A multi-faceted approach of a nursing led education in response to MERS-CoV infection☆
Identifieur interne : 000F15 ( Main/Exploration ); précédent : 000F14; suivant : 000F16A multi-faceted approach of a nursing led education in response to MERS-CoV infection☆
Auteurs : Jaffar A. Al-Tawfiq [Arabie saoudite, États-Unis] ; Siobhan Rothwell [Arabie saoudite] ; Heather A. Mcgregor [Arabie saoudite] ; Zeina A. Khouri [Arabie saoudite]Source :
- Journal of Infection and Public Health [ 1876-0341 ] ; 2017.
Descripteurs français
- KwdFr :
- Arabie saoudite (épidémiologie), Coronavirus du syndrome respiratoire du Moyen-Orient (isolement et purification), Enseignement infirmier (), Flambées de maladies (), Humains, Infection croisée, Infections à coronavirus (virologie), Infections à coronavirus (épidémiologie), Partie nasale du pharynx (virologie), Personnel de santé (), Personnel de santé (enseignement et éducation), Prise en charge de la maladie, Équipement de protection individuelle.
- MESH :
- enseignement et éducation : Personnel de santé.
- isolement et purification : Coronavirus du syndrome respiratoire du Moyen-Orient.
- virologie : Infections à coronavirus, Partie nasale du pharynx.
- épidémiologie : Arabie saoudite, Infections à coronavirus.
- Enseignement infirmier, Flambées de maladies, Humains, Infection croisée, Personnel de santé, Prise en charge de la maladie, Équipement de protection individuelle.
English descriptors
- KwdEn :
- Coronavirus Infections (epidemiology), Coronavirus Infections (virology), Cross Infection, Disease Management, Disease Outbreaks (prevention & control), Education, Nursing (methods), Health Personnel (education), Health Personnel (statistics & numerical data), Humans, Middle East Respiratory Syndrome Coronavirus (isolation & purification), Nasopharynx (virology), Personal Protective Equipment, Saudi Arabia (epidemiology).
- MESH :
- education : Health Personnel.
- epidemiology : Coronavirus Infections, Saudi Arabia.
- isolation & purification : Middle East Respiratory Syndrome Coronavirus.
- methods : Education, Nursing.
- prevention & control : Disease Outbreaks.
- statistics & numerical data : Health Personnel.
- virology : Coronavirus Infections, Nasopharynx.
- Cross Infection, Disease Management, Humans, Personal Protective Equipment.
Abstract
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.
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.
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.
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.
Url:
DOI: 10.1016/j.jiph.2017.08.006
PubMed: 28869153
PubMed Central: 7102837
Affiliations:
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Al-Tawfiq</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Specaility Medicine Division, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Specaility Medicine Division, Johns Hopkins Aramco Healthcare, Dhahran</wicri:regionArea><wicri:noRegion>Dhahran</wicri:noRegion></affiliation><affiliation wicri:level="2"><nlm:aff id="aff0010">Indiana University School of Medicine, Indianapolis, IN, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Indiana University School of Medicine, Indianapolis, IN</wicri:regionArea><placeName><region type="state">Indiana</region></placeName></affiliation></author><author><name sortKey="Rothwell, Siobhan" sort="Rothwell, Siobhan" uniqKey="Rothwell S" first="Siobhan" last="Rothwell">Siobhan Rothwell</name><affiliation wicri:level="1"><nlm:aff id="aff0015">Nursing Department, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Nursing Department, Johns Hopkins Aramco Healthcare, Dhahran</wicri:regionArea><wicri:noRegion>Dhahran</wicri:noRegion></affiliation></author><author><name sortKey="Mcgregor, Heather A" sort="Mcgregor, Heather A" uniqKey="Mcgregor H" first="Heather A." last="Mcgregor">Heather A. Mcgregor</name><affiliation wicri:level="1"><nlm:aff id="aff0015">Nursing Department, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Nursing Department, Johns Hopkins Aramco Healthcare, Dhahran</wicri:regionArea><wicri:noRegion>Dhahran</wicri:noRegion></affiliation></author><author><name sortKey="Khouri, Zeina A" sort="Khouri, Zeina A" uniqKey="Khouri Z" first="Zeina A." last="Khouri">Zeina A. Khouri</name><affiliation wicri:level="1"><nlm:aff id="aff0015">Nursing Department, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Nursing Department, Johns Hopkins Aramco Healthcare, Dhahran</wicri:regionArea><wicri:noRegion>Dhahran</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Infection and Public Health</title><idno type="ISSN">1876-0341</idno><idno type="eISSN">1876-035X</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (virology)</term><term>Cross