A multi-faceted approach of a nursing led education in response to MERS-CoV infection☆
Identifieur interne : 000E58 ( Pmc/Curation ); précédent : 000E57; suivant : 000E59A 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.
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.
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DOI: 10.1016/j.jiph.2017.08.006
PubMed: 28869153
PubMed Central: 7102837
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A multi-faceted approach of a nursing led education in response to MERS-CoV infection<sup><xref ref-type="fn" rid="d32e540">☆</xref></sup></title><author><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><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></affiliation><affiliation wicri:level="1"><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></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></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></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></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28869153</idno><idno type="pmc">7102837</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7102837</idno><idno type="RBID">PMC:7102837</idno><idno type="doi">10.1016/j.jiph.2017.08.006</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">000E58</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000E58</idno><idno type="wicri:Area/Pmc/Curation">000E58</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000E58</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A multi-faceted approach of a nursing led education in response to MERS-CoV infection<sup><xref ref-type="fn" rid="d32e540">☆</xref></sup></title><author><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><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></affiliation><affiliation wicri:level="1"><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></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></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></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></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></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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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Infect Public Health</journal-id><journal-id journal-id-type="iso-abbrev">J Infect Public Health</journal-id><journal-title-group><journal-title>Journal of Infection and Public Health</journal-title></journal-title-group><issn pub-type="ppub">1876-0341</issn><issn pub-type="epub">1876-035X</issn><publisher><publisher-name>The Authors. Production and hosting by Elsevier Limited on behalf of King Saud Bin Abdulaziz University for Health Sciences.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28869153</article-id><article-id pub-id-type="pmc">7102837</article-id><article-id pub-id-type="publisher-id">S1876-0341(17)30207-1</article-id><article-id pub-id-type="doi">10.1016/j.jiph.2017.08.006</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>A multi-faceted approach of a nursing led education in response to MERS-CoV infection<sup><xref ref-type="fn" rid="d32e540">☆</xref></sup></article-title></title-group><contrib-group><contrib contrib-type="author" id="aut0005"><name><surname>Al-Tawfiq</surname><given-names>Jaffar A.</given-names></name><email>jaffar.tawfiq@jhah.com</email><email>jaltawfi@yahoo.com</email><xref rid="aff0005" ref-type="aff">a</xref><xref rid="aff0010" ref-type="aff">b</xref><xref rid="cor0005" ref-type="corresp">⁎</xref></contrib><contrib contrib-type="author" id="aut0010"><name><surname>Rothwell</surname><given-names>Siobhan</given-names></name><xref rid="aff0015" ref-type="aff">c</xref></contrib><contrib contrib-type="author" id="aut0015"><name><surname>Mcgregor</surname><given-names>Heather A.</given-names></name><xref rid="aff0015" ref-type="aff">c</xref></contrib><contrib contrib-type="author" id="aut0020"><name><surname>Khouri</surname><given-names>Zeina A.</given-names></name><xref rid="aff0015" ref-type="aff">c</xref></contrib></contrib-group><aff id="aff0005"><label>a</label>Specaility Medicine Division, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia</aff><aff id="aff0010"><label>b</label>Indiana University School of Medicine, Indianapolis, IN, USA</aff><aff id="aff0015"><label>c</label>Nursing Department, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia</aff><author-notes><corresp id="cor0005"><label>⁎</label>Corresponding author at: P.O. Box 76, Room A-428-2, Building 61, Dhahran Health Center, Johns Hopkins Aramco Healthcare, Dhahran 31311, Saudi Arabia. Fax: +966 13 877 3790. <email>jaffar.tawfiq@jhah.com</email><email>jaltawfi@yahoo.com</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>30</day><month>8</month><year>2017</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub" iso-8601-date="2018-04-01"><season>March-April</season><year>2018</year></pub-date><pub-date pub-type="epub"><day>30</day><month>8</month><year>2017</year></pub-date><volume>11</volume><issue>2</issue><fpage>260</fpage><lpage>264</lpage><history><date date-type="received"><day>23</day><month>5</month><year>2017</year></date><date date-type="accepted"><day>4</day><month>8</month><year>2017</year></date></history><permissions><copyright-statement>© 2017 The Authors</copyright-statement><copyright-year>2017</copyright-year><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions><abstract id="abs0005"><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></abstract><kwd-group id="kwd0005"><title>Keywords</title><kwd>Coronavirus</kwd><kwd>Education</kwd><kwd>MERS-CoV</kwd><kwd>Middle East respiratory syndrome</kwd><kwd>Saudi Arabia</kwd><kwd>Outbreak preparedness</kwd><kwd>Hospital care</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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