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Yeom G, Park J. Effectiveness of donning and doffing personal protective equipment education using video debriefing among Korean undergraduate nursing students. BMC Nurs 2024; 23:712. [PMID: 39363171 DOI: 10.1186/s12912-024-02370-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2024] [Accepted: 09/24/2024] [Indexed: 10/05/2024] Open
Abstract
BACKGROUND The use of appropriate personal protective equipment (PPE) in healthcare settings is a very important factor of infection control activities to prevent transmission of infection. In this study, we aimed to develop a non-face-to-face method that can reduce transmission of infection and an educational method that allows self-learning and self-training, and verify the effectiveness of a donning and doffing PPE education using video debriefing on third-year nursing students in clinical train. METHODS The researcher assigned groups through random sampling using a random number table from the list of research subjects who agreed to participate. Therefore, 35 subjects in the experimental group with an education on donning and doffing PPE using video debriefing and 34 subjects in the control group with video-based training (VBT) were participated in April 2023 at a university in Incheon, South Korea. The evaluation phase involved verifying effects of the education on observer evaluation donningand doffing PPE performance and self-evaluation donningand doffing PPE performance. Satisfaction with the education also assessed immediately after intervention by the experimental group. RESULTS The experimental group had significantly higher scores for observer evaluationdonning (t = 7.84, p < .001) and observer evaluation doffing (t = 6.52, p < .001) PPE performances than the control group. However, there was no significant difference in self-evaluation donning (t = 0.98, p < .330) or doffing PPE performance (t = 0.17, p < .869) between the two groups. In the experimental group that applied video debriefing, learning satisfaction was 4.33 ± 0.82 points out of 5 points. CONCLUSIONS The education on donning and doffing PPE applying video debriefing was effective. If the education developed in this study is used as a self-learning method to improve the infection control capacity necessary to respond to a disaster crisis caused by infectious diseases, it is considered to be useful for preventing the transmission of infectious diseases in the future.
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Affiliation(s)
- GyeJeong Yeom
- Department of Nursing Science, JEI University, Incheon, Republic of Korea
| | - Jiyun Park
- Incheon Airport National Quarantine Station, Centers for Disease Control and Prevention (KDCA), 272, Gonghang-ro, Jung-gu, 22382, Incheon, Republic of Korea.
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Ozainne F, Rauss L, Stuby L. Psychological State and Exam Performance among Paramedics' Students in Geneva during the COVID-19 Pandemic: A Mixed Methods Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3736. [PMID: 36834431 PMCID: PMC9959811 DOI: 10.3390/ijerph20043736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Revised: 02/15/2023] [Accepted: 02/18/2023] [Indexed: 06/18/2023]
Abstract
The COVID-19 pandemic forced higher education institutions in Switzerland to move to distance learning, with certain limitations such as "Zoom fatigue" and a lack of interaction with peers and teachers. This has also impacted the development of interprofessional skills and key concepts such as professional acknowledgement, cooperation, and communication skills. This study was conducted using mixed methods, including performance assessment regarding examination notes, the 12-item General Health Questionnaire, and semi-structured interviews, to assess the impact of the pandemic on the performance of paramedic students and their psychological state. The results of the semi-structured interviews provided insight into the impact of the pandemic. The period of the COVID-19 pandemic appears to have had an impact on the psychological state of the paramedic students, most of whom were considered to be either at risk or in psychological distress. There may have been an effect on their theoretical knowledge performance, with pre-pandemic promotions performing better than pandemic promotions.
