PMID- 36648976
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230308
IS  - 2039-4403 (Electronic)
IS  - 2039-439X (Print)
IS  - 2039-439X (Linking)
VI  - 13
IP  - 1
DP  - 2022 Dec 27
TI  - The Effectiveness of NIV and CPAP Training on the Job in COVID-19 Acute Care 
      Wards: A Nurses' Self-Assessment of Skills.
PG  - 17-28
LID - 10.3390/nursrep13010002 [doi]
AB  - Background: Noninvasive ventilation (NIV) in COVID-19 patients outside of 
      intensive care unit (ICU) settings was a feasible support during the pandemic 
      outbreak. The aim of this study was to assess the effectiveness of an "on the 
      job" NIV training program provided to 66 nurses working in 3 COVID-19 wards in an 
      Italian university hospital. Methods: A quasi-experimental longitudinal 
      before-after study was designed. The NIV Team education program, provided by 
      expert ICU nurses, included: 3 h sessions of training on the job during 
      work-shifts about the management of helmet-continuous positive airway pressure 
      (CPAP) Venturi systems, and NIV with oronasal and full-face masks. An eleven-item 
      "brief skills self-report tool" was administered before and after the program to 
      explore the perception of NIV education program attendees about their level of 
      skills. Results: In total, 59 nurses responded to the questionnaire. There was an 
      improvement in the skill levels of the management of Helmet-CPAP (median before 
      training 2, inter-quartile range (IQR) 0-6; median after training 8, IQR 3-9; p < 
      0.0001), and mask-NIV (median before training 2, IQR 0-6; median after training 
      8, IQR 3-9; p < 0.0001). Conclusions: Training on the job performed by expert ICU 
      nurses can be a valuable and fast means to implement new Helmet-CPAP and mask-NIV 
      skills outside of ICUs.
FAU - Bambi, Stefano
AU  - Bambi S
AUID- ORCID: 0000-0002-0360-4470
AD  - Department of Health Sciences, University of Florence, 50134 Florence, Italy.
FAU - Parente, Eustachio
AU  - Parente E
AD  - Neuroscience-Neurosurgery, Meyer Children's Hospital, 50139 Florence, Italy.
FAU - Bardacci, Yari
AU  - Bardacci Y
AUID- ORCID: 0000-0001-5433-1073
AD  - Emergency and Trauma Intensive Care Unit, Careggi University Hospital, 50134 
      Florence, Italy.
FAU - Baldassini Rodriguez, Samuele
AU  - Baldassini Rodriguez S
AUID- ORCID: 0000-0002-9745-3772
AD  - Emergency and Trauma Intensive Care Unit, Careggi University Hospital, 50134 
      Florence, Italy.
FAU - Forciniti, Carolina
AU  - Forciniti C
AD  - Medical and Surgical Intensive Care Unit, Careggi University Hospital, 50134 
      Florence, Italy.
FAU - Ballerini, Lorenzo
AU  - Ballerini L
AD  - Emergency Department, Careggi University Hospital, 50134 Florence, Italy.
FAU - Caruso, Christian
AU  - Caruso C
AD  - Emergency Medical System-AUSL Toscana Centro, 50122 Florence, Italy.
FAU - El Aoufy, Khadija
AU  - El Aoufy K
AD  - Department of Experimental and Clinical Medicine, University of Florence, 50121 
      Florence, Italy.
FAU - Poggianti, Marta
AU  - Poggianti M
AD  - Hospital Healthcare Management, Careggi University Hospital, 50134 Florence, 
      Italy.
FAU - Bonacaro, Antonio
AU  - Bonacaro A
AD  - School of Health and Sports Sciences, University of Suffolk, Ipswich IP4 1QJ, UK.
FAU - Rona, Roberto
AU  - Rona R
AUID- ORCID: 0000-0003-3907-3074
AD  - General Intensive Care Unit, San Gerardo Hospital-ASST Monza, Milano Bicocca 
      University, 20900 Monza, Italy.
FAU - Rasero, Laura
AU  - Rasero L
AD  - Department of Health Sciences, University of Florence, 50134 Florence, Italy.
FAU - Lucchini, Alberto
AU  - Lucchini A
AUID- ORCID: 0000-0002-7475-277X
AD  - General Intensive Care Unit, San Gerardo Hospital-ASST Monza, Milano Bicocca 
      University, 20900 Monza, Italy.
LA  - eng
PT  - Journal Article
DEP - 20221227
PL  - Switzerland
TA  - Nurs Rep
JT  - Nursing reports (Pavia, Italy)
JID - 101592662
PMC - PMC9844455
OTO - NOTNLM
OT  - COVID-19
OT  - CPAP
OT  - education
OT  - general ward
OT  - noninvasive ventilation
OT  - nurses
COIS- The authors state that they have no conflict of interest in the drafting of this 
      paper.
EDAT- 2023/01/18 06:00
MHDA- 2023/01/18 06:01
PMCR- 2022/12/27
CRDT- 2023/01/17 11:43
PHST- 2022/12/02 00:00 [received]
PHST- 2022/12/19 00:00 [revised]
PHST- 2022/12/23 00:00 [accepted]
PHST- 2023/01/17 11:43 [entrez]
PHST- 2023/01/18 06:00 [pubmed]
PHST- 2023/01/18 06:01 [medline]
PHST- 2022/12/27 00:00 [pmc-release]
AID - nursrep13010002 [pii]
AID - nursrep-13-00002 [pii]
AID - 10.3390/nursrep13010002 [doi]
PST - epublish
SO  - Nurs Rep. 2022 Dec 27;13(1):17-28. doi: 10.3390/nursrep13010002.