A multi-faceted approach of a nursing led education in response to MERS-CoV infection

被引:23
作者
Al-Tawfiq, Jaffar A. [1 ,2 ]
Rothwell, Siobhan [3 ]
Mcgregor, Heather A. [3 ]
Khouri, Zeina A. [3 ]
机构
[1] Johns Hopkins Aramco Healthcare, Specail Med Div, Dhahran, Saudi Arabia
[2] Indiana Univ Sch Med, Indianapolis, IN 46202 USA
[3] Johns Hopkins Aramco Healthcare, Nursing Dept, Dhahran, Saudi Arabia
关键词
Coronavirus; Education; MERS-CoV; Middle East respiratory syndrome; Saudi Arabia; Outbreak preparedness; Hospital care; EAST RESPIRATORY SYNDROME; HEALTH-CARE WORKERS; SYNDROME-CORONAVIRUS; SAUDI-ARABIA; OUTBREAK; TRANSMISSION; SARS; PREVENTION; PATIENT; JEDDAH;
D O I
10.1016/j.jiph.2017.08.006
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: The emergence of the Middle East respiratory syndrome-coronavirus (MERS-CoV) resulted in multiple healthcare associated outbreaks. In response, we developed a nurse-led program to screen and triage patients with MERS-CoV infection. Methods: A formal educational program was implemented to ensure a standardized approach to care planning and delivery. The essential skills that were included were the use of Personal Protective Equipment (PPE) including gown, gloves, head cover and N95 mask, hand hygiene, the practice of donning and doffing and the collection of MERS-CoV nasopharyngeal specimens. Results: A core group of nurses were identified from high-risk units. The education program consisted of four skill-days. Nurses were assigned a pre-course work from Mosby's Nursing Skills, an online skill module, donning and doffing of PPE, and the process for obtaining a nasopharyngeal swab. The skill lab incorporated multiple methods such group discussion, watching an on-line video, and a simulated demonstration and practice on a mannequin. In total, 450 nurses attended the Nasopharyngeal Skills Day and 1000 nurses received training. Donning and doffing PPE and N95 mask fit testing has become an annual mandatory competency requirement for staff in nursing and clinical services. Conclusion: The application of specified protocols minimizes the risks of cross infection, placing emphasis on patient and staff safety as well as expediting the patient to definitive treatment. Nurse educators have an instrumental role in training nurses and other healthcare providers on the specifics needed to identify, contain and manage patient presenting with MERS-CoV. (C) 2017 The Authors. Published by Elsevier Limited on behalf of King Saud Bin Abdulaziz University for Health Sciences.
引用
收藏
页码:260 / 264
页数:5
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