Hassani Kasra, McElroy Theresa, Coop Melissa, Pellegrin Joelle, Wu Wan Ling, Janke Rita D, Johnson L Kit
Child Health British Columbia (BC), Provincial Health Services Authority, Vancouver, BC, Canada.
Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Front Pediatr. 2021 May 19;9:638070. doi: 10.3389/fped.2021.638070. eCollection 2021.
Adoption of virtual health (VH) solutions in healthcare has been challenging; this changed rapidly after implementation of physical distancing measures due to the COVID-19 pandemic. In response to the pandemic, British Columbia's Children's and Women's sub-specialty hospitals rapidly trained and scaled up support to equip staff and clinicians to use VH. Ninety-minute live online training workshops and frequently updated online support materials were offered for 6 weeks. Training was monitored feedback collected at training sessions and a brief post-training survey. After training completion, a second survey was circulated to measure utilization outcomes and experiences with VH. Eight hundred and ninety-five participants representing 82% of staff requiring support were trained through 101 sessions; 348 (38.9%) and 272 (30.4%) responses were collected for the monitoring and outcome surveys, respectively. Overall, 89% agreed that training was relevant to their needs; participants indicated average 58.1% (SD = 26.6) and 60.6% (SD = 25.2) increase in knowledge and confidence in VH after training; 90.1% had booked or conducted VH sessions. Increase in confidence was more pronounced in participants with lesser previous exposure to VH, but number of sessions conducted post-training and percentage of successful sessions were independent of previous exposure. For future training and support, participants suggested subject-tailored trainings, asynchronous trainings, and availability of experienced users. Training is key to success of VH implementation. Moving forward, core competencies in VH should be developed to support standardization and allow for evaluation and quality improvement. Incorporation of VH training in continuous professional development and onboarding is also highly recommended.
在医疗保健领域采用虚拟健康（VH）解决方案一直具有挑战性；由于新冠疫情实施社交距离措施后，这种情况迅速发生了变化。为应对疫情，不列颠哥伦比亚省的儿童和妇女专科医院迅速开展培训并扩大支持，以使工作人员和临床医生能够使用VH。提供了为期6周的90分钟在线实时培训研讨会以及频繁更新的在线支持材料。通过在培训课程中收集反馈以及开展简短的培训后调查来对培训进行监测。培训结束后，进行了第二次调查，以衡量VH的使用结果和体验。代表82%需要支持的工作人员的895名参与者通过101场培训课程接受了培训；分别为监测和结果调查收集到348份（38.9%）和272份（30.4%）回复。总体而言，89%的人认为培训与他们的需求相关；参与者表示培训后对VH的知识和信心平均提高了58.1%（标准差=26.6）和60.6%（标准差=25.2）；90.1%的人已经预约或进行了VH课程。以前较少接触VH的参与者信心提升更为明显，但培训后进行的课程数量和成功课程的百分比与以前的接触情况无关。对于未来的培训和支持，参与者建议提供针对特定主题的培训、异步培训以及有经验用户的可用性。培训是VH实施成功的关键。展望未来，应培养VH方面的核心能力，以支持标准化并允许进行评估和质量改进。强烈建议将VH培训纳入持续专业发展和入职培训中。
