Rapid Critical Care Training for Nurses Deployed to Intensive Care Units During the COVID-19 Surge.

IF 2.7 3区医学 Q2 CRITICAL CARE MEDICINE

American Journal of Critical Care Pub Date : 2024-03-01 DOI:10.4037/ajcc2024922

Susan I Liu, Andrew Greenway, Kathryn Sobocinski, Anjile An, Robert J Winchell, Philip S Barie

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引用次数: 0

Abstract

Background: During the first COVID-19 pandemic wave, non-intensive care unit (non-ICU) nurses were deployed to temporary ICUs to provide critical care for the patient surge. A rapid critical care training program was designed to prepare them to care for patients in either temporary or permanent ICUs.

Objective: To evaluate the effectiveness of this training program in preparing non-ICU nurses to provide critical care for COVID-19 patients in temporary ICUs.

Methods: A survey was used to evaluate the impact of rapid critical care training on nurses' critical care skills and compare the experiences of nurses deployed to temporary versus permanent ICUs. Data were analyzed with χ2 and Spearman ρ tests with α = .05.

Results: Compared with nurses in other locations, nurses deployed to temporary ICUs were less likely to report improved capability in managing mechanical ventilation; infusions of sedative, vasoactive, and paralytic agents; and continuous renal replacement therapy. Nurses in temporary ICUs also reported being less prepared to care for critically ill patients (all P < .05).

Conclusions: The rapid training program provided basic critical care knowledge for nurses in temporary ICUs, but experiences differed significantly between those deployed to temporary versus permanent ICUs. Although participants believed they provided safe care, nurses with no critical care experience cannot be expected to learn comprehensive critical care from expedited instruction; more formal clinical support is needed for nurses in temporary ICUs. Rapid critical care training can meet emergency needs for nurses capable of providing critical care.

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在 COVID-19 突增期间，为部署到重症监护病房的护士提供快速重症监护培训。

背景：在第一次COVID-19大流行期间，非重症监护病房（non-ICU）的护士被派往临时重症监护病房，为激增的患者提供重症护理。我们设计了一个快速重症护理培训计划，让他们为在临时或永久重症监护病房护理病人做好准备：评估该培训项目在帮助非重症监护室护士为临时重症监护室的 COVID-19 患者提供重症护理方面的效果：方法：通过调查评估快速危重症护理培训对护士危重症护理技能的影响，并比较被派往临时和长期重症监护病房的护士的经验。数据分析采用χ2和Spearman ρ检验，α = .05：与其他地点的护士相比，被派往临时重症监护室的护士不太可能报告其在管理机械通气、输注镇静剂、血管活性剂和麻痹剂以及持续肾脏替代疗法方面的能力有所提高。临时重症监护室的护士也表示在护理危重病人方面准备不足（所有 P <.05）：快速培训计划为临时重症监护室的护士提供了基本的危重症护理知识，但被派往临时重症监护室的护士与被派往长期重症监护室的护士之间的经验差异很大。尽管参与者认为他们提供了安全的护理，但不能指望没有危重症护理经验的护士能从快速指导中学到全面的危重症护理知识；临时重症监护病房的护士需要更多正式的临床支持。快速危重症护理培训可以满足对有能力提供危重症护理的护士的紧急需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Critical Care 医学-护理

CiteScore

4.30

自引率

3.70%

发文量

103

审稿时长

6-12 weeks

期刊介绍： The editors of the American Journal of Critical Care (AJCC) invite authors to submit original manuscripts describing investigations, advances, or observations from all specialties related to the care of critically and acutely ill patients. Papers promoting collaborative practice and research are encouraged. Manuscripts will be considered on the understanding that they have not been published elsewhere and have been submitted solely to AJCC.