Hopkinson D, Akuamoah-Boateng K, Banguti P, Mvukiyehe J P, Zerfoss C, Eng T, Tuyishime E, Hertel K, Starling D, Bethea A, Moses B, Syed A
Department of Internal Medicine, Virginia Commonwealth University, Virginia, USA.
Department of Surgery, Virginia Commonwealth University, Virginia, USA.
South Afr J Crit Care. 2022 May 6;38(1). doi: 10.7196/SAJCC.2022.v38i1.491. eCollection 2022.
Emerging critical care systems have gained little attention in low- and middle-income countries. In sub-Saharan Africa, only 4% of the healthcare workforce is trained in critical care, and mortality rates are unacceptably high in this patient population.
We sought to retrospectively describe the knowledge acquisition and confidence improvement of practitioners who attend the Fundamental Critical Care Support (FCCS) course in Rwanda.
We conducted a retrospective study in which we assessed survey data and multiple-choice question data that were collected before and after course delivery. The purpose of these assessments at the time of delivery was to evaluate participants' perception and acquisition of critical care knowledge.
Thirty-six interprofessional clinicians completed the training. Performance on the multiple-choice questions improved overall after the course (mean score pre-course of 56.5% to mean score post-course of 65.8%, p-value <0.001) and improved in all content areas with the exception of diagnosis and management of acute coronary syndrome and acute respiratory failure/mechanical ventilation. Both physicians and nurses improved their scores significantly (68.9% to 75.6%, p-value = 0.031 and 52.0% to 63.5%, p-value <0.001, respectively). Self-reported confidence in level of knowledge also increased in all areas. Survey respondents indicated on open-answer questions that they would like the course offerings at least annually, and that further dissemination of the course in Rwanda was warranted.
Deploying the established FCCS course improved Rwandan healthcare provider knowledge and confidence across most critical care content areas. Therefore, this course represents a good first step in bridging the gaps noted in emerging critical care systems.
Critical care education in sub-Saharan Africa is limited and few staff have formal training. The aim of the study was to determine whether a focused course delivered in Rwanda on critical care management improved knowledge in key areas. Our retrospective study on results from a multiple choice question test and survey indicate that short courses may improve knowledge of critical care management.
新兴的重症监护系统在低收入和中等收入国家很少受到关注。在撒哈拉以南非洲，只有4%的医疗保健人员接受过重症监护培训，该患者群体的死亡率高得令人无法接受。
我们试图回顾性描述参加卢旺达基础重症监护支持（FCCS）课程的从业者的知识获取情况和信心提升情况。
我们进行了一项回顾性研究，评估了课程交付前后收集的调查数据和多项选择题数据。在课程交付时进行这些评估的目的是评估参与者对重症监护知识的认知和掌握情况。
36名跨专业临床医生完成了培训。课程结束后，多项选择题的整体表现有所提高（课程前平均得分56.5%，课程后平均得分65.8%，p值<0.001），除急性冠状动脉综合征和急性呼吸衰竭/机械通气的诊断和管理外，所有内容领域的表现均有所提高。医生和护士的得分均显著提高（分别从68.9%提高到75.6%，p值=0.031；从52.0%提高到63.5%，p值<0.0
