Ingrassia Pier Luigi, Ferrari Mattia, Paganini Matteo, Mormando Giulia
Centro Interdipartimentale di Didattica Innovativa e di Simulazione in Medicina e Professioni Sanitarie (SIMNOVA), Università degli Studi del Piemonte Orientale Amedeo Avogadro, Novara, Italy.
Centro di Simulazione (CeSi), Centro Professionale Sociosanitario, Lugano, Switzerland.
BMJ Simul Technol Enhanc Learn. 2021 Feb 10;7(5):379-384. doi: 10.1136/bmjstel-2020-000813. eCollection 2021.
The COVID-19 pandemic has dramatically affected the Italian health systems and drastically impacted healthcare workers' daily routine and training. Simulation is an efficient tool to provide medical education, especially in the case of incoming public health emergencies. This study investigated the role and activities of Italian simulation centres (SCs) during the acute phase of the COVID-19 pandemic.
The population was identified through a web search. The directors of Italian SCs were contacted via email and then enrolled. A structured interview was created, internally validated and administrated by phone to participants.
Following the government's ordinance, 37 (88.37%) SCs had to be closed to the public. Twenty (46.51%) SCs organised in situ simulation while 7 (16.28%) of them organised simulation inside the centre. Twenty-three (53.49%) SCs resorted to telematic modalities to provide training about COVID-19 and 21 (48.84%) of them for other training. Up to date, 13 SCs are still closed to the public.
Italy has been severely hit by COVID-19, with differences between the regions. Almost all the SCs were closed, with only a few delivering training. The SCs took advantage of emergent technologies to create new ways to train people safely. Unfortunately, nearly one-fourth of Italian SCs have not reopened yet. The evolution of the COVID-19 epidemic calls for reconsideration about training activities including adequate safety measures implemented for all individuals involved.
新冠疫情对意大利医疗系统产生了巨大影响，极大地冲击了医护人员的日常工作和培训。模拟是提供医学教育的有效工具，尤其是在应对突发公共卫生事件时。本研究调查了意大利模拟中心在新冠疫情急性期的作用和活动。
通过网络搜索确定研究对象。通过电子邮件联系意大利模拟中心的主任，然后将其纳入研究。设计了一份结构化访谈问卷，进行内部验证后通过电话对参与者进行访谈。
根据政府法令，37个（88.37%）模拟中心不得不对公众关闭。20个（46.51%）模拟中心组织了现场模拟，其中7个（16.28%）在中心内部组织模拟。23个（53.49%）模拟中心采用远程方式提供关于新冠疫情的培训，21个（48.84%）采用远程方式进行其他培训。截至目前，仍有13个模拟中心对公众关闭。
意大利受到新冠疫情的严重打击，各地区存在差异。几乎所有模拟中心都关闭了，只有少数提供培训。模拟中心利用新兴技术创造了安全培训人员的新方式。不幸的是，近四分之一的意大利模拟中心尚未重新开放。新冠疫情的演变要求重新考虑培训活动，包括为所有相关人员实施适当的安全措施。
