Setting and application of a hybrid training course on prone positioning treatment for ICU nurses during epidemics of severe infectious disease

  Objective  To construct a hybrid training course on prone positioning treatment for ICU nurses under emergency conditions and evaluate its implementation effects, providing a basis for further critical care nursing training.

  Methods  Through literature review and expert consultation using the Delphi method, a hybrid(online and offline) training course on prone positioning treatment for ICU nurses was developed. From December 2022 to January 2023, 58 nurses in the emergency ICU and buffer ICU of Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine were selected as the research objects. This study compared the participants'theoretical knowledge, clinical practice scores, and satisfaction with this training before and after the training course.

  Results  Two rounds of expert consultation had a response rate of 100%, with the authority coefficient of 0.795 and Kendall's harmony coefficients of 0.196 and 0.318, respectively. The content validity indexes of this course, S-CVI/UA and S-CVI/Ave, were both 0.948. The hybrid(online and offline) training course on prone positioning treatment included a total of 10 hours. After training, the nurses'theoretical knowledge scores increased from(35.48 ± 15.24) to(89.68 ± 12.51) points, and the clinical operation scores increased from(66.45 ± 8.85) to(91.97 ± 3.75) points, with statistically significant differences(P < 0.05). The participants rated their satisfaction with the training at(11.9 ± 0.32) points, close to the full maximum score of 12 points.

  Conclusions  The course setting is scientific and reasonable. During epidemics of severe infectious disease, the hybrid training course on prone positioning treatment can further improve ICU nurses' special nursing skills. It can provide a theoretical basis for setting up continuous education courses on critical care nursing.