密室逃生以提高医护人员对多重耐药生物的即时和长期知识:一项前后对照研究。

IF 3.1 3区 医学 Q1 INFECTIOUS DISEASES
Bénédicte Perdrieux, Geoffrey Loison, Denis Verron, Clément Legeay
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引用次数: 0

摘要

多药耐药生物(MDRO)需要在卫生保健环境中采取具体的感染控制措施。逃生室(ER)用于卫生保健教育,但仍未对MDRO培训进行评估,对长期知识保留的评估也很差。本研究评估急诊干预对医护人员(HCWs)短期和长期MDRO知识的影响。一项前瞻性单中心研究于2023年5月至12月在法国一所大学医院进行。来自24个病房的护士、护士助理和医学研究员参与了研究。在干预前、干预后和干预后三个月分别进行了11项测试。干预包括一个60分钟的密室逃生会议,与mdro相关的谜语和汇报。进行单因素和多因素分析以评估与更好的表现相关的因素。在141名参与者中(护士52.5%,护士助理44.0%,医师3.5%),正确反应率从培训前的53.3%上升到培训后的74.9% (p < 0.001)。护士从55.9%提高到78.5%,护士助理从49.6%提高到71.4%。护士的测试后得分更高。44名受试者在3个月时的知识保留率显著高于干预前(71.3%,p < 0.001)。满意度高(9.3/10)。急诊室可以提高护士和护士助理对耐多药耐药性相关感染控制措施的认识和保留。这种游戏化的方法并非没有挑战(时间、设备、物流),但在参与者中获得了极大的满足感。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Escape room to enhance immediate and long-term healthcare workers' knowledge of multi-drug resistant organisms: a before-after study.

Multidrug resistant organisms (MDRO) require specific infection control measures in healthcare settings. Escape rooms (ER) are used in healthcare education but remain unevaluated for MDRO training and poorly assessed for long-term knowledge retention. This study assessed the impact of an ER intervention on healthcare workers' (HCWs) MDRO knowledge over short and long-term. A prospective, single-center study was conducted in a French university hospital (May-December 2023). Nurses, nurse assistants, and medical fellows from 24 wards participated. An 11-item test was administered before, after, and three months post-intervention. The intervention consisted of a 60-minute escape room session with MDRO-related riddles and a debriefing. Univariate and multivariate analyses were performed to assess factors associated with better performance. Among 141 participants (52.5% nurses, 44.0% nurse assistants, 3.5% medical fellows), correct response rates increased from 53.3% pre-training to 74.9% post-training (p < 0.001). Nurses improved from 55.9% to 78.5%, and nurse assistants from 49.6% to 71.4%. Nurses were associated with better post-test scores. Retained knowledge at three months was significantly higher than pre-intervention test in 44 participants (71.3%, p < 0.001). Satisfaction was high (9.3/10). An ER can enhance nurses and nurse assistants' knowledge and retention of MDRO-related infection control measures. This gamified approach is not without challenges (time, equipment, logistics) but achieves great satisfaction among participants.

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来源期刊
Journal of Hospital Infection
Journal of Hospital Infection 医学-传染病学
CiteScore
12.70
自引率
5.80%
发文量
271
审稿时长
19 days
期刊介绍: The Journal of Hospital Infection is the editorially independent scientific publication of the Healthcare Infection Society. The aim of the Journal is to publish high quality research and information relating to infection prevention and control that is relevant to an international audience. The Journal welcomes submissions that relate to all aspects of infection prevention and control in healthcare settings. This includes submissions that: provide new insight into the epidemiology, surveillance, or prevention and control of healthcare-associated infections and antimicrobial resistance in healthcare settings; provide new insight into cleaning, disinfection and decontamination; provide new insight into the design of healthcare premises; describe novel aspects of outbreaks of infection; throw light on techniques for effective antimicrobial stewardship; describe novel techniques (laboratory-based or point of care) for the detection of infection or antimicrobial resistance in the healthcare setting, particularly if these can be used to facilitate infection prevention and control; improve understanding of the motivations of safe healthcare behaviour, or describe techniques for achieving behavioural and cultural change; improve understanding of the use of IT systems in infection surveillance and prevention and control.
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