COVID-19 advanced respiratory care educational training programme for healthcare workers in Lesotho: an observational study

Autor: Eric D McCollum, Bhakti Hansoti, Valerie O Osula, Jill E Sanders, Tafadzwa Chakare, Lucy Mapota-Masoabi, Makhoase Ranyali-Otubanjo
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: BMJ Open, Vol 12, Iss 4 (2022)
Druh dokumentu: article
ISSN: 2044-6055
DOI: 10.1136/bmjopen-2021-058643
Popis: Objective To develop and implement a ‘low-dose, high-frequency’ (LDHF) advanced respiratory care training programme for COVID-19 care in Lesotho.Design Prospective pretraining–post-training evaluation.Setting Lesotho has limited capacity in advanced respiratory care.Participants Physicians and nurses.Interventions Due 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 measures Participants 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.Results Pretraining 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, p
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