Train-the-trainer: Pilot trial for ebola virus disease simulation training.

IF 0.9 Q3 EDUCATION, SCIENTIFIC DISCIPLINES
Catherine D Tobin, Myrtede Alfred, Dulaney A Wilson, Lacey MenkinSmith, Kathy L Lehman-Huskamp, John J Schaefer, Kenneth Catchpole, Lydia Zeiler, Brian Fletcher, J G Reves
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引用次数: 4

Abstract

Background: Highly infectious but rare diseases require rapid dissemination of safety critical skills to health-care workers (HCWs). Simulation is an effective method of education; however, it requires competent instructors. We evaluated the efficacy of an internet-delivered train-the-trainer course to prepare HCWs to care for patients with Ebola virus disease (EVD).

Methods: Twenty-four individuals without prior EVD training were recruited and divided into two groups. Group A included nine trainees taught by three experienced trainers with previous EVD training. Group B included 15 trainees taught by five novice trainers without previous EVD training who completed the train-the-trainer course. We compared the efficacy of the train-the-trainer course by examining subject performance, measured by time to complete 13 tasks and the proportion of steps per task flagged for critical errors and risky and positive actions. Trainees' confidence in their ability to safely care for EVD patients was compared with a self-reported survey after training.

Results: Overall trainees' confidence in ability to safely care for EVD patients did not differ by group. Participants trained by the novice trainers were statistically significantly faster at waste bagging (P = 0.002), lab specimen bagging (P = 0.004), spill clean-up (P = 0.01), and the body bagging (P = 0.008) scenarios compared to those trained by experienced trainers. There were no significant differences in the completion time in the remaining nine training tasks. Participants trained by novice and experienced trainers did not differ significantly with regard to the proportion of steps in a task flagged for critical errors, risky actions, or positive actions with the exception of the task "Man Down in Gown" (12.5% of steps graded by experienced trainers compared to 0 graded by novice trainers, P = 0.007).

Discussion: The online train-the-trainer EVD course is effective at teaching novices to train HCWs in protective measures and can be accomplished swiftly.

培训教员:埃博拉病毒疾病模拟培训试点试验。
背景:高传染性但罕见的疾病需要向卫生保健工作者(HCWs)快速传播安全关键技能。模拟是一种有效的教学方法;然而,它需要有能力的教师。我们评估了互联网提供的培训师培训课程的有效性,以使医护人员准备好照顾埃博拉病毒病(EVD)患者。方法:招募24名未接受EVD培训的个体,随机分为两组。A组包括九名学员,由三名曾接受埃博拉病毒病培训的经验丰富的培训师授课。B组包括15名学员,由5名没有接受过埃博拉病毒病培训的新手培训师授课,他们完成了培训师培训课程。我们通过检查受试者完成13项任务的时间,以及每个任务标记的关键错误、风险和积极行为的步骤比例,来比较培训师培训课程的效果。学员对自己安全护理埃博拉患者能力的信心与培训后自我报告的调查进行了比较。结果:实习生对EVD患者安全护理能力的总体信心在各组之间没有差异。与经验丰富的培训师相比,接受新手培训的参与者在垃圾装袋(P = 0.002)、实验室标本装袋(P = 0.004)、溢油清理(P = 0.01)和身体装袋(P = 0.008)方面的速度有统计学意义上的显著提高。其余9个训练任务的完成时间无显著差异。除了“穿着长袍的人”任务外,新手和经验丰富的培训师培训的参与者在关键错误、危险动作或积极动作的任务中所占的比例没有显著差异(12.5%的步骤由经验丰富的培训师评分,而0的步骤由新手培训师评分,P = 0.007)。讨论:培训师培训埃博拉病毒病在线课程能有效地教导新手培训医护人员采取防护措施,并能迅速完成。
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
Education for Health
Education for Health EDUCATION, SCIENTIFIC DISCIPLINES-
CiteScore
1.10
自引率
0.00%
发文量
4
期刊介绍: Education for Health: Change in Learning and Practice (EfH) is the scholarly, peer-reviewed journal of The Network: Towards Unity for Health. Our readers are health professionals, health professions educators and learners, health care researchers, policymakers, community leaders and administrators from all over the world. We publish original studies, reviews, think pieces, works in progress and commentaries on current trends, issues, and controversies. We especially want to provide our international readers with fresh ideas and innovative models of education and health services that can enable them to be maximally responsive to the healthcare needs of the communities in which they work and learn.
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