Ajmi Houda, Ben Selma Manel, Ben Sik Ali Habiba, Boukadida Nada, ElGhali Hela, Ben Oune Aya, Maghzaoui Meissa, Amara Nadia, Naija Walid, Abroug Saoussan
Department of pediatrics, Sahloul University Hospital, 4054, Sousse, Tunisia.
Medical simulation center, Faculty of Medicine of Monastir, University of Monastir, Tunisia.
Tunis Med. 2023 Nov 5;101(11):789-794.
Medical simulation is a crucial educational tool for training healthcare professionals, renowned for its effectiveness in learning. However, its application as an assessment tool remains uncommon.
To evaluate simulation as a tool for assessing training in the management of COVID-19 patients.
This descriptive cross-sectional study was conducted in June 2021 at the Department of Pediatrics, Sahloul University Hospital in Sousse, Tunisia. All medical and paramedical staff in the department underwent comprehensive training in the management of COVID-19 patients, including video training for donning and doffing protective equipment when in contact with infected patients. A simulation-based assessment of these procedures was carried out among the department staff having received this training.
Our study included a total of 67 participants, comprising 28 medical staff (41.8%) and 39 paramedical staff (58.2%). During the assessment scenario, over 50% of participants successfully completed the main steps for both donning (8 out of 11 steps) and doffing procedures (10 out of 11 steps). However, there were instances of incorrect execution in some critical steps. In the doffing test, only 16.4% of participants performed the fitcheck correctly, with a notable difference between paramedical staff and medical staff (25.6% vs 3.6%, p=0.02). The practice of double gloving was observed in only 38.8% of cases, with higher adherence among physicians compared to paramedical staff (57.1% vs 25.6%, p=0.009). Regarding the doffing procedure, we observed that not all staff performed hydroalcoholic friction adequately. Similarly, only 22.4% of participants followed the recommended sequence of gestures, with a significantly higher compliance rate among doctors compared to paramedical staff (50% vs 2.6%, p<0.001).
Simulation is a swiftly expanding assessment tool. In our study, it helped reveal specific skill deficiencies that would have gone unnoticed in written or oral assessments.
医学模拟是培训医疗保健专业人员的关键教育工具，以其在学习方面的有效性而闻名。然而，其作为评估工具的应用仍然不常见。
评估模拟作为评估COVID-19患者管理培训的工具。
这项描述性横断面研究于2021年6月在突尼斯苏塞的萨赫卢勒大学医院儿科进行。该科室的所有医护人员都接受了COVID-19患者管理的全面培训，包括接触感染患者时穿脱防护设备的视频培训。对接受过此培训的科室工作人员进行了基于模拟的这些程序评估。
我们的研究共有67名参与者，包括28名医务人员（41.8%）和39名辅助医务人员（58.2%）。在评估场景中，超过50%的参与者成功完成了穿脱程序的主要步骤（穿脱均为11个步骤中的8个）。然而，在一些关键步骤中存在执行错误的情况。在脱卸测试中，只有16.4%的参与者正确进行了贴合检查，辅助医务人员和医务人员之间存在显著差异（25.6%对3.6%，p=0.02）。仅在38.8%的病例中观察到双层手套的做法，医生的依从性高于辅助医务人员（57.1%对25.6%，p=0.009）。关于脱卸程序，我们观察到并非所有工作人员都充分进行了酒精擦手。同样，只有22.4%的参与者遵循了推荐的手势顺序，医生的依从率明显高于辅助医务人员（50%对2.6%，p<0.001）。
模拟是一种迅速发展的评估工具。在我们的研究中，它有助于揭示在书面或口头评估中可能被忽视的特定技能缺陷。
