33
views
0
recommends
+1 Recommend
2 collections
    0
    shares

      To submit your manuscript to JMIR, please click here

      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Effect of an E-Learning Module on Personal Protective Equipment Proficiency Among Prehospital Personnel: Web-Based Randomized Controlled Trial

      research-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          To avoid misuse of personal protective equipment (PPE), ensure health care workers’ safety, and avoid shortages, effective communication of up-to-date infection control guidelines is essential. As prehospital teams are particularly at risk of contamination given their challenging work environment, a specific gamified electronic learning (e-learning) module targeting this audience might provide significant advantages as it requires neither the presence of learners nor the repetitive use of equipment for demonstration.

          Objective

          The aim of this study was to evaluate whether a gamified e-learning module could improve the rate of adequate PPE choice by prehospital personnel in the context of the coronavirus disease (COVID-19) pandemic.

          Methods

          This was an individual-level randomized, controlled, quadruple-blind (investigators, participants, outcome assessors, and data analysts) closed web-based trial. All emergency prehospital personnel working in Geneva, Switzerland, were eligible for inclusion, and were invited to participate by email in April 2020. Participants were informed that the study aim was to assess their knowledge regarding PPE, and that they would be presented with both the guidelines and the e-learning module, though they were unaware that there were two different study paths. All participants first answered a preintervention quiz designed to establish their profile and baseline knowledge. The control group then accessed the guidelines before answering a second set of questions, and were then granted access to the e-learning module. The e-learning group was shown the e-learning module right after the guidelines and before answering the second set of questions.

          Results

          Of the 291 randomized participants, 176 (60.5%) completed the trial. There was no significant difference in baseline knowledge between groups. Though the baseline proportion of adequate PPE choice was high (75%, IQR 50%-75%), participants’ description of the donning sequence was in most cases incorrect. After either intervention, adequate choice of PPE increased significantly in both groups ( P<.001). Though the median of the difference in the proportion of correct answers was slightly higher in the e-learning group (17%, IQR 8%-33% versus 8%, IQR 8%-33%), the difference was not statistically significant ( P=.27). Confidence in the ability to use PPE was maintained in the e-learning group ( P=.27) but significantly decreased in the control group ( P=.04).

          Conclusions

          Among prehospital personnel with an already relatively high knowledge of and experience with PPE use, both web-based study paths increased the rate of adequate choice of PPE. There was no major added value of the gamified e-learning module apart from preserving participants' confidence in their ability to correctly use PPE.

          Related collections

          Most cited references35

          • Record: found
          • Abstract: found
          • Article: not found

          Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis

          Highlights • At least one in five healthcare professionals report symptoms of depression and anxiety. • Almost four in 10 healthcare workers experience sleeping difficulties and/or insomnia. • Rates of anxiety and depression were higher for female healthcare workers and nursing staff. • Milder mood symptoms are common and screening should aim to identify mild and sub-threshold syndromes.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Critical Supply Shortages — The Need for Ventilators and Personal Protective Equipment during the Covid-19 Pandemic

            New England Journal of Medicine
              Bookmark
              • Record: found
              • Abstract: found
              • Article: found

              Medical Student Education in the Time of COVID-19

                Bookmark

                Author and article information

                Contributors
                Journal
                J Med Internet Res
                J. Med. Internet Res
                JMIR
                Journal of Medical Internet Research
                JMIR Publications (Toronto, Canada )
                1439-4456
                1438-8871
                August 2020
                21 August 2020
                21 August 2020
                : 22
                : 8
                : e21265
                Affiliations
                [1 ] Division of Emergency Medicine Department of Anesthesiology, Clinical Pharmacology, Intensive Care and Emergency Medicine University of Geneva Hospitals and Faculty of Medicine Geneva Switzerland
                [2 ] Infection Control Program and WHO Collaborating Centre on Patient Safety University of Geneva Hospitals and Faculty of Medicine Geneva Switzerland
                [3 ] Genève TEAM Ambulances Geneva Switzerland
                [4 ] Division of Anesthesiology Department of Anesthesiology, Clinical Pharmacology, Intensive Care and Emergency Medicine University of Geneva Hospitals and Faculty of Medicine Geneva Switzerland
                Author notes
                Corresponding Author: Laurent Suppan laurent.suppan@ 123456hcuge.ch
                Author information
                https://orcid.org/0000-0001-6989-6421
                https://orcid.org/0000-0002-7265-1887
                https://orcid.org/0000-0003-1663-5249
                https://orcid.org/0000-0001-6029-8548
                https://orcid.org/0000-0002-5200-4199
                https://orcid.org/0000-0002-7348-470X
                https://orcid.org/0000-0002-8963-6181
                https://orcid.org/0000-0002-3551-1025
                https://orcid.org/0000-0003-0726-3201
                https://orcid.org/0000-0002-8807-9619
                Article
                v22i8e21265
                10.2196/21265
                7446759
                32747329
                ff346986-530c-48d2-a627-86b04921be33
                ©Laurent Suppan, Mohamed Abbas, Loric Stuby, Philippe Cottet, Robert Larribau, Eric Golay, Anne Iten, Stephan Harbarth, Birgit Gartner, Mélanie Suppan. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 21.08.2020.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.

                History
                : 13 June 2020
                : 31 July 2020
                : 2 August 2020
                : 3 August 2020
                Categories
                Original Paper
                Original Paper

                Medicine
                personal protective equipment,covid-19,electronic learning,prehospital,randomized controlled trial,protection,equipment,safety,gamified,online learning,communication

                Comments

                Comment on this article