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Medical interns’ reflections on their training in use of personal protective equipment

机译：医疗实习生对使用个人防护装备培训的思考

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AbstractBackgroundThe current COVID-19 pandemic has demonstrated that personal protective equipment (PPE) is essential, to prevent the acquisition and transmission of infectious diseases, yet its use is often sub-optimal in the clinical setting. Training and education are important to ensure and sustain the safe and effective use of PPE by medical interns, but current methods are often inadequate in providing the relevant knowledge and skills. The purpose of this study was to explore medical graduates’ experiences of the use of PPE and identify opportunities for improvement in education and training programmes, to improve occupational and patient safety.MethodsThis study was undertaken in 2018 in a large tertiary-care teaching hospital in Sydney, Australia, to explore medical interns’ self-reported experiences of PPE use, at the beginning of their internship. Reflexive groups were conducted immediately after theoretical and practical PPE training, during hospital orientation. Transcripts of recorded discussions were analysed, using a thematic approach that drew on the COM-B (capability, opportunity, motivation - behaviour) framework for behaviour.Results80% of 90 eligible graduates participated. Many interns had not previously received formal training in the specific skills required for optimal PPE use and had developed potentially unsafe habits. Their experiences as medical students in clinical areas contrasted sharply with recommended practice taught at hospital orientation and impacted on their ability to cultivate correct PPE use.ConclusionsUndergraduate teaching should be consistent with best practice PPE use, and include practical training that embeds correct and safe practices.
机译：AbstractBackground目前的Covid-19大流行已经证明，个人防护装备（PPE）至关重要，以防止收购和传播传染病，但其使用通常在临床环境中次优。培训和教育对于确保和维持医疗实习生的PPE安全有效地使用，但目前的方法往往不足以提供相关知识和技能。本研究的目的是探索医疗毕业生使用PPE的经验，并确定改善教育和培训计划的机会，以改善职业和患者安全。在2018年在大型高等教育教学院进行了一项研究。澳大利亚悉尼，探索医疗实习生的自我报告的PPE使用经验，在实习开始时。在医院取向期间，在理论和实用的PPE培训后立即进行反身组。分析了记录的讨论的成绩单，使用了一个专题方法，其中提取了COM-B（能力，机会，动机 - 行为）的行为框架。结果80％的符合条件的毕业生参与。许多实习生以前没有以最佳PPE使用所需的具体技能接受正式培训，并产生了潜在的不安全的习惯。他们作为医学生在临床领域的医学生的经验急剧性地呈现出在医院取向的推荐实践，并影响其培养正确的PPE使用能力.Conclusunersgraduate教学应与最佳实践使用，包括嵌入正确和安全的实践的实践培训。

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