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Affiliation(s)
- Florian Ozainne
- École Supérieure de Soins Ambulanciers, College of Higher Education in Prehospital Care, CH-1231 Conches, Switzerland
| | - Lou Rauss
- École Supérieure de Soins Ambulanciers, College of Higher Education in Prehospital Care, CH-1231 Conches, Switzerland
- Genève TEAM Ambulances, Emergency Medical Services, CH-1201 Geneva, Switzerland
| | - Loric Stuby
- Genève TEAM Ambulances, Emergency Medical Services, CH-1201 Geneva, Switzerland
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Colas A, Baudet A, Regad M, Conrath E, Colombo M, Florentin A. An unprecedented and large-scale support mission to assist residential care facilities during the COVID-19 pandemic. Infect Prev Pract 2022; 4:100234. [PMID: 35873804 PMCID: PMC9287467 DOI: 10.1016/j.infpip.2022.100234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Accepted: 07/10/2022] [Indexed: 01/08/2023] Open
Abstract
Background In March 2020, COVID-19 cases occurred in residential care facilities. To assist these facilities, the regional health agency of the Meurthe-et-Moselle administrative district ordered a support mission. Methods Infection prevention and control mobile teams were formed under the coordination of the infection prevention and control department (IPCD) of a university hospital. Teams went to residential care facilities for the elderly, to facilities for people with disabilities (FPD) and independent living communities (ILC). They visited the facilities and met with the management and the ward staff to assess the situation and to identify any potential support needs. Results Over two non-consecutive weeks, 104 residential care facilities were visited (9025 residents). If urgent needs were identified, the IPCD was directly informed by the teams to initiate an extensive assistance operation. Thereby, additional staff and equipment were provided for every facility in need. Although most of them had implemented good management to face the pandemic, four emergency field support operations took place in facilities with uncontrolled outbreaks. Conclusions This is the first reported support action for residential care facilities during the pandemic in France. As no major outbreaks were noticed later, this mission was deemed a success and met the residential care facilities' needs for support. Many facilities have expressed the need to cooperate with infection prevention and control specialists in the future, both during outbreaks, also in routine daily practice. This report highlights the need to maintain support for residential care facilities and to implement a permanent collaboration between hospitals and residential care facilities.
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Affiliation(s)
- Anaïs Colas
- CHRU-Nancy, F-54505 Vandœuvre-lès-Nancy, France.,Université de Lorraine, Faculté de Médecine, F-54505 Vandœuvre-lès-Nancy, France
| | - Alexandre Baudet
- CHRU-Nancy, F-54505 Vandœuvre-lès-Nancy, France.,Université de Lorraine, Faculté d'odontologie, F-54505 Vandœuvre-lès-Nancy, France.,Université de Lorraine, APEMAC, équipe MICS, F-54000 Nancy, France
| | - Marie Regad
- CHRU-Nancy, F-54505 Vandœuvre-lès-Nancy, France.,Université de Lorraine, Faculté de Médecine, F-54505 Vandœuvre-lès-Nancy, France.,Université de Lorraine, APEMAC, équipe MICS, F-54000 Nancy, France
| | | | | | - Arnaud Florentin
- CHRU-Nancy, F-54505 Vandœuvre-lès-Nancy, France.,Université de Lorraine, Faculté de Médecine, F-54505 Vandœuvre-lès-Nancy, France.,Université de Lorraine, APEMAC, équipe MICS, F-54000 Nancy, France
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Paramedics in Switzerland: A Mature Profession. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19148429. [PMID: 35886281 PMCID: PMC9316220 DOI: 10.3390/ijerph19148429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Revised: 07/06/2022] [Accepted: 07/08/2022] [Indexed: 02/01/2023]
Abstract
This paper describes how the profession of paramedics has evolved in Switzerland and takes the perspective of public health. Ambulance drivers play an important role in the health system, not only as a response to emergencies, but also by working in an interprofessional and interdisciplinary manner in response to other public health needs, such as home care, triage, telemedicine and interhospital transfers. This pre-hospital system is rapidly evolving and relies on the work of paramedics.
