Al-Absi Dima Tareq, Simsekler Mecit Can Emre, Omar Mohammed Atif, Soliman-Aboumarie Hatem, Abou Khater Noha, Mehmood Tahir, Anwar Siddiq, Kashiwagi Deanne Tomie
Department of Management Science and Engineering, Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates.
Department of Anaesthesia and Intensive Care, Harefield Hospital, Royal Brompton and Harefield Hospitals, Guy's and St Thomas NHS Foundation Trust, London, UK.
Ultrasound J. 2024 Feb 21;16(1):12. doi: 10.1186/s13089-023-00350-5.
The use of Point-of-Care Ultrasound (POCUS) has become prevalent across a variety of clinical settings. Many healthcare professionals have started getting hands-on training. To evaluate the effectiveness of such training programs, this study aimed to assess a 4 day POCUS training course on healthcare providers' skills and knowledge acquisition. A secondary objective of this study is to gain valuable insights into the degree of perception, attitude, interest levels and perceived barriers of medical providers performing POCUS.
This is a prospective cohort study performed on healthcare providers in an integrated healthcare facility in Abu Dhabi undergoing the POCUS training course in February 2022. Course participants took a pre-course survey to evaluate their baseline knowledge, skills, confidence, perception, and interest in POCUS. The same survey was repeated immediately post-course. In total, seven healthcare professionals responded to the survey with a response rate of 53.8%. All data and information gathered were used to understand the effectiveness of POCUS training and gain insights into the degree of perception, interest and preparedness of POCUS among healthcare professionals in practice.
Our results demonstrated that the brief POCUS course was effective in improving POCUS skills, knowledge and confidence amongst in-practice healthcare providers from varying medical specialties. The median skill score increased from 25% pre-course to 50% post-course. There is a notable increase in all skills scores after the POCUS training course with the greatest change in scores seen for adjusting 'gain and depth of image (54.84%), assessing VeXUS score (52.38%) and evaluating lung congestion (50%). The study also provided valuable insights into the perception, attitude, interest and potential barriers of POCUS implementation. Although significant barriers to POCUS are present including the lack of POCUS curriculum, what is challenging is lack of expertise and skills to perform POCUS. Therefore, medical providers must acquire prespecified skills to fully utilize POCUS effectively.
The study confirmed the effectiveness of short POCUS training in improving the skills, knowledge and confidence of medical providers in practice. Healthcare professionals can master POCUS skills and techniques and gain confidence through brief training courses.
即时超声(POCUS)的应用在各种临床环境中已变得十分普遍。许多医疗保健专业人员已开始接受实践培训。为评估此类培训项目的效果,本研究旨在评估一个为期4天的POCUS培训课程对医疗保健提供者技能和知识获取的影响。本研究的第二个目标是深入了解医疗提供者在进行POCUS操作时的认知程度、态度、兴趣水平以及感知到的障碍。
这是一项前瞻性队列研究,研究对象是2022年2月在阿布扎比一家综合医疗机构中参加POCUS培训课程的医疗保健提供者。课程参与者在课程开始前进行了一项调查,以评估他们在POCUS方面的基线知识、技能、信心、认知和兴趣。课程结束后立即再次进行相同的调查。共有7名医疗保健专业人员回复了调查,回复率为53.8%。收集到的所有数据和信息用于了解POCUS培训的效果,并深入了解医疗保健专业人员在实际操作中对POCUS的认知程度、兴趣和准备情况。
我们的结果表明,简短的POCUS课程有效地提高了来自不同医学专业的在职医疗保健提供者的POCUS技能、知识和信心。技能得分中位数从课程开始前的25%提高到课程结束后的50%。POCUS培训课程后,所有技能得分均有显著提高,其中调整“图像增益和深度”(54.84%)、评估VeXUS评分(52.38%)和评估肺淤血(50%)的得分变化最大。该研究还提供了关于POCUS实施的认知、态度、兴趣和潜在障碍的宝贵见解。虽然POCUS存在重大障碍,包括缺乏POCUS课程,但具有挑战性的是缺乏进行POCUS操作的专业知识和技能。因此,医疗提供者必须掌握特定技能才能有效充分利用POCUS。
该研究证实了短期POCUS培训在提高医疗提供者实际操作中的技能、知识和信心方面具有有效性。医疗保健专业人员可以通过简短的培训课程掌握POCUS技能和技术并获得信心。