Implementing healthcare professionals’ training during COVID-19

a pre and post-test design for simulation training

Authors

Keywords:

Coronavirus, SARS virus, Simulation training, Health Personnel, SARS-CoV-2

Abstract

BACKGROUND: Coronavirus disease-19 (COVID-19) has imposed a new reality that presents several challenges for healthcare professionals. The main challenge has been the lack of proper training in relation to an unknown disease. OBJECTIVE: To investigate healthcare professionals’ acquisition of knowledge of a new airway management protocol for COVID-19 through their participation in simulation training. DESIGN AND SETTING: Pre and post-test study with purpose sampling, carried out in a tertiary-level hospital in the city of Campinas, state of São Paulo, Brazil. METHODS: This was a cross-sectional pre and post-test intervention among healthcare professionals working in the intensive care unit and emergency department of a large hospital. The training was carried out using an in situ simulation scenario and the participants answered pre and post-tests consisting of a 20-item questionnaire about the new protocol. RESULTS: The paired-sample t test demonstrated that there was a significant increase in test score (t = -19.06; P < 0.001), from before the training (M = 8.62; standard deviation, SD = 3.53) to after the simulation training (M = 17.02; SD = 1.76). CONCLUSIONS: The simulated training had a positive impact on the healthcare professionals’ acquisition of the COVID-19 protocol. We also demonstrated that in situ simulation training was an efficient tool for implementing new protocols, thus bringing benefits to healthcare systems, professionals and patients.

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Author Biographies

Thiago Martins Santos, Universidade Estadual de Campinas

MD, PhD. Assistant Professor, Discipline of Emergency Medicine, Department of Internal Medicine, School of Medical Sciences, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil.

Rafaela Batista dos Santos Pedrosa, Universidade Estadual de Campinas

RN, PhD. Assistant Professor, School of Nursing, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil.

Danielle Rachel dos Santos Carvalho, Universidade Estadual de Campinas

PhD. Pharmacist and Researcher, Postdoctoral Researcher Program, Department of Medical Psychology and Psychiatry, School of Medical Sciences, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil.

Mário Henrique Franco, Universidade Estadual de Campinas

MD. Emergency Physician, Discipline of Emergency Medicine, Department of Internal Medicine, School of Medical Sciences, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil.

Juliany Lino Gomes Silva, Universidade Estadual de Campinas

RN, PhD. Coordinator, Skills Laboratory, School of Medical Sciences, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil.

Daniel Franci, Universidade Estadual de Campinas

MD. Hospitalist, Discipline of Emergency Medicine, Department of Internal Medicine, School of Medical Sciences, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil

Bruno de Jorge, Universidade Estadual de Campinas

BSc. Coordinator, Department of Academic Support, School of Medical Sciences, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil

Daniel Munhoz, Universidade Estadual de Campinas

MD, PhD. Cardiologist, Discipline of Cardiology, Department of Internal Medicine, School of Medical Sciences, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil.

Thiago Calderan, Universidade Estadual de Campinas

MD, MSc. Trauma Surgeon, Discipline of Trauma Surgery, Department of Surgery, School of Medical Sciences, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil.

Tiago de Araujo Guerra Grangeia, Universidade Estadual de Campinas

MD, MSc. Pulmonologist, Discipline of Emergency Medicine, Department of Internal Medicine, School of Medical Sciences, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil.

Dario Cecilio-Fernandes, Universidade Estadual de Campinas

PhD. Researcher, Department of Medical Psychology and Psychiatry, School of Medical Sciences, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil.

References

World Health Organization. Clinical management of severe acute respiratory infection when novel coronavirus (2019-nCoV) infection is suspected: interim guidance; 2020. Available from: https://apps.who.int/iris/handle/10665/330893 Accessed in 2021 (Feb 2).

Secretaria de Atenção Primária à Saüde (SAPS). Protocolo de manejo clínico do coronavírus (COVID-19) na atenção primária à saúde. Brasília: Ministério da Saüde; 2020. Available from: https://www.saude.gov.br/images/pdf/2020/marco/20/20200318-ProtocoloManejo-ver002.pdf Accessed in 2021 (Feb 2).

