actively involved in the ongoing adjustment of the NIV treatment integrating their personal habits, preferences and expectations aiming at maximizing their overall wellbeing. 2) Experimental learning is learner-centred focusing on practical experience and learning by doing.Phase 2: Modelling the intervention.Skills of involvement, emotional attunement and monitoring NIV are central components of the intervention model. The teaching method is high-fidelity simulation. To evaluate learning outcome within the tree component areas we will use the Model of Practical Skill Performance.Conclusion: We expect the learning outcome will be beneficial to both patients and nurses. The educational intervention is ready to test for feasibility.