138 Falls management simulation

Abstract

Abstract Background Simulation is a clinical education opportunity that creates an experience without having to go through a real event. Simulation facilitates a debriefing for the participants of the ‘event’. Simulations support healthcare professionals in developing knowledge and skills. Falls are common in hospital and are potentially serious events. Prompt patient post-fall assessment is important in identifying injuries, ensuring safe observations levels and taking action to prevent the next fall. Our aim was to improve post fall patient care through a Falls Management Simulation. Methods Falls management simulations, with a standardised patient event, took place on two Specialist Geriatric wards between February and April 2023 with 31 learners taking part consisting of CNM’s, staff nurses, healthcare assistants, and physiotherapists. Post simulation participants completed a Kirkpatrick’s level 1 and 2 evaluation. Results Kirkpatrick’s level 1 evaluation (feedback questionnaire) asks participants to rate eight general statements about the programme. The median outcome for each of these statements indicated participants found the simulation to be a positive learning experience. Kirkpatrick’s level 2 evaluation (self-assessment pre and post training) showed an improvement in knowledge post simulation. Participants were asked to evaluate their level of knowledge pre and post simulation from very high to very low. In the assessment of injuries post fall and, the care of the patient after an unwitnessed fall participants’ knowledge improved post simulation from a median of unsure (pre simulation) to very high (post simulation). Conclusion The feedback on the simulation reflected an increase in participant’s knowledge and confidence on the management of a patient post-fall. This education programme is in its early development. We aim to continually monitor and adapt the simulation to meet the learners’ needs, provide variation for repeat learners and ensure it is a positive educational experience for all.