Evaluation of Chemical, Biological, Radiological, Nuclear, Explosives (CBRNE) Knowledge Change and Skills Confidence Among Frontline-Line Providers During the Russia-Ukraine War.
Evaluation of Chemical, Biological, Radiological, Nuclear, Explosives (CBRNE) Knowledge Change and Skills Confidence Among Frontline-Line Providers During the Russia-Ukraine War.
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DOI：
10.1017/dmp.2023.52
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发表时间：
2023-05-09
影响因子：
2.7
通讯作者：
Kivlehan, Sean M.
中科院分区：
文献类型：
--
作者：
Erickson, Timothy B.;Harvin, Donell;Schmid, Alexis;Loevinsohn, Gideon;Poriechna, Anna;Martyshyn, Oleg;Kliukach, Kryrylo;Sydlowski, Meaghan;Strong, Jonathan;Kivlehan, Sean M.
评估在俄乌战争期间实施化生放核（CBRNE）培训课程后知识和技能信心的变化。
在乌克兰的基辅、第聂伯罗、扎波罗热和敖德萨进行的前测/后测研究。2022年8月至10月的3个月期间开展了15次化生放核课程。通过课程前后的笔试以及在训练演习中观察到的实践技能评估来评估知识和技能信心的变化。基于非参数的威尔科克森配对符号秩检验分析变化。对前后自我效能感调查采用麦克尼马尔配对数据检验进行分析。通过标准化问题进行课程评估，这些问题评估教学质量、教学相关性、知识获取以及课程后的技能信心。
523名参与者报名并完成了15门课程中的一门。课程前测试的总体平均分数为57.8%（标准差20.7%）；课程后测试的平均分数为81.4%（标准差11.3%）；测试分数提高的参与者占90.7%；分数的平均差值（95%置信区间）为23.6%（21.2% - 25.9%），p<0.0001。前后自我效能感调查（4点李克特量表）表明，参与者认识到化生放核事件的体征和症状以及处理化生放核暴露的必要技能，p<0.0001。
在乌克兰为一线提供者实施的这一化生放核课程是成功的。据我们所知，这是在当前俄乌战争期间首次实施的实地课程。未来的研究应评估知识的保留情况以及我们创新的“培训培训师”模式的影响。进一步的迭代应强调增加培训设备的数量和实践技能课程。
To evaluate the change in knowledge and skill confidence after implementation of a CBRNE training course during the Russia-Ukraine War. Pre/post-test study in the Ukrainian cities of Kyiv, Dnipro, Zaporizhzhia, and Odesa. Fifteen CBRNE courses were conducted over a 3-month period, August – October 2022. Change in knowledge and skills confidence were evaluated with pre/post-course written exams and practical skill assessments that were observed during the training exercises. Changes were analyzed based on nonparametric Wilcoxon matched-pairs signed-rank testing. Pre/post self-efficacy surveys were analyzed with McNemar’s test for paired data. Course evaluations were conducted with standardized questions which assessed instruction quality, teaching relevance, knowledge gained, and post-course skills confidence. 523 participants registered and completed one of the fifteen courses. Overall mean pre-course test score: 57.8% (SD 20.7%); mean post-course test score: 81.4% (SD 11.3%); participants with increasing test scores: 90.7%; mean difference in score (95% CI) 23.6% (21.2%–25.9%), p<0.0001. Pre/post self-efficacy surveys (4-point Likert scale) noted participants recognized signs and symptoms of a CBRNE incident, and necessary skills to manage CBRNE exposures, p<0.0001. The implementation of this CBRNE course for front-line providers in Ukraine was successful. To our knowledge, it was the first implementation of a field course during the current Russian-Ukraine war. Future research should evaluate knowledge retention and impact of our innovative “train-the trainer” model. Further iterations should emphasize expanding the quantity of training equipment and practical skill sessions.
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