Nursing Open (Mar 2023)

Expedited upskilling of intermediate care nurses to provide critical care during the COVID‐19 pandemic

  • Rachel Hampton,
  • Carrie E. Outten,
  • Lara Street,
  • Sheila Miranda,
  • Binu Koirala,
  • Patricia M. Davidson,
  • David N. Hager

DOI
https://doi.org/10.1002/nop2.1433
Journal volume & issue
Vol. 10, no. 3
pp. 1767 – 1775

Abstract

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Abstract Aim Describe the strategy, efficacy and preferred mechanisms of training used to rapidly upskill intermediate care nursing staff to provide critical care during the COVID‐19 pandemic. Design Descriptive study. Methods The strategy used from March through December 2020 to upskill nurses in an intermediate care unit to administer critical care upon rapid conversion of the intermediate care unit to an intensive care unit for coronavirus disease 2019 is described. Training and education included paired staffing models, interdisciplinary education, skills days and self‐directed learning. Nurses engaged in this upskilling process were surveyed to evaluate their confidence in new critical care competencies and educational preferences. Results Of 38 intermediate care nurses, 35 completed training and began independent intensive care practice. Nursing confidence in critical care competencies increased steadily. Nurses demonstrated the greatest preference for peer education models, particularly those incorporating the hospital's pre‐existing medical intensive care nurses. Patient and Public Contributions No patient or public contributions were made to this manuscript.

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