Haigh Kathryn A, Liuzzi Francesca, Irvine Sharon, Thompson Alison, Hepworth Edward, Hoyle Marie-Claire, Cruise James, Hine Paul, Walker Naomi F
Tropical and Infectious Diseases Unit, Liverpool University Hospitals NHS Trust, Prescot Street, Liverpool L7 8XP, UK.
Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool L69 3BX, UK.
Clin Infect Pract. 2023 Jul;19:100228. doi: 10.1016/j.clinpr.2023.100228.
The first wave of the SARS-CoV-2 global pandemic in early 2020 required a rapid roll-out of infection prevention and control (IPC) training for healthcare workers (HCW), including use of appropriate personal protective equipment (PPE). Education about respiratory droplet and aerosol transmission was of paramount importance to ensure safe working practices and improve confidence.
A joint working group of Infectious Diseases and IPC staff developed a 'train the trainers' programme, to be rapidly deployed over a three-week period. This model utilised a snowballing approach, training selected staff with the intention that they would train their teams, facilitating swift cascading of information. Targeted invitations prompted staff from diverse departments of the hospital to attend. Pre- and post-session questionnaires evaluated staff confidence with regard to appropriate PPE use.
The programme trained 130 HCW over a three week period, was well received and led to increased confidence with PPE use amongst staff. Real-time evaluation ensured content could be adapted to the specific needs of HCW involved. We highlight perceived gaps in training despite existing and enhanced training structures.
Provision of face-to-face training in transmission-based precautions, including PPE use, is required to maintain confidence in safe and appropriate IPC amongst hospital staff. We highlight the importance of including non-clinical staff in PPE educational programmes, recognising that these roles are vital for patient care and are frequently patient-facing. We recommend adopting the train the trainers model to facilitate rapid dissemination of education, with interactive multidisciplinary training in future outbreaks to improve HCW confidence and effective IPC.
2020年初新型冠状病毒肺炎（SARS-CoV-2）全球大流行的第一波疫情要求迅速为医护人员开展感染预防与控制（IPC）培训，包括正确使用个人防护装备（PPE）。关于呼吸道飞沫和气溶胶传播的教育对于确保安全的工作实践和增强信心至关重要。
传染病和IPC工作人员联合工作组制定了一个“培训培训员”计划，该计划将在三周内迅速部署。此模式采用滚雪球式方法，培训选定的工作人员，目的是让他们培训自己的团队，以促进信息的迅速传播。有针对性的邀请促使医院不同科室的工作人员参加。课前和课后问卷评估了工作人员在正确使用PPE方面的信心。
该计划在三周内培训了130名医护人员，受到广泛好评，并提高了工作人员在使用PPE方面的信心。实时评估确保内容能够根据相关医护人员的具体需求进行调整。尽管有现有的和强化的培训结构，我们仍强调了培训中存在的明显差距。
需要提供基于传播的预防措施方面的面对面培训，包括PPE的使用，以维持医院工作人员对安全和适当的IPC的信心。我们强调将非临床工作人员纳入PPE教育计划的重要性，认识到这些角色对患者护理至关重要且经常与患者接触。我们建议采用培训培训员模式以促进教育的快速传播，并在未来疫情爆发时进行互动式多学科培训，以提高医护人员的信心和有效的IPC。