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Impact of Face-to-Face Teaching in Addition to Electronic Learning on Personal Protective Equipment Doffing Proficiency in Student Paramedics: Randomized Controlled Trial. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19053077. [PMID: 35270768 PMCID: PMC8910255 DOI: 10.3390/ijerph19053077] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/29/2022] [Revised: 03/02/2022] [Accepted: 03/03/2022] [Indexed: 01/04/2023]
Abstract
Personal protective equipment doffing is a complex procedure that needs to be adequately performed to prevent health care worker contamination. During the COVID-19 pandemic, junior health care workers and students of different health care professions who had not been trained to carry out such procedures were often called upon to take care of infected patients. To limit direct contact, distance teaching interventions were used, but different trials found that their impact was rather limited. We therefore designed and carried out a randomized controlled trial assessing the impact of adding a face-to-face intervention using Peyton's four-step approach to a gamified e-learning module. Sixty-five student paramedics participated in this study. The proportion of doffing sequences correctly performed was higher in the blended learning group (33.3% (95%CI 18.0 to 51.8) versus 9.7% (95%CI 2.0 to 25.8), p = 0.03). Moreover, knowledge and skill retention four to eight weeks after the teaching intervention were also higher in this group. Even though this study supports the use of a blended learning approach to teach doffing sequences, the low number of student paramedics able to adequately perform this procedure supports the need for iterative training sessions. Further studies should determine how often such sessions should be carried out.
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Effect of Early Supraglottic Airway Device Insertion on Chest Compression Fraction during Simulated Out-of-Hospital Cardiac Arrest: Randomised Controlled Trial. J Clin Med 2021; 11:jcm11010217. [PMID: 35011958 PMCID: PMC8745715 DOI: 10.3390/jcm11010217] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Revised: 12/23/2021] [Accepted: 12/29/2021] [Indexed: 12/31/2022] Open
Abstract
Early insertion of a supraglottic airway (SGA) device could improve chest compression fraction by allowing providers to perform continuous chest compressions or by shortening the interruptions needed to deliver ventilations. SGA devices do not require the same expertise as endotracheal intubation. This study aimed to determine whether the immediate insertion of an i-gel® while providing continuous chest compressions with asynchronous ventilations could generate higher CCFs than the standard 30:2 approach using a face-mask in a simulation of out-of-hospital cardiac arrest. A multicentre, parallel, randomised, superiority, simulation study was carried out. The primary outcome was the difference in CCF during the first two minutes of resuscitation. Overall and per-cycle CCF quality of compressions and ventilations parameters were also compared. Among thirteen teams of two participants, the early insertion of an i-gel® resulted in higher CCFs during the first two minutes (89.0% vs. 83.6%, p = 0.001). Overall and per-cycle CCF were consistently higher in the i-gel® group, even after the 30:2 alternation had been resumed. In the i-gel® group, ventilation parameters were enhanced, but compressions were significantly shallower (4.6 cm vs. 5.2 cm, p = 0.007). This latter issue must be addressed before clinical trials can be considered.
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Koka A, Suppan M, Carrera E, Fraga-Freijeiro P, Massuk K, Imbeault ME, Missilier Perruzzo N, Achab S, Salerno A, Strambo D, Michel P, Stuby L, Suppan L. Knowledge Retention of the NIH Stroke Scale among Stroke Unit Health Care Workers Using Video vs. E-Learning: Protocol for a Web-Based, Randomized Controlled Trial. Healthcare (Basel) 2021; 9:healthcare9111460. [PMID: 34828505 PMCID: PMC8620278 DOI: 10.3390/healthcare9111460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 10/20/2021] [Accepted: 10/25/2021] [Indexed: 11/17/2022] Open
Abstract
The National Institutes of Health Stroke Scale (NIHSS) is commonly used to triage and monitor the evolution of stroke victims. Data regarding NIHSS knowledge in nurses and physicians working with stroke patients are scarce, and a progressive decline in specific knowledge regarding this challenging scale is to be expected even among NIHSS certified personnel. This protocol was designed according to the CONSORT-eHealth (Consolidated Standards of Reporting Trials) guidelines. It describes the design of a randomized controlled trial whose primary objective is to determine if nurses and physicians who work in stroke units improve their NIHSS knowledge more significantly after following a highly interactive e-learning module than after following the traditional didactic video. Univariate and multivariable linear regression will be used to analyze the primary outcome, which will be the difference between the score on a 50-question quiz answered before and immediately after following the allocated learning material. Secondary outcomes will include knowledge retention at one month, assessed using the same 50-question quiz, user satisfaction, user course duration perception, and probability of recommending the allocated learning method. The study is scheduled to begin during the first semester of 2022.
