Han Bin, Zang Feng, Liu Juan, Li Songqin, Zhang Weihong, Zhang Yongxiang, Li Zhanjie
Department of Gynecology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu, People's Republic of China.
Department of Infection Control, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu, People's Republic of China.
Infect Drug Resist. 2022 Mar 24;15:1247-1257. doi: 10.2147/IDR.S346559. eCollection 2022.
To improve the ability of infection prevention and control (IPC) of medical staff during the COVID-19 epidemic period, the "four-step" mode of whole staff training and assessment was used.
During the period from March 9 to March 18, 2020, 5425 medical staff from The First Affiliated Hospital of Nanjing Medical University were selected as the objects of this study. There are four stages in the training assessment mode. The first stage is the basic assessment stage; the second stage releases the electronic version of the knowledge point manual; the third stage conducts online exercises; the fourth stage conducts the final assessment.
In the first stage, the participation rate of medical staff was 95.04%. In the fourth stage, the participation rate of medical staff was 98.01%. The average score of female medical staff in the first stage and the fourth stage was higher than that of males (< 0.001). The average score of medical staff under 30 years old in the first stage and the fourth stage was higher than that of other age groups (< 0.05). In the fourth stage, the correct rate of each part of exercises in the knowledge points of IPC was higher than that in the first stage (< 0.001). In the two stages, the two parts of "COVID-19 prevention and control" and "multi-drug resistant bacteria prevention and control" had the highest accuracy, while the "disinfection and sterilization" and "infectious disease management" had the lowest accuracy (< 0.001).
The "four-step" infection control training assessment mode has realized "full participation" and "effective training", and the level of medical staff's IPC has been significantly improved.
为提高新冠疫情期间医务人员的感染预防与控制(IPC)能力,采用全员培训与考核的“四步”模式。
选取2020年3月9日至3月18日期间南京医科大学第一附属医院的5425名医务人员作为研究对象。培训考核模式分为四个阶段。第一阶段为基础考核阶段;第二阶段发布知识点手册电子版;第三阶段进行在线练习;第四阶段进行最终考核。
第一阶段医务人员参与率为95.04%。第四阶段医务人员参与率为98.01%。第一阶段和第四阶段女性医务人员的平均成绩高于男性(<0.001)。第一阶段和第四阶段30岁以下医务人员的平均成绩高于其他年龄组(<0.05)。第四阶段,IPC知识点中各部分练习的正确率高于第一阶段(<0.001)。在两个阶段中,“新冠防控”和“多重耐药菌防控”两部分的准确率最高,而“消毒灭菌”和“传染病管理”的准确率最低(<0.001)。
“四步”感染控制培训考核模式实现了“全员参与”和“有效培训”,医务人员的IPC水平得到显著提高。