Introduction
Methods
Setting
Course structure
Participants
Data collection
Instruments
Statistical analysis
Results
Participant characteristics
Kono (n = 13) | Freetown (n = 18) | Combined (n = 31) | |
---|---|---|---|
Completed immediate post-training confidence assessment n (%) | 13 (100%) | 18 (100%) | 31 (100%) |
Completed immediate post-training knowledge assessment n (%) | 13 (100%) | 18 (100%) | 31 (100%) |
Completed month 6 confidence assessment n (%) | 7 (54%) | 13 (72%) | 20 (65%) |
Completed month 6 knowledge assessment n (%) | 6 (46%) | 9 (50%) | 15 (48%) |
Work area | |||
Intensive care unit n (%) | 1 (8%) | 3 (17%) | 4 (13%) |
Emergency unit n (%) | 5 (38%) | 4 (22%) | 5 (16%) |
Medical ward n (%) | 7 (54%) | 11 (61%) | 22 (71%) |
Role | |||
Nurse n (%) | 10 (77%) | 16 (89%) | 26 (84%) |
Community health officer n (%) | 3 (23%) | 0 | 3 (10%) |
Doctor n (%) | 0 | 1 (6%) | 1 (3%) |
Other n (%) | 0 | 1 (6%) | 1 (3%) |
Knowledge assessment
Baseline | Post-training | Six months | ||||||
---|---|---|---|---|---|---|---|---|
n | mean (95% CI) | n | mean (95% CI) | p-value* | n | mean (95% CI) | p-value^ | |
Kono | 13 | 55% (48% to 61%) | 13 | 83% (78% to 89%) | < 0.001 | 6 | 77% (62% to 92%) | 0.07 |
Freetown | 18 | 51% (44% to 58%) | 18 | 86% (83% to 90%) | < 0.001 | 9 | 71% (63% to 78%) | 0.008 |
Combined | 31 | 53% (48% to 57%) | 31 | 85% (82% to 88%) | < 0.001 | 15 | 73% (67% to 80%) | 0.001 |
Confidence assessment
Baseline (n = 31) | Post-training (n = 31) | Six months (n = 20) | |||
---|---|---|---|---|---|
n (%) | n (%) | p-value* | n (%) | p-value^ | |
Assessing patients in an emergency department | 11 (35%) | 19 (61%) | 0.02 | 14 (70%) | 0.11 |
Determining if a patient is stable or unstable | 8 (26%) | 16 (52%) | 0.02 | 13 (65%) | 0.03 |
Recognizing signs of shock | 11 (35%) | 19 (61%) | 0.06 | 16 (80%) | 0.07 |
Recognizing signs of sepsis | 3 (10%) | 18 (58%) | < 0.001 | 10 (50%) | 0.008 |
Recognizing and assessing altered mental status | 4 (13%) | 18 (58%) | < 0.001 | 8 (40%) | 0.02 |
Assessment and management of patient with difficulty breathing | 8 (26%) | 22 (71%) | < 0.001 | 17 (85%) | 0.002 |
Assessment and management of patient with fever | 14 (45%) | 25 (81%) | 0.005 | 18 (90%) | 0.02 |
Suctioning the airway | 13 (42%) | 21 (68%) | 0.06 | 16 (80%) | 0.008 |
Repositioning the airway | 8 (26%) | 20 (65%) | 0.004 | 14 (70%) | 0.02 |
Inserting an oral airway | 6 (19%) | 19 (61%) | 0.001 | 13 (65%) | 0.04 |
Inserting a nasopharyngeal airway | 6 (19%) | 17 (55%) | 0.007 | 11 (55%) | 0.11 |
Managing a choking patient | 2 (6%) | 17 (55%) | < 0.001 | 8 (40%) | 0.07 |
Administering oxygen | 19 (61%) | 22 (71%) | 0.51 | 19 (95%) | 0.03 |
Using a bag valve mask | 9 (29%) | 20 (65%) | 0.01 | 13 (65%) | 0.02 |
Performing a needle thoracostomy | 2 (6%) | 15 (48%) | 0.001 | 1 (5%) | 1.0 |
COVID-19 assessment
Participants (n = 20) | |
---|---|
Provided direct clinical care for patients with confirmed COVID-19 n (%) | 8 (40%) |
Provided direct clinical care for patients with suspected COVID-19 n (%) | 18 (90%) |
Participants reporting “strongly agree” | |
Have sufficient experience to manage patients with COVID-19 n (%) | 9 (45%) |
This course has improved ability to manage patients with COVID-19 n (%) | 10 (50%) |
Participants reporting “very comfortable” | |
Caring for patients with COVID-19 n (%) | 10 (50%) |
Performing an initial assessment of patients with confirmed or suspected COVID-19 n (%) | 11 (55%) |
Recognizing signs of severe COVID-19 n (%) | 12 (60%) |
Assessing respiratory status of patients with confirmed or suspected COVID-19 n (%) | 11 (55%) |
Administering oxygen to patients with confirmed or suspected COVID-19 n (%) | 10 (50%) |
Assessing patients with confirmed or suspected COVID-19 for signs of shock n (%) | 8 (40%) |