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在阿根廷新冠疫情高峰期进行非重症医学专家培训以提高重症监护病房的人员配备能力

Nonintensivist Training to Increase the Staff Capacity of Intensive Care Units During COVID-19 Pandemic Surge in Argentina.

作者信息

Monteverde Ezequiel, Bosque Laura, Klappenbach Roberto, Baliña Joaquín, Lartigue Betina, Arán María Inés, Cano Nicolás, Reina Rosa, Silberman Pedro, Ortiz Claudio, Gutiérrez Vicente, Neira Jorge

机构信息

Fundación Trauma, Buenos Aires, Argentina.

Sociedad Argentina de Terapia Intensiva, Buenos Aires, Argentina.

出版信息

Disaster Med Public Health Prep. 2021 Aug 31;17:e41. doi: 10.1017/dmp.2021.282.

Abstract

OBJECTIVE

The aim of this study was to report the results of a nationwide critical-care course for non-intensivists to increase staff capacity of intensive care units (ICUs) during the coronavirus disease 2019 (COVID-19) pandemic in Argentina.

METHODS

Three academic organizations, with special funding from 55 private companies, developed a short virtual course comprised of Web-based videos, virtual tutorials, and a forum chat. Each state assigned scholarships to non-ICU staff from public hospitals. Students received active follow-up for the completion of the course and took a survey upon course completion.

RESULTS

After 4 m, there were 10,123 students registered from 661 hospitals in 328 cities. Of these, 67.8% passed the course, 29.1% were still ongoing, and 3.1% were inactive. Most students were female (74.2%) with a median of 37 y old (IQR 31-44). The group was composed of 56.5% nurses, 36.2% physicians, and 7.4% physiotherapists, of whom 48.3% did not have any experience in critical care. Mean overall satisfaction was 4.4/5 (standard deviation, 0.9), and 90.7% considered they were able to apply the contents to their practice.

CONCLUSIONS

This course was effective for rapid training of non-ICU personnel. The assignment strategy, the educational techniques, and the close follow-up led to low dropout and high success rates and satisfaction.

摘要

目的

本研究旨在报告一项面向非重症医学专家的全国性重症护理课程的结果,以在阿根廷2019年冠状病毒病(COVID-19)大流行期间提高重症监护病房(ICU)的人员能力。

方法

三个学术组织在55家私人公司的专项资助下,开发了一门简短的虚拟课程,包括网络视频、虚拟教程和论坛聊天。每个州为公立医院的非ICU工作人员分配奖学金。学生在课程完成过程中接受积极跟进,并在课程结束时进行调查。

结果

4个月后,来自328个城市661家医院的10123名学生注册。其中,67.8%通过了课程,29.1%仍在学习中,3.1%已停止学习。大多数学生为女性(74.2%),年龄中位数为37岁(四分位间距31 - 44岁)。该群体由56.5%的护士、36.2%的医生和7.4%的物理治疗师组成,其中48.3%没有重症护理经验。总体平均满意度为4.4/5(标准差0.9),90.7%的人认为他们能够将所学内容应用于实践。

结论

本课程对非ICU人员的快速培训有效。分配策略、教育技术和密切跟进导致低辍学率、高成功率和高满意度。

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