Directorate of Infection, Guy's and St Thomas' NHS Foundation Trust, London, UK; Simulation and Interactive Learning Centre, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Simulation and Interactive Learning Centre, Guy's and St Thomas' NHS Foundation Trust, London, UK; Faculty of Life Sciences and Medicine, King's College London, London, UK.
J Hosp Infect. 2024 May;147:87-97. doi: 10.1016/j.jhin.2024.02.003. Epub 2024 Feb 23.
High-consequence infectious diseases (HCIDs) represent a group of acute infectious diseases with the potential to impact healthcare systems and public health profoundly. Effective management requires a system-based strategy focused on early detection, initiation of infection prevention and control measures, and appropriate use of personal protective equipment (PPE). Inadequate training in the safe use of HCID PPE, and lack of familiarity with key processes such as HCID waste and spills management, exacerbates the risk posed to healthcare workers (HCWs). Enhanced training opportunities are required to ensure that staff are equipped with the necessary knowledge and capabilities to protect themselves from pathogen exposure and infection.
To create a bespoke interprofessional HCID simulation training programme.
A detailed learning needs analysis was undertaken, which identified multiple areas amenable to educational intervention. A full-day HCID simulation programme was developed, providing HCWs the opportunity to practice and gain proficiency in various domains.
Six interprofessional participants took part in the HCID simulation programme pilot. All six (100%) participants felt that the stated learning objectives had been achieved, and five and one participants found the programme to be extremely useful (83%) or very useful (17%), respectively. Following refinement based on pilot feedback, a further six courses have been run for 38 participants, of whom 97% found the programme to be extremely useful or very useful.
The development of a training intervention in the low-frequency, high-risk field of HCIDs had a positive impact. Given the disproportionate impact on HCWs at times of HCID outbreaks, more investment is needed to keep the workforce upskilled.
高后果传染病（HCIDs）代表了一组具有潜在能力深刻影响医疗保健系统和公共卫生的急性传染病。有效的管理需要基于系统的策略，重点是早期发现、启动感染预防和控制措施以及适当使用个人防护设备（PPE）。在安全使用 HCID PPE 方面培训不足，并且不熟悉 HCID 废物和溢出管理等关键流程，这加剧了医疗保健工作者（HCWs）面临的风险。需要增强培训机会，以确保员工具备必要的知识和能力，以保护自己免受病原体暴露和感染。
创建定制的跨专业 HCID 模拟培训计划。
进行了详细的学习需求分析，确定了多个可接受教育干预的领域。制定了为期一天的 HCID 模拟计划，为 HCWs 提供了在各个领域练习和获得熟练程度的机会。
六名跨专业参与者参加了 HCID 模拟计划试点。所有六名（100%）参与者都认为已经实现了既定的学习目标，五名和一名参与者认为该计划非常有用（83%）或有用（17%）。根据试点反馈进行改进后，又为 38 名参与者开设了六门课程，其中 97%的参与者认为该计划非常有用或有用。
在 HCIDs 这种低频、高风险领域开发培训干预措施产生了积极影响。鉴于在 HCID 爆发时对 HCWs 的影响不成比例，需要更多投资来提高员工的技能水平。
