A basic anesthesia training program for nurses in Chad: first steps for a south–south academic cooperation program

Abstract

Purpose Safe perioperative care remains a large public healthcare problem in low-and middle-income countries. Anesthesia care provided by trained professionals is one of the essential determinants to address this situation. This article reports the design and implementation of a focused anesthesia educational program for nurses in Chad. Method This program consisted of four full-time courses of one month each, taught in a local hospital. The program included supervised practice in the operating room and post-anesthesia recovery room, skills lab simulation training, high fidelity crisis simulation, theoretical classes, integration sessions, evaluations, and structured feedback sessions. Results Seven male nurses, aged 28-40 yr, were accepted and successfully completed the program. The median [interquartile range] students' global satisfaction with the program was high (86 [85-93]%). Cognitive and skills assessment improved significantly after the program. Students subsequently worked in city and district hospitals performing essential and emergency surgical interventions. Conclusions This is a novel south-south academic cooperation program for nurses in Chad. The program evaluation indicated a high level of satisfaction, effective Electronic supplementary material The online version of this article (https://doi.

Efficacy of Educational Module for Nurses about "Safe Care of Patients under Treatment of Neuromuscular Blockade Agents" on Nurses performance and Patient's Clinical Outcomes

“…The study findings revealed that two third of the studied nurses in youth age, more than one quarter of them had 5 years' experience, and half of them not take training courses. This result was in in an agreement with Kattan (2019) (30) who study results showed that, the majority studied nurses, aged twenty-eight-forty years, and had no previous experience in anesthesia, and most of them not take informal training. It was noticed from the present result that about two thirds of the studied nurses didn't know or had incorrect answer about definition, types and methods of administration of neuromuscular drug before the educational module compared with the majority of them had correct and complete answered after the educational module.…”

Simulation-Based Mastery Learning of Bronchoscopy-Guided Percutaneous Dilatational Tracheostomy

“…This aspect is particularly important for low-and middle-income countries ICU's, where high costs and lack of availability of commercial simulators have been described as potential barriers for simulation training implementation. 48,49 A recent survey in France suggests that critical care physicians perform between 2 and 4 PDT per month. 50 In this sense, in infrequent procedures, like BG-PDT, simulation training has even a more important role, 32 because the limited clinical cases residents are exposed to are not invested in learning basic procedural aspects, but rather in capitalizing the specific details before autonomous execution, and in preventing skills decay through continuous training.…”

“…The use of a low-cost and easy to construct simulator in the program design allows it to be easily replicated. This aspect is particularly important for low- and middle-income countries ICU's, where high costs and lack of availability of commercial simulators have been described as potential barriers for simulation training implementation 48,49 …”