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Table 3 Confidence assessment ratings of “very comfortable” for selected skills

From: Applying the WHO-ICRC BEC course to train emergency and inpatient healthcare workers in Sierra Leone early in the COVID-19 outbreak

 

Baseline

(n = 31)

Post-training

(n = 31)

Six months

(n = 20)

 

n (%)

n (%)

p-value*

n (%)

p-value^

Assessing patients in an emergency department

11 (35%)

19 (61%)

0.02

14 (70%)

0.11

Determining if a patient is stable or unstable

8 (26%)

16 (52%)

0.02

13 (65%)

0.03

Recognizing signs of shock

11 (35%)

19 (61%)

0.06

16 (80%)

0.07

Recognizing signs of sepsis

3 (10%)

18 (58%)

 < 0.001

10 (50%)

0.008

Recognizing and assessing altered mental status

4 (13%)

18 (58%)

 < 0.001

8 (40%)

0.02

Assessment and management of patient with difficulty breathing

8 (26%)

22 (71%)

 < 0.001

17 (85%)

0.002

Assessment and management of patient with fever

14 (45%)

25 (81%)

0.005

18 (90%)

0.02

Suctioning the airway

13 (42%)

21 (68%)

0.06

16 (80%)

0.008

Repositioning the airway

8 (26%)

20 (65%)

0.004

14 (70%)

0.02

Inserting an oral airway

6 (19%)

19 (61%)

0.001

13 (65%)

0.04

Inserting a nasopharyngeal airway

6 (19%)

17 (55%)

0.007

11 (55%)

0.11

Managing a choking patient

2 (6%)

17 (55%)

 < 0.001

8 (40%)

0.07

Administering oxygen

19 (61%)

22 (71%)

0.51

19 (95%)

0.03

Using a bag valve mask

9 (29%)

20 (65%)

0.01

13 (65%)

0.02

Performing a needle thoracostomy

2 (6%)

15 (48%)

0.001

1 (5%)

1.0

  1. *McNemar’s exact chi-squared for paired data between baseline and immediate post-training
  2. ^McNemar’s exact chi-squared for paired data between baseline and month six
  3. AVPU Alert, voice, pain, unresponsive, ABCDE Airway, breathing, circulation, disability, exposure