Warmuth JF. In search of the impact of continuing education. J Contin Educ Nurs. 1987;18(1):4-7. PMID: 3102579; https://doi.org/10.3928/0022-0124-19870101-04

Hoffmann R, O’Donnell J, Kim Y. The effects of human patient simulators on basic knowledge in critical care nursing with undergraduate senior baccalaureate nursing students. Simul Healthc. 2007;2(2):110-4. PMID: 19088615; https://doi.org/10.1097/SIH.0b013e318033abb5

Okuda Y, Bryson EO, DeMaria S Jr, et al. The utility of simulation in medical education: what is the evidence? Mt Sinai J Med. 2009;76(4):330-43. PMID: 19642147; https://doi.org/10.1002/msj.20127

Zinsmaster J, Vliem S. The Influence of High-Fidelity Simulation on Knowledge Gain and Retention. Nurs Educ Perspect. 2016;37(5):289-90. PMID: 27740565; https://doi.org/10.1097/01.NEP.0000000000000028

Haukedal TA, Reierson IÅ, Hedeman H, Bjørk IT. The Impact of a New Pedagogical Intervention on Nursing Students’ Knowledge Acquisition in Simulation-Based Learning: A Quasi-Experimental Study. Study. Nurs Res Pract. 2018;2018:7437386. PMID: 30363931; https://doi.org/10.1155/2018/7437386

Dubé M, Jones B, Kaba A, et al. Preventing Harm: Testing and Implementing Health Care Protocols. Clinical Simulation in Nursing. 2020;44:3-11. https://doi.org/10.1016/j.ecns.2019.10.006

Akhu-Zaheya LM, Gharaibeh MK, Alostaz ZM. Effectiveness of Simulation on Knowledge Acquisition, Knowledge Retention, and Self-Efficacy of Nursing Students in Jordan. Clinical Simulation in Nursing. 2013;9(9):e335-e342; https://doi.org/10.1016/j.ecns.2012.05.001

Brydges R, Campbell DM, Beavers L, et al. Lessons learned in preparing for and responding to the early stages of the COVID-19 pandemic: one simulation’s program experience adapting to the new normal. Adv Simul (Lond). 2020;5:8. PMID: 32514385; https://doi.org/10.1186/s41077-020-00128-y

Fregene TE, Nadarajah P, Buckley JF, Bigham S, Nangalia V. Use of in situ simulation to evaluate the operational readiness of a high-consequence infectious disease intensive care unit. Anaesthesia. 2020;75(6):733-8. PMID: 32221964; https://doi.org/10.1111/anae.15048

Wong J, Goh QY, Tan Z, et al. Preparing for a COVID-19 pandemic: a review of operating room outbreak response measures in a large tertiary hospital in Singapore. Can J Anaesth. 2020;67(6):732-45. PMID: 32162212; https://doi.org/10.1007/s12630-020-01620-9

Aljahany M, Alassaf W, Alibrahim AA, et al. Use of In Situ Simulation to Improve Emergency Department Readiness for the COVID-19 Pandemic. Prehosp Disaster Med. 2021;36(1):6-13. PMID: 33081859; https://doi.org/10.1017/S1049023X2000134X

Brazil V, Lowe B, Ryan L, et al. Translational simulation for rapid transformation of health services, using the example of the COVID-19 pandemic preparation. Adv Simul (Lond). 2020;5:9. PMID: 32514386; https://doi.org/10.1186/s41077-020-00127-z

Dubé M, Kaba A, Cronin T, et al. COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce and system in Canada. Adv Simul (Lond). 2020;5:22. PMID: 32821441; https://doi.org/10.1186/s41077-020-00138-w

Naik N, Finkelstein RA, Howell J, Rajwani K, Ching K. Telesimulation for COVID-19 Ventilator Management Training With Social-Distancing Restrictions During the Coronavirus Pandemic. Simulation & Gaming. 2020;51(4):571-7. https://doi.org/10.1177/1046878120926561

Li L, Lin M, Wang X, Bao P, Li Y. Preparing and responding to 2019 novel coronavirus with simulation and technology-enhanced learning for healthcare professionals: challenges and opportunities in China. BMJ Simul Technol Enhanc Learn. 2020;6(4):196-8. PMID: 32832099; https://doi.org/10.1136/bmjstel-2020-000609

Abrahamson SD, Canzian S, Brunet F. Using simulation for training and to change protocol during the outbreak of severe acute respiratory syndrome. Crit Care. 2006;10(1):R3. PMID: 16356209; https://doi.org/10.1186/cc3916

Shrestha A, Shrestha A, Sonnenberg T, Shrestha R. COVID-19 Emergency Department Protocols: Experience of Protocol Implementation Through in-situ Simulation. Open Access Emerg Med. 2020;12:293-303. PMID: 33116965; https://doi.org/10.2147/OAEM.S266702

Sam AH, Field SM, Collares CF, et al. Very-short-answer questions: reliability, discrimination and acceptability. Med Educ. 2018;52(4):447-55. PMID: 29388317; https://doi.org/10.1111/medu.13504

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Published

2021-09-02

How to Cite

1.
Santos TM, Pedrosa RB dos S, Carvalho DR dos S, Franco MH, Silva JLG, Franci D, Jorge B de, Munhoz D, Calderan T, Grangeia T de AG, Cecilio-Fernandes D. Implementing healthcare professionals’ training during COVID-19: a pre and post-test design for simulation training. Sao Paulo Med J [Internet]. 2021 Sep. 2 [cited 2025 Mar. 12];139(5):514-9. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/529

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Short Communication