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Affiliation(s)
- Avinash Koka
- Division of Emergency Medicine, Department of Anesthesiology, Clinical Pharmacology, Intensive Care and Emergency Medicine, University of Geneva Hospitals and Faculty of Medicine, 1211 Geneva, Switzerland
- Correspondence: (A.K.); (L.S.)
| | - Mélanie Suppan
- Division of Anesthesiology, Department of Anesthesiology, Clinical Pharmacology, Intensive Care and Emergency Medicine, University of Geneva Hospitals and Faculty of Medicine, 1211 Geneva, Switzerland;
| | - Emmanuel Carrera
- Stroke Center, Department of Neurology, Geneva University Hospitals and Faculty of Medicine University of Geneva, 1211 Geneva, Switzerland; (E.C.); (N.M.P.)
| | - Paula Fraga-Freijeiro
- Stroke Center, Neurology Service, Department of Clinical Neurosciences, Lausanne University Hospital, 1011 Lausanne, Switzerland; (P.F.-F.); (K.M.); (M.-E.I.); (A.S.); (D.S.); (P.M.)
| | - Kiril Massuk
- Stroke Center, Neurology Service, Department of Clinical Neurosciences, Lausanne University Hospital, 1011 Lausanne, Switzerland; (P.F.-F.); (K.M.); (M.-E.I.); (A.S.); (D.S.); (P.M.)
| | - Marie-Eve Imbeault
- Stroke Center, Neurology Service, Department of Clinical Neurosciences, Lausanne University Hospital, 1011 Lausanne, Switzerland; (P.F.-F.); (K.M.); (M.-E.I.); (A.S.); (D.S.); (P.M.)
| | - Nathalie Missilier Perruzzo
- Stroke Center, Department of Neurology, Geneva University Hospitals and Faculty of Medicine University of Geneva, 1211 Geneva, Switzerland; (E.C.); (N.M.P.)
| | - Sophia Achab
- Specialized Facility in Behavioral Addictions ReConnecte HUG, 1211 Geneva, Switzerland;
- WHO Collaborating Center in Training and Research in Mental Health, UniGe, 1211 Geneva, Switzerland
| | - Alexander Salerno
- Stroke Center, Neurology Service, Department of Clinical Neurosciences, Lausanne University Hospital, 1011 Lausanne, Switzerland; (P.F.-F.); (K.M.); (M.-E.I.); (A.S.); (D.S.); (P.M.)
| | - Davide Strambo
- Stroke Center, Neurology Service, Department of Clinical Neurosciences, Lausanne University Hospital, 1011 Lausanne, Switzerland; (P.F.-F.); (K.M.); (M.-E.I.); (A.S.); (D.S.); (P.M.)
| | - Patrik Michel
- Stroke Center, Neurology Service, Department of Clinical Neurosciences, Lausanne University Hospital, 1011 Lausanne, Switzerland; (P.F.-F.); (K.M.); (M.-E.I.); (A.S.); (D.S.); (P.M.)
| | - Loric Stuby
- Genève TEAM Ambulances, Emergency Medical Services, 1201 Geneva, Switzerland;
| | - Laurent Suppan
- Division of Emergency Medicine, Department of Anesthesiology, Clinical Pharmacology, Intensive Care and Emergency Medicine, University of Geneva Hospitals and Faculty of Medicine, 1211 Geneva, Switzerland
- Correspondence: (A.K.); (L.S.)
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