Department of Interdisciplinary Emergency and Intensive Care Medicine, Klinikum Stuttgart, Stuttgart, Germany.
Simulation Center STUPS, Klinikum Stuttgart, Stuttgart, Germany.
Medicine (Baltimore). 2024 Aug 16;103(33):e39317. doi: 10.1097/MD.0000000000039317.
During coronavirus disease of 2019 pandemic a standard usage of personal protective equipment (PPE) in healthcare was mandatory, while actually the usage of PPE is currently decreasing. This raises the question about the further use of PPE in the clinical setting because healthcare workers (HCW) are at greater risk of being infected with SARS-CoV-2 than the general population. The primary objective of this study is to determine the proportion of shock room team members approving the further use of PPE including a FFP2 respirator in simulation training and reality. The secondary objectives are to describe the expertise and difficulties faced while using PPE in the shock room care.
Fifty-four HCW participated in a shock room simulation training at a large urban tertiary care hospital in Germany, utilizing a PPE comprising an FFP2 mask, gloves, goggles, and gown. Subsequently, participants completed an online questionnaire featuring 15 questions presented on a 5-point Likert scale or as multiple-choice questions with predefined answers.
Sixty-eight point five percent of our participants voted for an established standard PPE in shock room care. The largest fraction of our participants (40.7%) favors a standard PPE consisting of FFP2 mask, gown, and gloves. Less HCW (31.5%) want to wear PPE in shock room simulation training. Except for goggles we could not detect relevant difficulties faced while using PPE in the shock room environment. Incorrect use of PPE was observed in 14.8%.
A majority of our participants favored a standard PPE including a FFP2 respirator in shock room care. In addition, we recommend the use of PPE in shock room simulation training, while further awareness of and training in proper use of PPE seems to be necessary to reduce risk of infectious diseases for HCW.
在 2019 年冠状病毒病大流行期间,医护人员在医疗环境中必须使用标准的个人防护设备(PPE),而实际上 PPE 的使用正在减少。这就提出了一个问题,即在临床环境中是否需要继续使用 PPE,因为医护人员感染 SARS-CoV-2 的风险比一般人群更高。本研究的主要目的是确定在模拟训练和现实中,有多少休克室团队成员赞成继续使用 PPE,包括 FFP2 呼吸器。次要目的是描述在休克室护理中使用 PPE 时所面临的专业知识和困难。
54 名医护人员在德国一家大型城市三级保健医院参加了休克室模拟培训,使用了包括 FFP2 口罩、手套、护目镜和长袍在内的 PPE。随后,参与者完成了一份在线问卷,问卷包含 15 个问题,采用 5 点 Likert 量表或预设答案的多项选择题形式。
我们的参与者中有 68.5%投票赞成在休克室护理中建立标准的 PPE。我们的参与者中最大的一部分(40.7%)赞成使用包括 FFP2 口罩、长袍和手套在内的标准 PPE。只有 31.5%的医护人员希望在休克室模拟训练中穿戴 PPE。除了护目镜,我们没有发现在休克室环境中使用 PPE 时遇到的相关困难。我们观察到 PPE 的使用不正确的情况占 14.8%。
我们的大多数参与者赞成在休克室护理中使用包括 FFP2 呼吸器在内的标准 PPE。此外,我们建议在休克室模拟训练中使用 PPE,同时需要进一步提高对正确使用 PPE 的认识和培训,以降低医护人员感染传染病的风险。