Lois Fernande, Hallet Claude, Samalea Suarez Nicolas, Ghuysen Alexandre, Brichant Jean François
Department of Anaethesia and Intensive Care, CHU de Liège - Site du Sart Tilman, Liège, Belgium.
Interdisciplinary Medical Simulation Center of Liège, University of Liège, Liège, Belgium.
BMJ Simul Technol Enhanc Learn. 2021 Jun 7;7(6):555-560. doi: 10.1136/bmjstel-2020-000840. eCollection 2021.
Self-efficacy is defined as people's internal beliefs about their ability to have an impact on events that affect their lives. As part of the COVID-19 pandemic, we carried out in situ simulation for anaesthesiologists and operating room (OR) nurses. Simulation was focused on the recommendations on the use of specific personal protective equipment (PPE) as well as on airway management and intubation. We hypothesised that in situ procedural simulation should increase their perceived self-efficacy.
Between 16 March and 20 March 2020, 208 healthcare workers took part in in situ procedural simulation. A questionnaire was sent to participants on 21 April 2020. Six self-efficacy items related to PPE and airway manoeuvres were assessed and training on a Numeric Rating Scale from 0 to 10.
Sixty-seven participants (32%) replied to the questionnaire. The comparison of the six items revealed an increase in perceived self-efficacy for each of them. A training difference was observed between nurses, board-certified anaesthetists and trainees in anaesthesia in perceived self-efficacy for putting on (6 (3-8) vs 4.5 (2.25-6) vs 2 (0-6), p=0.007) and remove PPE (8 (5-8) vs 4.5 (3.25-6) vs 4 (1-6), p=0.009). No difference in perceived self-efficacy training was observed between nurses, board-certified anaesthetists and trainees in anaesthesia.
In situ simulation improves the perceived self-efficacy of OR nurses and anaesthesiologists on specific skills related to the care of patients with COVID-19.
自我效能被定义为人们对自身影响其生活中各类事件能力的内在信念。作为应对新冠疫情的一部分，我们对麻醉医生和手术室护士开展了现场模拟。模拟聚焦于特定个人防护装备（PPE）的使用建议以及气道管理和插管操作。我们假设现场程序模拟应能提高他们的自我效能感。
2020年3月16日至20日期间，208名医护人员参与了现场程序模拟。2020年4月21日向参与者发放了一份问卷。评估了与个人防护装备和气道操作相关的六个自我效能项目，并采用0至10的数字评分量表进行评分。
67名参与者（32%）回复了问卷。对这六个项目的比较显示，每个项目的自我效能感认知均有所提高。在佩戴（6（3 - 8）vs 4.5（2.25 - 6）vs 2（0 - 6），p = 0.007）和摘除个人防护装备（8（5 - 8）vs 4.5（3.25 - 6）vs 4（1 - 6），p = 0.009）的自我效能感认知方面，护士、获得委员会认证的麻醉医生和麻醉实习生之间观察到了训练差异。在护士、获得委员会认证的麻醉医生和麻醉实习生之间，未观察到自我效能感训练方面的差异。
现场模拟提高了手术室护士和麻醉医生对与新冠患者护理相关特定技能的自我效能感认知。
