A Pubudu De Silva1, Tim Stephens2, John Welch3, Chathurani Sigera4, Sunil De Alwis5, Priyantha Athapattu6, Dilantha Dharmagunawardene5, Asela Olupeliyawa7, Ashwini de Abrew7, Lalitha Peiris8, Somalatha Siriwardana5, Indika Karunathilake7, Arjen Dondorp9, Rashan Haniffa10. 1. National Intensive Care Surveillance, Quality Secretariat Building, Castle Street Hospital for Women, Colombo, Sri Lanka; Intensive Care National Audit and Research Centre, London, United Kingdom. 2. Simulation and Essential Clinical Skills Department, Barts Health NHS Trust, London, United Kingdom. 3. Critical Care Department, University College Hospitals Foundation Trust, London, United Kingdom. 4. National Intensive Care Surveillance, Quality Secretariat Building, Castle Street Hospital for Women, Colombo, Sri Lanka. 5. Office of Deputy Director General (Education, Training and Research), Ministry of Health, Colombo, Sri Lanka. 6. National Intensive Care Surveillance, Quality Secretariat Building, Castle Street Hospital for Women, Colombo, Sri Lanka; Office of Director Tertiary Care Health, Ministry of Health, Colombo, Sri Lanka. 7. Medical Education Development and Research Centre, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka. 8. Post Basic College of Nursing, Ministry of Health, Colombo, Sri Lanka. 9. Mahidol Oxford Tropical Medicine Research Unit (MORU), Bangkok, Thailand. 10. National Intensive Care Surveillance, Quality Secretariat Building, Castle Street Hospital for Women, Colombo, Sri Lanka; Mahidol Oxford Tropical Medicine Research Unit (MORU), Bangkok, Thailand; Department of Clinical Medicine, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka. Electronic address: rashan@nicslk.com.
Abstract
PURPOSE: To assess the impact of a nurse-led, short, structured training program for intensive care unit (ICU) nurses in a resource-limited setting. METHODS: A training program using a structured approach to patient assessment and management for ICU nurses was designed and delivered by local nurse tutors in partnership with overseas nurse trainers. The impact of the course was assessed using the following: pre-course and post-course self-assessment, a pre-course and post-course Multiple Choice Questionnaire (MCQ), a post-course Objective Structured Clinical Assessment station, 2 post-course Short Oral Exam (SOE) stations, and post-course feedback questionnaires. RESULTS: In total, 117 ICU nurses were trained. Post-MCQ scores were significantly higher when compared with pre-MCQ (P < .0001). More than 95% passed the post-course Objective Structured Clinical Assessment (patient assessment) and SOE 1 (arterial blood gas analysis), whereas 76.9% passed SOE 2 (3-lead electrocardiogram analysis). The course was highly rated by participants, with 98% believing that this was a useful experience. CONCLUSIONS: Nursing Intensive Care Skills Training was highly rated by participants and was effective in improving the knowledge of the participants. This sustainable short course model may be adaptable to other resource-limited settings.
PURPOSE: To assess the impact of a nurse-led, short, structured training program for intensive care unit (ICU) nurses in a resource-limited setting. METHODS: A training program using a structured approach to patient assessment and management for ICU nurses was designed and delivered by local nurse tutors in partnership with overseas nurse trainers. The impact of the course was assessed using the following: pre-course and post-course self-assessment, a pre-course and post-course Multiple Choice Questionnaire (MCQ), a post-course Objective Structured Clinical Assessment station, 2 post-course Short Oral Exam (SOE) stations, and post-course feedback questionnaires. RESULTS: In total, 117 ICU nurses were trained. Post-MCQ scores were significantly higher when compared with pre-MCQ (P < .0001). More than 95% passed the post-course Objective Structured Clinical Assessment (patient assessment) and SOE 1 (arterial blood gas analysis), whereas 76.9% passed SOE 2 (3-lead electrocardiogram analysis). The course was highly rated by participants, with 98% believing that this was a useful experience. CONCLUSIONS: Nursing Intensive Care Skills Training was highly rated by participants and was effective in improving the knowledge of the participants. This sustainable short course model may be adaptable to other resource-limited settings.
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Authors: Jose Victor Jimenez; Antonio Olivas-Martinez; Fausto Alfredo Rios-Olais; Frida Ayala-Aguillón; Fernando Gil-López; Mario Andrés de Jesús Leal-Villarreal; Juan José Rodríguez-Crespo; Juan C Jasso-Molina; Linda Enamorado-Cerna; Francisco Eduardo Dardón-Fierro; Bernardo A Martínez-Guerra; Carla Marina Román-Montes; Pedro E Alvarado-Avila; Noé Alonso Juárez-Meneses; Luis Alberto Morales-Paredes; Adriana Chávez-Suárez; Irving Rene Gutierrez-Espinoza; María Paula Najera-Ortíz; Marina Martínez-Becerril; María Fernanda Gonzalez-Lara; Alfredo Ponce de León-Garduño; José Ángel Baltazar-Torres; Eduardo Rivero-Sigarroa; Guillermo Dominguez-Cherit; Robert C Hyzy; David Kershenobich; José Sifuentes-Osornio Journal: Crit Care Explor Date: 2022-03-28