Clinical Simulation Laboratory, School of Medicine, University of Barcelona, Barcelona, Spain.
CAPES Foundation Ministry of Education of Brazil, Brasília, Brazil.
Nurs Crit Care. 2019 Sep;24(5):256-262. doi: 10.1111/nicc.12396. Epub 2018 Nov 20.
Treatment of infections that require high-level isolation can cause anxiety and fear among health care workers. Adequate and complete multi-professional simulation-based training could reduce those feelings and improve patient care.
The purpose of this study was to assess the impact of multi-professional simulation-based training on the risk perception and preparedness of health care workers (registered nurses, doctors and ancillary staff) who care for patients assessed to be at risk or confirmed to have Ebola, level 3-4 biohazard.
A prospective before-after study was designed. Health care workers who participated in a multi-professional simulation training course to improve the care of patients potentially infected with Level 3 and 4 biohazards were evaluated about their risk perception. The training was based on clinical scenarios. The evaluation was conducted using questionnaire based on Likert scale. After the training, a satisfaction survey about the most important aspects of the course was also conducted.
Fifty-eight health care workers participated in the training course, 22 of whom were registered nurses. Participants presented positive changes after the training, increasing their sense of security, predisposition and confidence (p < 0.000001 for all).
Multi-professional simulation-based training significantly improves the perception of safety and preparedness of health care workers regarding the care of patients potentially infected with Ebola virus and other Level 3-4 biohazards.
The implementation of educational training strategies - such as simulations - is beneficial in improving the capacity of response and coping, as well as in reducing feelings of fear and insecurity.
治疗需要高水平隔离的感染会引起医护人员的焦虑和恐惧。充分和完整的多专业基于模拟的培训可以减少这些感觉，并改善患者的护理。
本研究的目的是评估多专业基于模拟的培训对照顾被评估为有感染埃博拉病毒风险或确诊为 3-4 级生物危害的患者的医护人员（注册护士、医生和辅助人员）的风险认知和准备情况的影响。
设计了一项前瞻性前后对照研究。参与多专业模拟培训课程以提高对 3 级和 4 级生物危害潜在感染患者护理的医护人员对其风险认知进行评估。培训基于临床情景。评估采用基于李克特量表的问卷进行。培训后，还对课程最重要的方面进行了满意度调查。
58 名医护人员参加了培训课程，其中 22 名是注册护士。参与者在培训后表现出积极的变化，增加了他们的安全感、倾向和信心（所有项目 p<0.000001）。
多专业基于模拟的培训显著提高了医护人员对护理可能感染埃博拉病毒和其他 3-4 级生物危害患者的安全和准备情况的认知。
实施教育培训策略，如模拟，有助于提高应对和应对能力，减少恐惧和不安全感。
