OBJECTIVES

The current study aimed to evaluate the impact of an interprofessional simulation-based training program on providers' perception, knowledge, and confidence in proning of pregnant patients with Acute Respiratory Distress Syndrome due to COVID -19 or other causes.

METHODS

A total of 124 healthcare workers who took part in the management of patients in COVID wards and ICUs participated in the study. The simulation workshop was conducted on May 2022 and the participants were divided into interprofessional teams. Standardized patients and mannequins were used to simulate patients with ARDS. Standardized checklists for proning were used. The participants were debriefed after. The participants completed pre- and post-simulation questionnaires.

RESULTS

After the simulation workshop, the participants’ perception on the benefit of prone position in the ventilation of patients with ARDS, level of confidence in handling proning of pregnant patients, comfort in speaking to patient and next of kin regarding prone ventilation, and knowledge on proning significantly improved. Subgroup analysis
showed statistically significant improvements in knowledge scores among registered nurses, resident physicians, and participants with varying degrees of experience managing COVID-19 patients and proning pregnant patients. Majority of participants deemed it was easy to turn patients in the prone position using the supportive pillow as well as expressed confidence in doing the procedure.

CONCLUSION

Interprofessional simulation-based training of healthcare workers improved providers' knowledge and confidence in proning pregnant patients. Simulation based training also improved the comfort of the healthcare professional in advising the patient and next of kin on the benefits of proning.
Human ; World Health Organization ; Respiratory Insufficiency ; Handling (psychology) ; Occupational Groups ; Knowledge

BACKGROUND: The human papillomavirus is associated with 99.7 percent of all cases of cervical cancer. In 2006, the HPV vaccine was launched with the intention of preventing cervical cancer.
OBJECTIVE: To compare the knowledge, attitudes and practices of clinicians from different subspecialties regarding the human papillomavirus vaccine.
MATERIALS AND METHODS: Questionnaire were distributed and answered by consultants from the Department of Obstetrics, Family Medicine and Pediatrics.
RESULTS: A response rate of of 68% was obtained. Respondents attained the highest scores on questions regarding HPV and HPV infection. The lowest scores were on the HPV vaccine, brands available and dosing schedule. Majority agreed that vaccine recommendation will facilitate introduction of the vaccine to their practice. However, concerns regarding issues of sexuality and encouragement of high risk sexual behavior especially in younger adolescents were deemed obstacle to vaccine acceptance. Majority will also recommend the vaccine and were willing to administer the vaccine to a family member.
CONCLUSION: There was no statistical difference among the scores of clinicians from the three departments implying that basic knowledge regarding HPV were similar. Most believe that the recommendation of a higher society will help promote the vaccine. Majority also recognized adolescent autonomy. Issues of sexuality were deemed important and should be discussed among parents, physicians and if applicable, the patient. Studies investigating the long term social impact of the HPV vaccine are needed to validate attitudes regarding the vaccine. Information campaigns should be initiated to disseminate facts about HPV vaccine and to dispel misconceptions which could interfere with its acceptablity.

Papillomavirus Infections ; Uterine Cervical Neoplasms ; Papillomaviridae ; Papillomavirus Vaccines ; Attitude ; Pediatrics