Sharma Rakesh, Mohanty Aroop, Singh Vanya, S Vishwas A, Gupta Puneet K, Jelly Prasuna, Gupta Pratima, Rao Shalinee
College of Nursing, All India Institute of Medical Sciences, Rishikesh, IND.
Microbiology, All India Institute of Medical Sciences, Gorakhpur, IND.
Cureus. 2021 May 1;13(5):e14785. doi: 10.7759/cureus.14785.
Purpose Amidst the current COVID-19 pandemic, traditional teaching methodology took a back foot. However, an urgent need for training health care worker (HCW) on preventive measures for COVID-19 infection was the need of the hour. Keeping in mind the precautionary measures required to combat COVID-19 infection, the only promising option for training was by adopting an online learning method. This study was undertaken to determine the effectiveness of video-based training using online platforms for infection prevention and control (IPC) training during the COVID-19 pandemic. Methods A quasi-experimental study, with only one experimental group comprising of HCWs, was undertaken to assess the effect of intervention which included video-assisted teaching-learning regarding IPC measures with a special focus on COVID-19 at a tertiary care Institute in North India. Online sessions were conducted on Do's and Don'ts, Hand Hygiene, donning and doffing of personal protective equipment (PPE), cleaning and disinfection, and bio-medical waste (BMW) management with the help of pre-recorded videos which was pre-validated. The session was followed by online interaction with participants by a single resource person. Pre-test and post-test were conducted through google forms before commencement and at the end of the online session respectively. The data were analyzed in terms of descriptive frequencies and percentages of different domains to describe the pre- and post-test knowledge. Results A total of 576 participants were included in the study. There was a statistically significant gain in scores of all questions related to cleaning and disinfection; and BMW. No significant change was observed in knowledge regarding the sequence of doffing (p-value: 0.94). The result of pairwise comparisons pre-test and post-test scores showed that intervention through video-assisted teaching-learning resulted in improvement of knowledge which was found to be statistically significant (p-value < 0.001). Conclusion Video-assisted teaching-learning through virtual platforms effectively trained health personnel on infection prevention and control practices during the COVID-19 pandemic. Video-assisted training can successfully be handled by a single resource person to impart the knowledge and skill to the trainee. Virtual teaching and learning is a feasible and efficient method to deliver training to HCWs on infection control practices and this methodology may be adopted in the future for several other training in manpower crunch situations, similar restrictive circumstances as posed by the COVID-19 pandemic.
目的 在当前的新冠疫情期间,传统教学方法退居次位。然而,当下迫切需要对医护人员进行新冠病毒感染预防措施的培训。考虑到抗击新冠病毒感染所需的预防措施,培训的唯一可行选择是采用在线学习方法。本研究旨在确定在新冠疫情期间,利用在线平台进行基于视频的感染预防与控制(IPC)培训是否有效。方法 开展了一项准实验研究,仅设立了一个由医护人员组成的实验组,以评估干预措施的效果,该干预措施包括在印度北部一家三级医疗机构进行关于IPC措施的视频辅助教学,特别关注新冠病毒。借助预先录制并经过预验证的视频,就注意事项、手卫生、个人防护装备(PPE)的穿脱、清洁与消毒以及生物医疗废物(BMW)管理等内容进行了在线课程。课程结束后,由一名资源人员与参与者进行在线互动。分别在在线课程开始前和结束时通过谷歌表单进行了前测和后测。通过描述不同领域的频率和百分比来分析数据,以描述前测和后测的知识情况。结果 共有576名参与者纳入研究。与清洁与消毒以及BMW相关的所有问题得分均有统计学意义的提高。脱卸顺序方面的知识未观察到显著变化(p值:0.94)。前测和后测分数的成对比较结果显示通过视频辅助教学进行的干预使知识得到了改善,且具有统计学意义(p值<0.001)。结论 在新冠疫情期间,通过虚拟平台进行的视频辅助教学有效地培训了卫生人员的感染预防与控制实践。视频辅助培训可由一名资源人员成功实施,向学员传授知识和技能。虚拟教学是向医护人员提供感染控制实践培训的一种可行且高效的方法,在未来人力短缺的情况下以及类似新冠疫情所带来的限制环境中,这种方法可用于其他多项培训。