American Association of Nurse Practitioners, Austin, Texas.
Seattle Pacific University School of Nursing, Seattle, Washington.
J Am Assoc Nurse Pract. 2022 Jun 1;34(6):835-843. doi: 10.1097/JXX.0000000000000715.
The COVID-19 pandemic has led to a rapidly shifting health care environment, with frequent changes to best practices, which can lead to knowledge and practice gaps among health care providers, including nurse practitioners (NPs). The purpose of this paper was to describe a continuing education (CE) program developed to address COVID-19 knowledge gaps and to report on the changes in knowledge, competence, and confidence following program completion. The CE program was a 2.5 to 2.67 contact hour webinar delivered in July 2020, October 2020, and February 2021. Content included COVID-19 prevention, diagnosis, and management and was updated before the second and third webinars. Changes in content and webinar audience participation in the question and answer portion were reflected in the CE credit awarded. Preactivity and postactivity knowledge, competence, and confidence levels were assessed among activity completers. Changes between the preactivity and postactivity evaluation were compared. A total of 2,901 learners were included in the analysis, of whom 91.6% were NPs. Overall, baseline knowledge of COVID-19 transmission, diagnosis, and treatment was low. Substantial improvements in knowledge, competence, and confidence were reported from baseline to postactivity evaluation, with increases of 47-73% overall. Furthermore, learner confidence in identifying patients at risk for severe COVID-19 and counseling patients on prevention and transmission significantly increased. Despite plans to implement strategies to improve COVID-19 management, several barriers to uptake were identified. The rapid development of a COVID-19 CE program resulted in substantial gains in NP knowledge related to prevention, diagnosis, and management, with possible implications for nearly 68,000 patient encounters per month.
COVID-19 大流行导致医疗环境迅速变化,最佳实践频繁变化,这可能导致医疗保健提供者(包括执业护士)出现知识和实践差距。本文旨在描述一项继续教育(CE)计划,该计划旨在解决 COVID-19 知识差距,并报告完成计划后知识、能力和信心的变化。CE 计划是一个 2.5 至 2.67 个联系小时的网络研讨会,于 2020 年 7 月、2020 年 10 月和 2021 年 2 月举行。内容包括 COVID-19 的预防、诊断和管理,并在第二个和第三个网络研讨会之前进行了更新。内容和网络研讨会参与者在问答部分的参与变化反映在授予的 CE 学分中。在活动完成者中评估了预活动和后活动的知识、能力和信心水平。比较了预活动和后活动评估之间的变化。共有 2901 名学习者参与了分析,其中 91.6%是执业护士。总体而言,COVID-19 传播、诊断和治疗的基本知识水平较低。从基线评估到后活动评估,报告的知识、能力和信心有了实质性提高,总体提高了 47-73%。此外,学习者识别有患严重 COVID-19 风险的患者和对患者进行预防和传播咨询的信心显著增强。尽管计划实施策略来改善 COVID-19 管理,但确定了一些采用的障碍。快速开发 COVID-19 CE 计划导致与预防、诊断和管理相关的执业护士知识大幅增加,可能对每月近 68000 次患者就诊产生影响。