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实施 COVID-19 期间的医疗保健专业人员培训:模拟培训的前后测试设计。

Implementing healthcare professionals' training during COVID-19: a pre and post-test design for simulation training.

机构信息

MD, PhD. Assistant Professor, Discipline of Emergency Medicine, Department of Internal Medicine, School of Medical Sciences, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil.

RN, PhD. Assistant Professor, School of Nursing, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil.

出版信息

Sao Paulo Med J. 2021 Aug-Sep;139(5):514-519. doi: 10.1590/1516-3180.2021.0190.R1.27052021.

Abstract

BACKGROUND

Coronavirus disease-19 (COVID-19) has imposed a new reality that presents several challenges for healthcare professionals. The main challenge has been the lack of proper training in relation to an unknown disease.

OBJECTIVE

To investigate healthcare professionals' acquisition of knowledge of a new airway management protocol for COVID-19 through their participation in simulation training.

DESIGN AND SETTING

Pre and post-test study with purpose sampling, carried out in a tertiary-level hospital in the city of Campinas, state of São Paulo, Brazil.

METHODS

This was a cross-sectional pre and post-test intervention among healthcare professionals working in the intensive care unit and emergency department of a large hospital. The training was carried out using an in situ simulation scenario and the participants answered pre and post-tests consisting of a 20-item questionnaire about the new protocol.

RESULTS

The paired-sample t test demonstrated that there was a significant increase in test score (t = -19.06; P < 0.001), from before the training (M = 8.62; standard deviation, SD = 3.53) to after the simulation training (M = 17.02; SD = 1.76).

CONCLUSIONS

The simulated training had a positive impact on the healthcare professionals' acquisition of the COVID-19 protocol. We also demonstrated that in situ simulation training was an efficient tool for implementing new protocols, thus bringing benefits to healthcare systems, professionals and patients.

摘要

背景

新型冠状病毒病(COVID-19)带来了新的现实,给医疗保健专业人员带来了诸多挑战。主要的挑战是缺乏针对未知疾病的适当培训。

目的

通过模拟培训,调查医疗保健专业人员对 COVID-19 新气道管理方案的知识获取情况。

设计与设置

采用目的抽样的预-后测试研究,在巴西圣保罗州坎皮纳斯市的一家三级医院进行。

方法

这是一项在重症监护病房和急诊部门工作的医疗保健专业人员的横断面预-后测试干预研究。培训采用现场模拟场景进行,参与者在预测试和后测试中回答了 20 项关于新方案的问卷。

结果

配对样本 t 检验显示,测试成绩有显著提高(t=-19.06;P<0.001),从培训前(M=8.62;标准差,SD=3.53)到模拟培训后(M=17.02;SD=1.76)。

结论

模拟培训对医疗保健专业人员获取 COVID-19 方案有积极影响。我们还表明,现场模拟培训是实施新方案的有效工具,从而为医疗保健系统、专业人员和患者带来益处。

相似文献

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Training in healthcare during and after COVID-19: proposal for simulation training.新冠疫情期间和之后的医疗保健培训:模拟培训建议。
Rev Assoc Med Bras (1992). 2021 Aug 13;67Suppl 1(Suppl 1):12-17. doi: 10.1590/1806-9282.67.Suppl1.20200710. eCollection 2021.

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