Welcome to the First2ActWeb program. Immediately below there are two short videos that illustrate how the scenarios were developed and how to use them. At the bottom of this page you can read the project objectives. (To access the full program click the ‘Get started on the First2Act Web Program‘ tab). Please note: As the program uses Flash in some parts, it is unlikely it will work well on an iPad or any device that does not support Flash Player plugins. We recommend using either Google Chrome or Mozilla Firefox browsers to access the program.

How the scenarios work

The making of First2ActWeb

FIRST2ACTweb – The Project

Hospital patients who are deteriorating physiologically are frequently mismanaged, leading to international concerns over patient safety (Cooper, McConnell-Henry & Cant, 2011). Following a series of studies examining the performance of nursing and midwifery students and qualified staff in simulated settings we have developed a program of learning called FIRST2ACT which in a recent nursing study was found to have a significant impact on clinical practice (Buykx, Kinsman & Cooper, 2011).

However, we do not fully understand students’ clinical decision strategies and best practice educational approaches, and in its present form FIRST2ACT is unsustainable.

The FIRST2ACTweb project aims to address these issues through collaboration with Universities and TAFE sector partners to produce an evidence-based, sustainable on-line learning package (FIRST2ACTweb) that will enhance health professional management of deteriorating patients.

The study has been managed in four phases to achieve the following objectives:

Phase 1: Develop an understanding of team work and decision making through nursing student testing of knowledge and skills at Monash University, Deakin University and University of Queensland.

Phase 2: Develop a web-based electronic educational package using interactive multimedia (FIRST2ACTweb) including a series of three video-recorded scenarios depicting ‘patients’ (professional actors) who are deteriorating.

Phase 3: Implement the teaching program across four cohorts of final-year pre-registration nursing students at Monash University, Deakin University, University of Queensland and at GippsTAFE

Phase 4: Evaluate learning outcomes including review of students’ satisfaction, knowledge, skill gain, and workplace (clinical placement) impact.


An on-line program of learning (FIRST2ACTweb) has been produced and evaluated using cohorts of Australian nursing students (n= 428) including learning materials, assessments, and simulations that record actions and feedback applicable to students.

The Office for Learning and Teaching awarded a $211,000 grant for this project to Simon Cooper, Leigh Kinsman, Jo Porter, Lisa McKenna, Ruth Endacott, Robyn Cant, Brett DeVries (all from Monash University); Fiona Bogossian and Pauline Varghese (University of Queensland); Tracey Bucknall, Helen Forbes and Nikki Phillips (Deakin University); and Peter Whitley (GippsTAFE)

The online version is freely available to healthcare professionals from September 2013. Please go to the ‘Get started on the First2Act Web Program‘ Tab.

Office for Learning and TeachingSupport for the production of this website has been provided by the Australian Government Office for Learning and Teaching (previously the Australian Learning and Teaching Council). The views expressed in this website do not necessarily reflect the views of the Australian Government Office for Learning and Teaching.

Creative Commons BY-SA 4.0 Unported - InternationalUnless otherwise noted, content for First2ActWeb is licensed under the Creative Commons Attribution-ShareAlike 4.0 Unported License.