| Autor: |
Valerie O Osula, Jill E Sanders, Tafadzwa Chakare, Lucy Mapota-Masoabi, Makhoase Ranyali-Otubanjo, Bhakti Hansoti, Eric D McCollum |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
BMJ Open. 12:e058643 |
| ISSN: |
2044-6055 |
| DOI: |
10.1136/bmjopen-2021-058643 |
| Popis: |
ObjectiveTo develop and implement a ‘low-dose, high-frequency’ (LDHF) advanced respiratory care training programme for COVID-19 care in Lesotho.DesignProspective pretraining–post-training evaluation.SettingLesotho has limited capacity in advanced respiratory care.ParticipantsPhysicians and nurses.InterventionsDue to limited participation in May–September 2020, the LDHF approach was modified into a traditional 1-day offsite training in November 2020 that reviewed respiratory anatomy and physiology, clinical principles for conventional oxygen, heated high-flow nasal cannula and non-invasive ventilation management. Basic mechanical ventilation principles were introduced.Outcome measuresParticipants completed a 20-question multiple choice examination immediately before and after the 1-day training. Paired t-tests were used to evaluate the difference in average participant pretraining and post-training examination scores.ResultsPretraining and post-training examinations were completed by 46/53 (86.7%) participants, of whom 93.4% (n=43) were nurses. The overall mean pretraining score was 44.8% (SD 12.4%). Mean scores improved by an average of 23.7 percentage points (95% CI 19.7 to 27.6, pConclusionsAn LDHF training approach was not feasible during this early emergency period of the COVID-19 pandemic in Lesotho. Despite clear knowledge gains, the modest post-training examination scores coupled with limited physician engagement suggest healthcare workers require alternative educational strategies before higher advanced care like mechanical ventilation is implementable. Conventional and high-flow oxygen is better aligned with post-training healthcare worker knowledge levels and rapid implementation. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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