Novel Deployment of Pediatric Biocontainment Unit Nurses in Response to COVID-19

Kinlay, Stephanie Heather; Whiting, Jon; Audain, Pascale; Conrad, Paula; Kulma, Amy; Agus, Michael S. D.; Sandora, Thomas J.

doi:10.1097/01.naj.0000799008.92892.b4

Cited by 5 publications

(3 citation statements)

References 3 publications

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“…Planning and training are essential steps in HLIU preparedness; testing a plan during an exercise provides an opportunity to use, evaluate and identify gaps in SOPs, while an after-action review can function as a checklist for necessary improvements 31. Along with HLIU skills and SOPs, incorporation of Hospital Incident Command System (ICS), unit activation, transport and research processes have been highlighted as areas to exercise 32…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…31 Along with HLIU skills and SOPs, incorporation of Hospital Incident Command System (ICS), unit activation, transport and research processes have been highlighted as areas to exercise. 32 Main focal areas for HLIU staff training include PPE donning and doffing, using checklists and a trained observer, IPC and skills training in PPE, waste management, and specimen collection and processing. Other areas incorporated into training are team building and communication.…”

Section: Bmj Global Healthmentioning

confidence: 99%

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A narrative review of high-level isolation unit operational and infrastructure features

et al. 2023

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High-level isolation units (HLIUs) are specially designed facilities for care and management of patients with suspected or confirmed high-consequence infectious diseases (HCIDs), equipped with unique infrastructure and operational features. While individual HLIUs have published on their experiences caring for patients with HCIDs and two previous HLIU consensus efforts have outlined key components of HLIUs, we aimed to summarise the existing literature that describes best practices, challenges and core features of these specialised facilities. A narrative review of the literature was conducted using keywords associated with HLIUs and HCIDs. A total of 100 articles were used throughout the manuscript from the literature search or from alternate methods like reference checks or snowballing. Articles were sorted into categories (eg, physical infrastructure, laboratory, internal transport); for each category, a synthesis of the relevant literature was conducted to describe best practices, experiences and operational features. The review and summary of HLIU experiences, best practices, challenges and components can serve as a resource for units continuing to improve readiness, or for hospitals in early stages of developing their HLIU teams and planning or constructing their units. The COVID-19 pandemic, a global outbreak of mpox, sporadic cases of viral haemorrhagic fevers in Europe and the USA, and recent outbreaks of Lassa fever, Sudan Ebolavirus, and Marburg emphasise the need for an extensive summary of HLIU practices to inform readiness and response.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Bmj Global Healthmentioning

confidence: 99%

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A narrative review of high-level isolation unit operational and infrastructure features

et al. 2023

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The biosafety incident response competence scale for clinical nursing staff: a development and validation study

Wu,

Zhang,

Zhang

et al. 2024

BMC Nurs

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Aims This study was designed to develop a biosafety incident response competence scale and evaluate its validity and reliability among clinical nurses. Design This study employed a sequential approach, comprising four phases: (1) the establishment of a multidimensional conceptual model, (2) the preliminary selection of the items, (3) further exploration and psychometric testing of the items, (4) the application of the scale among clinical nurses. Methods The biosafety incident response competence conceptual model was developed through literature review and the Delphi method. A total of 1,712 clinical nurses participated in the preliminary items selection, while 1,027 clinical nurses were involved in the further psychometric testing from July 2023 to August 2023. The item analysis, exploratory factor analysis and confirmatory factor analysis were conducted to evaluate the construct validity. Reliability was measured using Cronbach’s alpha, split-half reliability, and test-retest reliability, while validity analysis included content validity, structural validity, convergent validity, and discriminant validity. From September to November 2023, we conducted a survey using the established scale with a total of 4338 valid questionnaires collected. T-test and variance analysis was employed to determine potential variations in biosafety incident response competence based on participants characteristics. Results The final scale is composed of 4 factors and 29 items, including monitoring and warning abilities, nursing disposal abilities, biosafety knowledge preparedness, and infection protection abilities. The explanatory variance of the 4 factors was 75.100%. The Cronbach’s alpha, split-half reliability and test-retest reliability were 0.974, 0.945 and 0.840 respectively. The Scale-level content validity index was 0.866. The Average Variance Extracted of the 4 factors was larger than 0.5, the Construct Reliability was larger than 0.7, and the Heterotrait-Monotrait ratio were less than 0.9. There were significant differences in the scores of response competence among nurses of different ages, working years, titles, positions, departments, marital status and participation in biosafety training (all P < 0.05). Conclusions The biosafety incident response competence scale for nurses exhibits satisfactory reliability and validity, making it a valuable tool for assessing clinical nurses’ abilities in responding to biosafety incidents.

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Construction of an index system of the biosafety incident response capability for nursing staff: A Delphi study

Wu,

Zhang,

Zhang

et al. 2023

Preprint

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Aim: This study was to establish an index system of the biosafety incident response capability for nursing staff. Background: Faced with austere situations of the biosafety threat, the study on the requirement for nursing staff to respond to the biosafety incidents is not clear. Methods. A modified recommendation for the Conducting and Reporting of Delphi studies was used to guide this study. After two-round Delphi survey, 28 nursing specialists from 6 provinces and cities around China, with expertise in three prevention research, epidemiology, military health service and biosafety incident rescue, established the index system of the biosafety incident response capability for nursing staff. Results: The index system of the biosafety incident response capability for nursing staff following the two-round Delphi survey is composed of 4 primary indicators, namely, biosafety incident preparedness, monitoring capability, protection ability and nursing disposal capabilities, 10 secondary indicators and 49 tertiary indicators. The authority coefficient, judgment coefficient and familiarity degree of Delphi experts were 0.877, 0.911 and 0.843 respectively. Conclusions: The index system of the biosafety incident response capability for nursing staff is scientific and reliable. It is helpful for nursing staff to perform better in biosafety incident by clarifying the specific items of biosafety response capability. Relevance to clinical practice: Nursing staff, who are part of clinical workers, play an important role in maintaining biosafety. They must make clear how to manage the pertinent instances in light of the growing biosafety concern. The nursing staff can use the index system of the biosafety incident response capacity as a training resource to enhance their preparedness for the response, monitoring and early warning, protection and sensitivity management, and nursing disposal capabilities.

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Novel Deployment of Pediatric Biocontainment Unit Nurses in Response to COVID-19

Cited by 5 publications

References 3 publications

A narrative review of high-level isolation unit operational and infrastructure features

A narrative review of high-level isolation unit operational and infrastructure features

The biosafety incident response competence scale for clinical nursing staff: a development and validation study

Construction of an index system of the biosafety incident response capability for nursing staff: A Delphi study

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