1. The Effectiveness of NIV and CPAP Training on the Job in COVID-19 Acute Care Wards: A Nurses' Self-Assessment of Skills
- Author
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Bambi, S, Parente, E, Bardacci, Y, Baldassini Rodriguez, S, Forciniti, C, Ballerini, L, Caruso, C, El Aoufy, K, Poggianti, M, Bonacaro, A, Rona, R, Rasero, L, Lucchini, A, 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, Bambi, S, Parente, E, Bardacci, Y, Baldassini Rodriguez, S, Forciniti, C, Ballerini, L, Caruso, C, El Aoufy, K, Poggianti, M, Bonacaro, A, Rona, R, Rasero, L, Lucchini, A, 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, and 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.
- Published
- 2023