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KMID : 1150720200090030015
Integrative Medicine Research
2020 Volume.9 No. 3 p.15 ~ p.15
Investigating effects of healthcare simulation on personal strengths and organizational impacts for healthcare workers during COVID-19 pandemic: a cross-sectional study
Cheung Victor Kai-Lam

So Eric Hang-Kwong
Ng George Wing-Yiu
So Sze-Sze
Hung Jeff Leung-Kit
Chia Nam-Hung
Abstract
Background: This cross-sectional study aimed at evaluating impacts of healthcare simulation training, either in-situ or lab-based, on personal strengths of healthcare workers (HCWs) and organizational outcomes during the COVID-19 pandemic.

Methods: COVID-19 Taskforce was established to formulate standardized scenario-based simulation training materials in late-January 2020. Post-training questionnaires made up of 5-point Likert scales were distributed to all participants to evaluate their personal strengths, in terms of i) assertiveness, ii) mental preparedness, iii) self-efficacy, iv) internal locus of control, and v) internal locus of responsibility. Independent sample t-tests were used to analyze between-group difference in ¡°In-situ¡± and ¡°Lab-based¡± group; and one-sample t-tests were used to compare change in personal strengths with reference point of 3 (Neutral). Kirkpatrick¡¯s Model served as the analytical framework for overall training effects.

Results: Between 05 February and 18 March 2020, 101 sessions of simulation training were conducted in ¡°In-Situ¡± at either Accident & Emergency Department (20, 20%) or Intensive Care Unit (15, 14%) and ¡°Lab-based¡± for Isolation (30, 30%) and General Wards (36, 36%). 1,415 hospital staff members, including 1,167 nurses (82%), 163 doctors (12%) and 85 patient care assistants (6%), were trained. All domains of personal strengths were scored 4.24 or above and statistically significantly increased when comparing with reference population (p < .001). However, no significant differences between in-situ and lab-based simulation were found (p > .05), for all domains of personal strengths.

Conclusion: Healthcare simulation training enhanced healthcare workers¡¯ personal strengths critical to operational and clinical outcomes during the COVID-19 pandemic.
KEYWORD
COVID-19, Simulation Training, Personal Strengths, In-Situ, Healthcare Worker
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