Training with High Fidelity Simulation in the Care of Patients with Coronavirus-A Learning Experience in Native Health Care Multi-Professional Teams.

Andrés Rojo-Rojo,César Leal-Costa,Juan Antonio García-Méndez,José Luis Díaz-Agea,María José Pujalte-Jesús,Maria Gracia Adánez-Martínez,Maria Belén Soto-Castellón

doi:10.3390/healthcare9101260

Andrés Rojo-Rojo, César Leal-Costa + Show 5 more

Open Access

https://doi.org/10.3390/healthcare9101260

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Abstract

The training of emergency and intensive care teams in technical and non-technical skills is fundamental. The general aim of this study was to evaluate the training of various professional teams with simulations based on the care of COVID-19 patients using Zone 3 simulations (native emergency medical services and intensive care units-ICU teams) in the Region of Murcia (Spain). A mixed pilot study was designed (qualitative/quantitative) comprised of three phases: Phase 1: detection of needs (focus groups), Phase 2: design of simulation scenarios, and Phase 3: training with high-fidelity simulation and evaluation of competences. The results were used to determine the real training needs of these health professionals, which were used to design four simulation scenarios in line with these needs. The team competences were evaluated before and after the training session, with increases observed after the training sessions, especially in non-technical skills such as communication. Training with zone 3 simulation, with multi-professional native emergency and intensive care teams who provided care to patients with coronavirus was shown to be an effective method, especially for training in non-technical skills. We should consider the training needs of the professionals before the start of any training program to stay one-step ahead of crisis situations.

Highlights

During the current world pandemic situation provoked by the COVID-19 virus [1,2], one of the most controversial aspects was the safety of the health professionals who provided care to sick patients [3]
The general aim of this study was to evaluate the training of various professional teams with simulations based on the care of COVID patients using zone 3 simulations (native Emergency Medical Services (EMS) and hospital Intensive Care Unit (ICU) teams in the Region of Murcia (Spain)
The demands from the care teams included technical and nontechnical competences associated with the lack of training for dealing with the care of coronavirus patients

Summary

Introduction

During the current world pandemic situation provoked by the COVID-19 virus [1,2], one of the most controversial aspects was the safety of the health professionals who provided care to sick patients [3]. Health professionals were at a high risk of becoming infected during the initial phase of the coronavirus SARS Cov pandemic, especially before its transmission dynamics had been completely deciphered. The health personnel infection rate was high worldwide at the beginning of the pandemic, and in Spain, this was very worrisome [8,9]. The infection figures were around 120,000 infections and 63 deaths due to COVID-19, with the greatest number found during the “First Wave”

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