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Cognitive load and performance of health care professionals in donning and doffing PPE before and after a simulation-based educational intervention and its implications during the COVID-19 pandemic for biosafety.
Infez Med. 2020 Jun 01; 28(suppl 1):111-117.IM

Abstract

INTRODUCTION

The Personal Protective Equipment (PPE) is essential to avoid the COVID-19 spread to health care workers. Its use can be difficult, posing a high risk of contamination, mainly during doffing, then with the risk of becoming infected.

METHODS

We conducted a prospective before-and-after design that used clinical simulation as a research methodology in a clinical simulation center of Colombia. A simulation-based educational intervention with two cases related to COVID-19 was proposed in the emergency room and the intensive care unit. We conducted A workshop for donning and doffing of personal protective equipment (PPE) and a debriefing after the first case.

RESULTS

In the pre-test, 100% of participants failed donning and doffing PPE, 98.4% were contaminated, only one-person did not contaminate out of. The mean cognitive load was high (7.43±0.9 points). In the post-test, 100% were successful in donning the PPE and 94.8% in doffing; only 9.8% were contaminated. The mean of the cognitive load was low (4.1±1.4 points), and the performance was high (7.9±1.1). Of the total, 73.8% of participants reported overload in the doffing. The most difficulties were in gown/overall, and N95 mask removal.

DISCUSSION

The PPE donning and doffing is critical and may be changed significantly by active training. In responding to the current COVID-19 pandemic in 2020, activities of training in donning and doffing PPE would provide a means of training personnel, reducing the cognitive load and maybe the risk of contamination and infection of health care workers.

Authors+Show Affiliations

Vital Care Centro de Simulación Clínica, Armenia, Quindío, Colombia; Faculty of Health Sciences, Universidad Alexander von Humboldt, Armenia, Quindío, Colombia.Vital Care Centro de Simulación Clínica, Armenia, Quindío, Colombia.Vital Care Centro de Simulación Clínica, Armenia, Quindío, Colombia.Vital Care Centro de Simulación Clínica, Armenia, Quindío, Colombia.Vital Care Centro de Simulación Clínica, Armenia, Quindío, Colombia; Faculty of Health Sciences, Universidad Alexander von Humboldt, Armenia, Quindío, Colombia.Vital Care Centro de Simulación Clínica, Armenia, Quindío, Colombia; Public Health and Infection Research Group, Faculty of Health Sciences, Universidad Tecnológica de Pereira, Pereira, Risaralda, Colombia; Grupo de Investigación Biomedicina, Faculty of Medicine, Fundación Universitaria Autónoma de las Américas, Sede Pereira, Pereira, Colombia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32532947

Citation

Díaz-Guio, Diego Andrés, et al. "Cognitive Load and Performance of Health Care Professionals in Donning and Doffing PPE Before and After a Simulation-based Educational Intervention and Its Implications During the COVID-19 Pandemic for Biosafety." Le Infezioni in Medicina, vol. 28, no. suppl 1, 2020, pp. 111-117.
Díaz-Guio DA, Ricardo-Zapata A, Ospina-Velez J, et al. Cognitive load and performance of health care professionals in donning and doffing PPE before and after a simulation-based educational intervention and its implications during the COVID-19 pandemic for biosafety. Infez Med. 2020;28(suppl 1):111-117.
Díaz-Guio, D. A., Ricardo-Zapata, A., Ospina-Velez, J., Gómez-Candamil, G., Mora-Martinez, S., & Rodriguez-Morales, A. J. (2020). Cognitive load and performance of health care professionals in donning and doffing PPE before and after a simulation-based educational intervention and its implications during the COVID-19 pandemic for biosafety. Le Infezioni in Medicina, 28(suppl 1), 111-117.
Díaz-Guio DA, et al. Cognitive Load and Performance of Health Care Professionals in Donning and Doffing PPE Before and After a Simulation-based Educational Intervention and Its Implications During the COVID-19 Pandemic for Biosafety. Infez Med. 2020 Jun 1;28(suppl 1):111-117. PubMed PMID: 32532947.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cognitive load and performance of health care professionals in donning and doffing PPE before and after a simulation-based educational intervention and its implications during the COVID-19 pandemic for biosafety. AU - Díaz-Guio,Diego Andrés, AU - Ricardo-Zapata,Alejandra, AU - Ospina-Velez,Jeniffer, AU - Gómez-Candamil,Gabriel, AU - Mora-Martinez,Santiago, AU - Rodriguez-Morales,Alfonso J, PY - 2020/6/14/entrez PY - 2020/6/14/pubmed PY - 2020/6/23/medline SP - 111 EP - 117 JF - Le infezioni in medicina JO - Infez Med VL - 28 IS - suppl 1 N2 - INTRODUCTION: The Personal Protective Equipment (PPE) is essential to avoid the COVID-19 spread to health care workers. Its use can be difficult, posing a high risk of contamination, mainly during doffing, then with the risk of becoming infected. METHODS: We conducted a prospective before-and-after design that used clinical simulation as a research methodology in a clinical simulation center of Colombia. A simulation-based educational intervention with two cases related to COVID-19 was proposed in the emergency room and the intensive care unit. We conducted A workshop for donning and doffing of personal protective equipment (PPE) and a debriefing after the first case. RESULTS: In the pre-test, 100% of participants failed donning and doffing PPE, 98.4% were contaminated, only one-person did not contaminate out of. The mean cognitive load was high (7.43±0.9 points). In the post-test, 100% were successful in donning the PPE and 94.8% in doffing; only 9.8% were contaminated. The mean of the cognitive load was low (4.1±1.4 points), and the performance was high (7.9±1.1). Of the total, 73.8% of participants reported overload in the doffing. The most difficulties were in gown/overall, and N95 mask removal. DISCUSSION: The PPE donning and doffing is critical and may be changed significantly by active training. In responding to the current COVID-19 pandemic in 2020, activities of training in donning and doffing PPE would provide a means of training personnel, reducing the cognitive load and maybe the risk of contamination and infection of health care workers. SN - 1124-9390 UR - https://www.unboundmedicine.com/medline/citation/32532947/Cognitive_load_and_performance_of_health_care_professionals_in_donning_and_doffing_PPE_before_and_after_a_simulation_based_educational_intervention_and_its_implications_during_the_COVID_19_pandemic_for_biosafety_ L2 - https://www.infezmed.it/media/journal/Vol_28_suppl1_2020_17.pdf DB - PRIME DP - Unbound Medicine ER -