Evaluation of change in emergency care knowledge and skills among front-line healthcare providers in Ukraine with the Basic Emergency Care course: a pretest/post-test study
Objective Evaluate the change in participant emergency care knowledge and skill confidence after implementation of the WHO-International Committee of the Red Cross (ICRC) Basic Emergency Care (BEC) course.Design Pretest/post-test quasi-experimental study.Setting Mechnikov Hospital in Dnipro, Ukraine...
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| Format: | Article |
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BMJ Publishing Group
2022-06-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/6/e050871.full |
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| author | Sean M Kivlehan Amy Allen Olha Viun Dmitry A Makarov Daniel Schnorr Sonny Patel Sergii A Ryzhenko Phuong Pham Timothy B Erickson |
| author_facet | Sean M Kivlehan Amy Allen Olha Viun Dmitry A Makarov Daniel Schnorr Sonny Patel Sergii A Ryzhenko Phuong Pham Timothy B Erickson |
| author_sort | Sean M Kivlehan |
| collection | DOAJ |
| description | Objective Evaluate the change in participant emergency care knowledge and skill confidence after implementation of the WHO-International Committee of the Red Cross (ICRC) Basic Emergency Care (BEC) course.Design Pretest/post-test quasi-experimental study.Setting Mechnikov Hospital in Dnipro, Ukraine.Participants Seventy-nine participants engaged in the course, of whom 50 (63.3%) completed all assessment tools. The course was open to healthcare providers of any level who assess and treat emergency conditions as part of their practice. The most common participant profession was resident physician (24%), followed by health educator (18%) and prehospital provider (14%).Interventions The 5-day WHO-ICRC BEC course.Primary and secondary outcome measures Change in pre-course and post-course knowledge and skill confidence assessments. Open-ended written feedback was collected upon course completion and analysed for common themes.Results Participant knowledge assessment scores improved from 19 (IQR 15–20) to 22 (IQR 19–23) on a 25-point scale (p<0.001). Participant skill confidence self-assessment scores improved from 2.5 (IQR 2.1–2.8) to 2.9 (IQR 2.5–3.3) on a 4-point scale (p<0.001). The most common positive feedback themes were high-quality teaching and useful skill sessions. The most common constructive feedback themes were translation challenges and request for additional skill session time.Conclusions This first implementation of the WHO-ICRC BEC course for front-line healthcare providers in Ukraine was successful and well received by participants. This is also the first report of a BEC implementation outside of Africa and suggests that the course is also effective in the European context, particularly in humanitarian crisis and conflict settings. Future research should evaluate long-term knowledge retention and the impact on patient outcomes. Further iterations should emphasise local language translation and consider expanding clinical skills sessions. |
| format | Article |
| id | doaj-art-d39d6cab575a4e898afd769fc1a82963 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-d39d6cab575a4e898afd769fc1a829632025-01-27T22:15:11ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-050871Evaluation of change in emergency care knowledge and skills among front-line healthcare providers in Ukraine with the Basic Emergency Care course: a pretest/post-test studySean M Kivlehan0Amy Allen1Olha Viun2Dmitry A Makarov3Daniel Schnorr4Sonny Patel5Sergii A Ryzhenko6Phuong Pham7Timothy B Erickson8Harvard Medical School, Boston, Massachusetts, USAEmergency Medicine, Denver Health Medical Center, Denver, Colorado, USAOles Honchar Dnipro National University, Dnipro, UkraineDepartment of Anesthesiology and Intensive Care for Patients with Polytrauma, City Hospital No 17, Kiev, UkraineDepartment of Emergency Medicine, Brigham and Women`s Hospital, Boston, Massachusetts, USAHarvard Humanitarian Initiative, Cambridge, Massachusetts, USAMechnikov Hospital, Dnipro, UkraineDepartment of Emergency Medicine, Brigham and Women`s Hospital, Boston, Massachusetts, USAHarvard Humanitarian Initiative, Cambridge, Massachusetts, USAObjective Evaluate the change in participant emergency care knowledge and skill confidence after implementation of the WHO-International Committee of the Red Cross (ICRC) Basic Emergency Care (BEC) course.Design Pretest/post-test quasi-experimental study.Setting Mechnikov Hospital in Dnipro, Ukraine.Participants Seventy-nine participants engaged in the course, of whom 50 (63.3%) completed all assessment tools. The course was open to healthcare providers of any level who assess and treat emergency conditions as part of their practice. The most common participant profession was resident physician (24%), followed by health educator (18%) and prehospital provider (14%).Interventions The 5-day WHO-ICRC BEC course.Primary and secondary outcome measures Change in pre-course and post-course knowledge and skill confidence assessments. Open-ended written feedback was collected upon course completion and analysed for common themes.Results Participant knowledge assessment scores improved from 19 (IQR 15–20) to 22 (IQR 19–23) on a 25-point scale (p<0.001). Participant skill confidence self-assessment scores improved from 2.5 (IQR 2.1–2.8) to 2.9 (IQR 2.5–3.3) on a 4-point scale (p<0.001). The most common positive feedback themes were high-quality teaching and useful skill sessions. The most common constructive feedback themes were translation challenges and request for additional skill session time.Conclusions This first implementation of the WHO-ICRC BEC course for front-line healthcare providers in Ukraine was successful and well received by participants. This is also the first report of a BEC implementation outside of Africa and suggests that the course is also effective in the European context, particularly in humanitarian crisis and conflict settings. Future research should evaluate long-term knowledge retention and the impact on patient outcomes. Further iterations should emphasise local language translation and consider expanding clinical skills sessions.https://bmjopen.bmj.com/content/12/6/e050871.full |
| spellingShingle | Sean M Kivlehan Amy Allen Olha Viun Dmitry A Makarov Daniel Schnorr Sonny Patel Sergii A Ryzhenko Phuong Pham Timothy B Erickson Evaluation of change in emergency care knowledge and skills among front-line healthcare providers in Ukraine with the Basic Emergency Care course: a pretest/post-test study BMJ Open |
| title | Evaluation of change in emergency care knowledge and skills among front-line healthcare providers in Ukraine with the Basic Emergency Care course: a pretest/post-test study |
| title_full | Evaluation of change in emergency care knowledge and skills among front-line healthcare providers in Ukraine with the Basic Emergency Care course: a pretest/post-test study |
| title_fullStr | Evaluation of change in emergency care knowledge and skills among front-line healthcare providers in Ukraine with the Basic Emergency Care course: a pretest/post-test study |
| title_full_unstemmed | Evaluation of change in emergency care knowledge and skills among front-line healthcare providers in Ukraine with the Basic Emergency Care course: a pretest/post-test study |
| title_short | Evaluation of change in emergency care knowledge and skills among front-line healthcare providers in Ukraine with the Basic Emergency Care course: a pretest/post-test study |
| title_sort | evaluation of change in emergency care knowledge and skills among front line healthcare providers in ukraine with the basic emergency care course a pretest post test study |
| url | https://bmjopen.bmj.com/content/12/6/e050871.full |
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