Infection</term><term>Disease Management</term><term>Disease Outbreaks (prevention & control)</term><term>Education, Nursing (methods)</term><term>Health Personnel (education)</term><term>Health Personnel (statistics & numerical data)</term><term>Humans</term><term>Middle East Respiratory Syndrome Coronavirus (isolation & purification)</term><term>Nasopharynx (virology)</term><term>Personal Protective Equipment</term><term>Saudi Arabia (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Arabie saoudite (épidémiologie)</term><term>Coronavirus du syndrome respiratoire du Moyen-Orient (isolement et purification)</term><term>Enseignement infirmier ()</term><term>Flambées de maladies ()</term><term>Humains</term><term>Infection croisée</term><term>Infections à coronavirus (virologie)</term><term>Infections à coronavirus (épidémiologie)</term><term>Partie nasale du pharynx (virologie)</term><term>Personnel de santé ()</term><term>Personnel de santé (enseignement et éducation)</term><term>Prise en charge de la maladie</term><term>Équipement de protection individuelle</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Health Personnel</term></keywords><keywords scheme="MESH" qualifier="enseignement et éducation" xml:lang="fr"><term>Personnel de santé</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Saudi Arabia</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Middle East Respiratory Syndrome Coronavirus</term></keywords><keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Coronavirus du syndrome respiratoire du Moyen-Orient</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Education, Nursing</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Disease Outbreaks</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Health Personnel</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Infections à coronavirus</term><term>Partie nasale du pharynx</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Coronavirus Infections</term><term>Nasopharynx</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Arabie saoudite</term><term>Infections à coronavirus</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cross Infection</term><term>Disease Management</term><term>Humans</term><term>Personal Protective Equipment</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Enseignement infirmier</term><term>Flambées de maladies</term><term>Humains</term><term>Infection croisée</term><term>Personnel de santé</term><term>Prise en charge de la maladie</term><term>Équipement de protection individuelle</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>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.</p></sec><sec><title>Methods</title><p>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.</p></sec><sec><title>Results</title><p>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.</p></sec><sec><title>Conclusion</title><p>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.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Zaki, A M" uniqKey="Zaki A">A.M. Zaki</name></author><author><name sortKey="Van Boheemen, S" uniqKey="Van Boheemen S">S. van Boheemen</name></author><author><name sortKey="Bestebroer, T M" uniqKey="Bestebroer T">T.M. 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Hon</name></author><author><name sortKey="Bryce, E" uniqKey="Bryce E">E. Bryce</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Coffey, C C" uniqKey="Coffey C">C.C. Coffey</name></author><author><name sortKey="Campbell, D L" uniqKey="Campbell D">D.L. Campbell</name></author><author><name sortKey="Myers, W R" uniqKey="Myers W">W.R. Myers</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bukhari, E E" uniqKey="Bukhari E">E.E. Bukhari</name></author><author><name sortKey="Temsah, M H" uniqKey="Temsah M">M.H. Temsah</name></author><author><name sortKey="Aleyadhy, A A" uniqKey="Aleyadhy A">A.A. Aleyadhy</name></author><author><name sortKey="Alrabiaa, A A" uniqKey="Alrabiaa A">A.A. Alrabiaa</name></author><author><name sortKey="Alhboob, A A" uniqKey="Alhboob A">A.A. Alhboob</name></author><author><name sortKey="Jamal, A A" uniqKey="Jamal A">A.A. 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Mcgregor</name><name sortKey="Rothwell, Siobhan" sort="Rothwell, Siobhan" uniqKey="Rothwell S" first="Siobhan" last="Rothwell">Siobhan Rothwell</name></country><country name="États-Unis"><region name="Indiana"><name sortKey="Al Tawfiq, Jaffar A" sort="Al Tawfiq, Jaffar A" uniqKey="Al Tawfiq J" first="Jaffar A." last="Al-Tawfiq">Jaffar A. Al-Tawfiq</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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