دورية أكاديمية
أعرض في EDS

Applying the WHO-ICRC BEC course to train emergency and inpatient healthcare workers in Sierra Leone early in the COVID-19 outbreak.

التفاصيل البيبلوغرافية
العنوان: Applying the WHO-ICRC BEC course to train emergency and inpatient healthcare workers in Sierra Leone early in the COVID-19 outbreak.
المؤلفون: Sonenthal PD; Brigham and Womens Hospital, Division of Pulmonary and Critical Care Medicine, 75 Francis Street Massachusetts, Boston, MA, 02115, USA. p.sonenthal@gmail.com.; Harvard Medical School, Boston, MA, USA. p.sonenthal@gmail.com.; Partners In Health, Boston, MA, USA. p.sonenthal@gmail.com., Kachimanga C; Partners In Health-Sierra Leone, Kono, Sierra Leone., Komba D; Ministry of Health and Sanitation, Freetown, Sierra Leone., Bangura M; Partners In Health-Sierra Leone, Kono, Sierra Leone., Ludmer N; University of Chicago, Section of Emergency Medicine, Chicago, IL, USA., Lado M; Partners In Health-Sierra Leone, Kono, Sierra Leone., Patino M; Partners In Health-Sierra Leone, Kono, Sierra Leone., Gerrard RB; Partners In Health, Boston, MA, USA., Vandy MJ; Ministry of Health and Sanitation, Freetown, Sierra Leone., Marsh RH; Harvard Medical School, Boston, MA, USA.; Partners In Health, Boston, MA, USA.; Brigham and Womens Hospital, Department of Emergency Medicine, Boston, MA, USA., Mukherjee J; Harvard Medical School, Boston, MA, USA.; Partners In Health, Boston, MA, USA., Rouhani SA; Harvard Medical School, Boston, MA, USA.; Partners In Health, Boston, MA, USA.; Brigham and Womens Hospital, Department of Emergency Medicine, Boston, MA, USA.
المصدر: BMC health services research [BMC Health Serv Res] 2022 Feb 14; Vol. 22 (1), pp. 197. Date of Electronic Publication: 2022 Feb 14.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: COVID-19*, Disease Outbreaks ; Health Personnel ; Humans ; Inpatients ; Pandemics ; Prospective Studies ; SARS-CoV-2 ; Sierra Leone/epidemiology ; World Health Organization
مستخلص: Background: Treating critical illness in resource-limited settings during disease outbreaks is feasible and can save lives. Lack of trained healthcare workers is a major barrier to COVID-19 response. There is an urgent need to train healthcare workers to manage COVID-19. The World Health Organization and International Committee of the Red Cross's Basic Emergency Care course could provide a framework to cross-train personnel for COVID-19 care while strengthening essential health services.
Methods: We conducted a prospective cohort study evaluating the Basic Emergency Care course for healthcare workers from emergency and inpatient units at two hospitals in Sierra Leone, a low-income country in West Africa. Baseline, post-course, and six month assessments of knowledge and confidence were completed. Questions on COVID-19 were added at six months. We compared change from baseline in knowledge scores and proportions of participants "very comfortable" with course skills using paired Student's t-tests and McNemar's exact tests, respectively.
Results: We enrolled 32 participants of whom 31 completed pre- and post-course assessments. Six month knowledge and confidence assessments were completed by 15 and 20 participants, respectively. Mean knowledge score post-course was 85% (95% CI: 82% to 88%), which was increased from baseline (53%, 48% to 57%, p-value < 0.001). There was sustained improvement from baseline at six months (73%, 67% to 80%, p-value 0.001). The percentage of participants who were "very comfortable" performing skills increased from baseline for 27 of 34 skills post-training and 13 skills at six months. Half of respondents strongly agreed the course improved ability to manage COVID-19.
Conclusions: This study demonstrates the feasibility of the Basic Emergency Care course to train emergency and inpatient healthcare workers with lasting impact. The timing of the study, at the beginning of the COVID-19 pandemic, provided an opportunity to illustrate the strategic overlap between building human resource capacity for long-term health systems strengthening and COVID-19. Future efforts should focus on integration with national training curricula and training of the trainers for broader dissemination and implementation at scale.
(© 2022. The Author(s).)
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معلومات مُعتمدة: Community Service Grant Honoring D. Robert McCaffree CHEST Foundation; MD CHEST Foundation; Master FCCP CHEST Foundation
فهرسة مساهمة: Keywords: Basic emergency care course; COVID-19; Capacity building; Emergency and critical care; Training
تواريخ الأحداث: Date Created: 20220215 Date Completed: 20220216 Latest Revision: 20220219
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC8842917
DOI: 10.1186/s12913-022-07556-8
PMID: 35164753
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6963
DOI:10.1186/s12913-022-07556-8