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World J Clin Cases. Feb 16, 2021; 9(5): 999-1004
Published online Feb 16, 2021. doi: 10.12998/wjcc.v9.i5.999
Remote nursing training model combined with proceduralization in the intensive care unit dealing with patients with COVID-19
Hui Wang, Kai Kang, Yang Gao, Bo Yang, Jing Li, Lei Wang, Ying Bi, Kai-Jiang Yu, Qing-Qing Dai, Ming-Yan Zhao
Hui Wang, Kai Kang, Yang Gao, Bo Yang, Jing Li, Lei Wang, Ying Bi, Kai-Jiang Yu, Ming-Yan Zhao, Department of Critical Care Medicine, The First Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang Province, China
Kai-Jiang Yu, Institute of Critical Care Medicine, The Sino Russian Medical Research Center of Harbin Medical University, Harbin 150081, Heilongjiang Province, China
Qing-Qing Dai, Department of Critical Care Medicine, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, Heilongjiang Province, China
Author contributions: Wang H, Kang K, Gao Y, Yang B, Li J, Wang L, Bi Y, Yu KJ, Dai QQ and Zhao MY contributed to the conception of the study; Wang H, Kang K, Gao Y and Zhao MY contributed significantly to manuscript preparation, wrote the manuscript, and helped perform the analysis with constructive discussions; Wang H and Kang K equally contributed to this work.
Supported by The National Natural Science Foundation of China, No. 81772045 and No. 81902000; Teaching project of the First Affiliated Hospital of Harbin Medical University, No. 2017014.
Conflict-of-interest statement: All authors declare that they have no conflicts of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ming-Yan Zhao, PhD, Doctor, Department of Critical Care Medicine, The First Affiliated Hospital of Harbin Medical University, No. 23 Youzheng Street, Harbin 150001, Heilongjiang Province, China. mingyan0927@126.com
Received: October 9, 2020
Peer-review started: October 9, 2020
First decision: November 3, 2020
Revised: November 4, 2020
Accepted: November 13, 2020
Article in press: November 13, 2020
Published online: February 16, 2021
Abstract

The shortage of personal protective equipment and lack of proper nursing training have been endangering health care workers dealing with coronavirus disease 2019 (COVID-19). In our treatment center, the implementation of a holistic care model of time-sharing management for severe and critical COVID-19 patients has further aggravated the shortage of intensive care unit (ICU) professional nurses. Therefore, we developed a short-term specialized and targeted nursing training program to help ICU nurses to cope with stress and become more efficient, thus reducing the number of nurses required in the ICU. In order to avoid possible human-to-human spread, small teaching classes and remote training were applied. The procedural training mode included four steps: preparation, plan, implementation, and evaluation. An evaluation was conducted throughout the process of nursing training. In this study, we documented and shared experiences in transitioning from traditional face-to-face programs to remote combined with proceduralization nursing training mode from our daily work experiences during the COVID-19 pandemic, which has shown to be helpful for nurses working in the ICU.

Keywords: Nursing training model, Remote, Proceduralization, COVID-19, Heilongjiang province, Intensive care unit

Core Tip: The rapid spread of the epidemic and surge of coronavirus disease 2019 (COVID-19) patients have put the health care system under tremendous pressure, and even on the verge of collapse. The implementation of a holistic care model of time-sharing management for severe and critical COVID-19 patients has further aggravated the shortage of intensive care unit (ICU) professional nurses. We tried to document the shared experiences in transitioning traditional face-to-face programs to remote combined with proceduralization nursing training mode during the COVID-19 pandemic, which was shown to be helpful for nurses to adapt to ICU work quickly and make up for the shortage of ICU professional nurses.