Jansen G, Latka E, Behrens F, Zeiser S, Scholz S, Janus S, Kinzel K, Thaemel D, Kottkamp H-W, Rehberg S, Borgstedt R
Klinik für Anästhesiologie, Intensiv‑, Notfall‑, Transfusionsmedizin und Schmerztherapie, Evangelisches Klinikum Bethel, Universitätsklinikum OWL der Universität Bielefeld, Burgsteig 13, 33617, Bielefeld, Deutschland.
Fachbereich Medizin und Rettungswesen, Studieninstitut Westfalen-Lippe, Bielefeld, Deutschland.
Anaesthesist. 2021 Jan;70(1):13-22. doi: 10.1007/s00101-020-00873-9. Epub 2020 Oct 9.
The COVID-19 pandemic necessitated a time-critical expansion of medical staff in intensive care units (ICU) and emergency rooms (ER).
This article describes the development, performance and first results of an interprofessional blended learning concept called hospital paramedics, qualifying paramedics and additional medical personnel to support ICUs and ERs.
The Protestant Hospital of the Bethel Foundation (EvKB), University Hospital OWL, University of Bielefeld in cooperation with the Study Institute Westfalen-Lippe, developed a 2-stage blended learning concept (stage 1 e‑learning with online tutorials, stage 2 practical deployment) comprising 3 modules: ICU, ER and in-hospital emergency medicine. At the beginning, the participants were asked about their sociodemographic data (age, gender, type of medical qualifications) and subjective feeling of confidence. At the end, a final discussion with the participant, the practice instructor and the supervising physician took place and an evaluation of the deployment by the head of the practice and the hospital paramedic was carried out using questionnaires.
Within 6 weeks 58 (63%) of the 92 participants completed the online course and 17 (29%) additionally completed their traineeship. In the ICU they assisted with preparing catheter systems, medication and nursing, performed Manchester triage and initial care in the ER. After completion hospital paramedics were significantly more confident when working in a hospital, catheterization and tracheostoma care (p < 0.05). Of the supervisors 94% deemed the deployment as useful and 100% of the participants were prepared to be available at short notice in their areas as compensation for the COVID-19-pandemic in the event of a staff shortage. Through the provision of additional intensive care ventilators and monitoring units in the period from March to the beginning of May 2020 and the personnel management that was carried out, the EvKB was in a position to increase the number of previously provided ventilator beds by potentially >40 ventilation places.
Blended learning concepts, such as hospital paramedics, can quickly qualify medical personnel for use in system-relevant settings, relieve nursing staff and thus create an expansion of intensive care capacities. Existing or pending pandemic and contingency plans should be complemented by such blended learning training so that they are immediately available in case of a second pandemic wave, future pandemics or other crisis situations.
新型冠状病毒肺炎疫情使得重症监护病房（ICU）和急诊室（ER）急需迅速扩充医护人员。
本文介绍了一种名为“医院护理辅助人员”的跨专业混合式学习概念的发展、实施情况及初步成果，该概念旨在使护理辅助人员和其他医务人员具备支持ICU和急诊室工作的能力。
伯特利基金会新教医院（EvKB）、OWL大学医院、比勒费尔德大学与威斯特法伦 - 利珀研究机构合作，开发了一个两阶段混合式学习概念（第一阶段为在线教程的电子学习，第二阶段为实际部署），包括3个模块：ICU、急诊室和院内急诊医学。一开始，向参与者询问他们的社会人口统计学数据（年龄、性别、医学资质类型）以及主观信心感受。最后，与参与者、实践指导教师和主治医生进行了一次最终讨论，并由实践负责人和医院护理辅助人员通过问卷调查对部署情况进行了评估。
在6周内，92名参与者中有58名（63%）完成了在线课程，另外17名（29%）完成了实习。在ICU，他们协助准备导管系统、药物和护理工作，在急诊室进行曼彻斯特分诊和初步护理。培训结束后，医院护理辅助人员在医院工作、导尿和气管造口护理方面的信心明显增强（p < 0.05）。94%的主管认为此次部署很有用，100%的参与者准备好在所在地区接到通知后随时待命，以应对新型冠状病毒肺炎疫情期间人员短缺的情况。通过在2020年3月至5月初期间提供额外的重症监护呼吸机和监测设备以及进行人员管理，EvKB能够将之前提供的呼吸机床位数量潜在增加超过40个通气床位。
诸如“医院护理辅助人员”这样的混合式学习概念可以迅速使医务人员具备在与系统相关的环境中工作的能力，减轻护理人员的负担，从而扩大重症监护能力。现有的或正在制定的疫情和应急预案应辅以这种混合式学习培训，以便在第二波疫情、未来疫情或其他危机情况发生时能够立即启用。
