Abstract
back(70) Use of Scenario-based, In-Situ Simulation Training Program to Enhance Nurses’ Infection Control and Teamwork Awareness and Competency During Cardiopulmonary Resuscitation on Patients with COVID-19
Mr. Chun-Ki CHUN1, Mr. Ngai-Ting FUNG2, Ms. Mei-Wa CHAN1, Ms. Sze-Long CHAN1, Ms. Cherry Tsz-Shan CHAN1, Ms. Ka-Yu FUNG1, Ms. Wing-Yan LEE1, Ms. Phillis Wai-Ling KWOK1, Mr. Peter Chi-Yeung LAI1, Mr. Kin-Yip YU1
1Adult Intensive Care Unit, Queen Mary Hospital, Hong Kong SAR, 2Department of Neurosurgery, Queen Mary Hospital, Hong Kong SAR
Cardiopulmonary resuscitation (CPR) in COVID-19 patients is a high-risk procedure for healthcare professionals. A well-trained critical care team is crucial. Literature revealed that simulation training can consulate knowledge and develop skills. However, there are limited studies on the use of simulation in team training in a pandemic.
Twenty-three sessions of in-situ simulation training were conducted in the adult intensive care unit (AICU) of a university-affiliated hospital in Hong Kong in February 2020. A scenario was designed to simulate a cardiac arrest situation in a COVID-19 infected patient. Sixty-nine nurses participated in the training. Participants were required to rate their 1) awareness in infection control (IC) and teamwork during CPR; 2) competency in performing CPR; and 3) ability in describing important concepts of IC and teamwork during CPR before and after the simulation. Data were analyzed with dependent t-test. Participants’ satisfaction on the simulation training was analyzed with descriptive statistics.
Self-rating on IC and teamwork awareness increased after training, from 5.58±1.64 to 7.78±1.03 (p<0.01) and from 5.84±1.55 to 7.81±1.03 (p<0.01) respectively. Rating on competency in performing CPR improved from 5.94±1.31 to 7.81±0.88 (p<0.01). There was also a significant improvement in the ability in describing important concepts of IC (5.84±1.22 vs 7.75±0.93, p<0.01) and teamwork during CPR (6.04±1.24 vs 7.86±0.91, p<0.01). 98.55% of the participants were satisfied with the programme and expressed that the programme had met their training needs. All participants agreed that the knowledge and skills acquired could be transferred to their clinical practice.
Scenario-based, in-situ simulation training can significantly improve infection control awareness, teamwork, and competency of ICU nurses in the resuscitation of COVID-19 patients.