A51利用紫外线模拟高后果传染病培训课程的教育效果

Luke Hunt, Samantha Farrow, Cariad Evans, Anne Tunbridge, Joby Cole, Brian Crook, Paul Johnson
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摘要

高后果传染病(high -consequence infectious diseases, HCID)是一种容易在人与人之间传播、死亡率高、缺乏有效治疗的病原体[1]。例子包括埃博拉和拉沙热。大多数新出现的流行病,包括COVID-19,最初都被归类为HCID。对疑似感染HCID的患者进行评估是一项先进的程序性技能,需要应用强化的感染控制措施,包括患者隔离、个人防护装备和消毒。如果不遵守程序,医护人员有感染的风险[2]。HCID通常出现在非专业中心;有必要为NHS工作人员提供一个可访问的,教育上有效的HCID课程。我们与卫生与健康协会合作,为临床医生开设了传染病和急诊医学课程;英国hcid网络的安全执行官和临床医生。该课程采用混合方法;理论部分通过在线学习教授。使用具有咳嗽、呕吐和出汗等特征的人体模型VIOLET进行高保真、多学科模拟教学(紫外线示踪剂用于模拟感染性病原体在模拟场景中的接触和空气传播)。所有参与者都通过了课程后的实践能力评估。参与者在课程前和课程后的测试中表现出显著的知识增益(平均得分61%对83%),这是国际上第一个使用紫外线标记来可视化污染的HCID模拟课程。该课程似乎是一种有效的教育干预,提高了学习者对PPE使用的信心。作者确认已符合研究行为和传播的所有相关伦理标准。提交作者确认已获得相关的伦理批准(如适用)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A51 Educational effectiveness of a high-consequence infectious disease training course using ultraviolet simulation
High-consequence infectious diseases (HCID) are pathogens which spread easily between people, have high mortality rates, and lack effective treatment [1]. Examples include Ebola and Lassa fever. Most emerging pandemics, including COVID-19, are initially classified as HCID. Assessment of patients with suspected HCID infection is an advanced procedural skill requiring application of enhanced infection control measures including patient isolation, personal protective equipment, and decontamination. There is a risk of healthcare worker infection if procedures are not followed [2]. HCID often present in non-specialist centres; there is a need for an accessible, educationally effective HCID course for NHS staff. We developed a course for clinicians in infectious disease and emergency medicine, in collaboration with the Health & Safety Executive and clinicians in the UK-HCID network. The course uses a blended approach; theoretical components are taught with online learning. Practical components are taught with high-fidelity, multidisciplinary simulation using VIOLET, a mannequin which coughs, vomits and sweats ultraviolet markers ( Ultraviolet tracers are used to replicate contact and airborne transmission of infectious pathogens in simulation scenarios Between 01/12/22 and 01/04/23, 57 specialized clinicians participated. All participants passed post-course competency-based practical assessments. Participants demonstrated significant gains in knowledge between pre- and post-course tests (mean score 61% vs. 83%, This is the first HCID simulation course internationally using ultraviolet markers to allow visualization of contamination. The course appears to be an effective educational intervention and improves learner confidence in PPE use. Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
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