A ‘train the trainers’ approach to infection prevention and control training in pandemic conditions

Haigh, Kathryn; Liuzzi, Francesca; Irvine, Sharon; Thompson, Allison; Hepworth, Edward J.; Hoyle, M; Cruise, J. F.; Hine, Paul; Walker, Naomi F.

doi:10.1016/j.clinpr.2023.100228

Cited by 2 publications

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“…However, one recent study evaluating the use of a structured TTT curriculum for PPE and airway management education showed no difference in the change in comfort level between learners taught by the initial trainer and those taught by the subsequent trainers [42]. Another study assessed the TTT approach in an infection prevention and control training program where 130 HCWs were successfully trained in just three weeks, the training material was well-received, and the staff gained greater confidence in using PPE [43]. Following a train-the-trainers workshop on infection prevention and control during the COVID-19 pandemic in Nigeria, a study revealed a significant improvement in the knowledge of 61 key healthcare workers, leading to knowledge gain and the establishment of a framework for subsequent step-down training for all healthcare workers in the country [44].…”

Section: Discussionmentioning

confidence: 99%

Hospitals’ Collaborations Strengthen Pandemic Preparedness: Lessons Learnt from COVID-19

Sakr,

Assaf,

Fakih

et al. 2024

Healthcare

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Background: The COVID-19 pandemic strained healthcare systems around the world. This study aims to understand the preparedness of private remote hospitals in Lebanon to respond to the pandemic and evaluate the impact of inter-hospital collaborations on the hospitals’ readiness. Methods: A multi-centered study was conducted between August 2020 and June 2021 in ten Lebanese private remote hospitals based on a mixed-methods embedded approach where the quantitative supported the qualitative. Through the AUB-USAID (American University of Beirut-United States Agency for International Development) COVID-19 project, these hospitals received personal protective equipment and medical equipment in addition to COVID-19-related training using the Train-the-Trainer model. The quantitative part used knowledge and evaluation questionnaires and a pre–post-intervention hospital preparedness checklist. The qualitative approach adopted semi-structured interviews with a purposive sample from key hospital personnel. Quantitative data were analyzed using SPSS version 27, and a p-value of <0.05 was considered to be statistically significant. For the qualitative data, a thematic analysis was performed by adopting the six-phase process described by Braun and Clarke. Results: Of the 393 healthcare workers who attended the training and completed the evaluation questionnaire, 326 completed the pre- and post-training knowledge questionnaire. A significant improvement was observed in mean knowledge scores following training for infection control, nursing, and polymerase chain reaction sampling staff (p-value < 0.001, p-value < 0.001, and p-value = 0.006, respectively), but not for housekeeping staff. More than 93% of the participants showed high trainer and content evaluation scores. As for the hospitals’ preparedness assessments, there was a clear improvement in the pre- and post-assessment scores for each hospital, and there was a significant difference in the mean of the total scores of partner hospitals pre- and post-USAID-AUB project (p-value = 0.005). These findings were supported by the qualitative analysis, where nine hospitals expressed the positive impact of the USAID-AUB intervention in improving their preparedness to respond to the COVID-19 pandemic at a critical time when it was highly needed. Despite the intervention, persistent challenges remained. Conclusions: A timely and proactive collaborative program between academic/tertiary care centers and remote community hospitals that includes sharing supplies and expertise is feasible and highly effective during public health emergencies.

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Section: Discussionmentioning

confidence: 99%