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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

Díaz-Guio DA
Vital Care Centro de Simulación Clínica, Armenia, Quindío, Colombia; Faculty of Health Sciences, Universidad Alexander von Humboldt, Armenia, Quindío, Colombia.
Ricardo-Zapata A
Vital Care Centro de Simulación Clínica, Armenia, Quindío, Colombia.
Ospina-Velez J
Vital Care Centro de Simulación Clínica, Armenia, Quindío, Colombia.
Gómez-Candamil G
Vital Care Centro de Simulación Clínica, Armenia, Quindío, Colombia.
Mora-Martinez S
Vital Care Centro de Simulación Clínica, Armenia, Quindío, Colombia; Faculty of Health Sciences, Universidad Alexander von Humboldt, Armenia, Quindío, Colombia.
Rodriguez-Morales AJ
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.

MeSH

AdultCOVID-19Containment of BiohazardsCoronavirus InfectionsEmergency Service, HospitalEquipment ContaminationEye Protective DevicesFemaleGloves, ProtectiveHand HygieneHealth PersonnelHumansInfection ControlIntensive Care UnitsMaleMasksMemory, Short-TermOccupational DiseasesPandemicsPersonal Protective EquipmentPneumonia, ViralProspective StudiesProtective ClothingSimulation TrainingTask Performance and Analysis

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 - 2532-8689 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_ DB - PRIME DP - Unbound Medicine ER -