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- Title
The Effectiveness of NIV and CPAP Training on the Job in COVID-19 Acute Care Wards: A Nurses' Self-Assessment of Skills.
- Authors
Bambi, Stefano; Parente, Eustachio; Bardacci, Yari; Baldassini Rodriguez, Samuele; Forciniti, Carolina; Ballerini, Lorenzo; Caruso, Christian; El Aoufy, Khadija; Poggianti, Marta; Bonacaro, Antonio; Rona, Roberto; Rasero, Laura; Lucchini, Alberto
- Abstract
Background: Noninvasive ventilation (NIV) in COVID-19 patients outside of intensive care unit (ICU) settings was a feasible support during the pandemic outbreak. The aim of this study was to assess the effectiveness of an "on the job" NIV training program provided to 66 nurses working in 3 COVID-19 wards in an Italian university hospital. Methods: A quasi-experimental longitudinal before–after study was designed. The NIV Team education program, provided by expert ICU nurses, included: 3 h sessions of training on the job during work-shifts about the management of helmet-continuous positive airway pressure (CPAP) Venturi systems, and NIV with oronasal and full-face masks. An eleven-item "brief skills self-report tool" was administered before and after the program to explore the perception of NIV education program attendees about their level of skills. Results: In total, 59 nurses responded to the questionnaire. There was an improvement in the skill levels of the management of Helmet-CPAP (median before training 2, inter-quartile range (IQR) 0–6; median after training 8, IQR 3–9; p < 0.0001), and mask-NIV (median before training 2, IQR 0–6; median after training 8, IQR 3–9; p < 0.0001). Conclusions: Training on the job performed by expert ICU nurses can be a valuable and fast means to implement new Helmet-CPAP and mask-NIV skills outside of ICUs.
- Subjects
STATISTICS; INFERENTIAL statistics; KRUSKAL-Wallis Test; NURSING; COVID-19; ACADEMIC medical centers; CONTINUOUS positive airway pressure; SELF-evaluation; RESEARCH methodology; ARTIFICIAL respiration; CHI-squared test; DESCRIPTIVE statistics; CRITICAL care medicine; QUESTIONNAIRES; DATA analysis; DATA analysis software; EDUCATIONAL outcomes; LONGITUDINAL method
- Publication
Nursing Reports, 2023, Vol 13, Issue 1, p17
- ISSN
2039-439X
- Publication type
Article
- DOI
10.3390/nursrep13010002