Introduction: This study aims to evaluate the knowledge and confidence of
emergency healthcare workers (EHCW) in facing the COVID-19 pandemic.
Materials and Methods: A cross-sectional online study using a validated questionnaire
was distributed to doctors (MD), assistant medical officers (AMO), and staff nurses
(SN) at an urban tertiary Emergency Department. It comprised of 40 knowledge
and 10 confidence-level questions related to resuscitation and airway management
steps. Results: A total of 135 from 167 eligible EHCW were enrolled. 68.9% (n
= 93) had high knowledge while 53.3% (n = 72) possessed high confidence level.
Overall knowledge mean score was 32.96/40 (SD = 3.63) between MD (33.88±3.09),
AMO (32.28±4.03), and SN (32.00±3.60), P = 0.025. EHCWs with a length of service
(LOS) between 4–10 years had the highest knowledge compared to those with LOS
<4-year (33.71±3.39 versus 31.21±3.19 P = 0.002). Airway-related knowledge was
significantly different between the designations and LOS (P = 0.002 and P = 0.003,
respectively). Overall, EHCW confidence level against LOS showed significant
difference [F (2, 132) = 5.46, P = 0.005] with longer LOS showing better confidence.
MD showed the highest confidence compared to AMO and SN (3.67±0.69, 3.53±0.68,
3.26±0.64) P = 0.049. The majority EHCW were confident in performing highquality chest-compression, and handling of Personal Protective Equipment but
less than half were confident in resuscitating, leading the resuscitation, managing
the airway or being successful in first intubation attempt. Conclusions: EHCW
possessed good knowledge in airway and resuscitation of COVID-19 patients,
but differed between designations and LOS. A longer LOS was associated
with better confidence, but there were some aspects in airway management and
resuscitation that needed improvement.
Keywords: Airway; Confidence; COVID-19; Knowledge; Resuscitation (CPR).
This review article aimed to analyse existing literature regarding the roles and performance of professional driving instructors (PDIs) in novice driver education (DE). A systematic classification scheme was adopted to analyse identified articles to determine the study context of PDIs in novice DE, the competency level of PDIs in relation to experienced and learner drivers and the contributions of PDIs to the novice driver learning process. A total of 14 original research articles were identified, with no systematic reviews or meta-analyses available. Overall, all of the articles were found to be inadequate in providing an in-depth understanding of the roles and performance of PDIs in novice DE. There is an urgent need to improve current understanding of the roles of PDIs in novice DE and to work towards an internationally recognised PDI management approach.
Even though ontology and virtual reality training (VRT) are subjects that have been explored in various areas over the years, there is an absence of a systematic approach that gives an overview on how both have been utilized together. We aim to explore how ontologies have been applied in VRT technology in recent times. Therefore, the systematic literature review methodology was carried out to collect studies between 2014 and 2021 from various databases. To summarize, the main findings of this research are as follows: (1) the majority of the studies concerns two roles, i.e., either capturing and structuring knowledge or separating domain knowledge and operational knowledge; (2) all ontologies apply deficient foundational ontologies, languages, and methodologies when developing ontologies for VRT; (3) there is a general lack of capturing perdurant knowledge in ontology design; and (4) there are key design elements that are considered crucial for designing an ontology for VRT. Further directions have been provided to contribute to the body of knowledge by recommending the right design elements that could produce idealistic and ubiquitous ontologies to facilitate VRT development throughout its life cycle.
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