High-consequence infectious diseases: the conception and development of a multi-disciplinary, interprofessional simulation training programme

J Hosp Infect. 2024 May:147:87-97. doi: 10.1016/j.jhin.2024.02.003. Epub 2024 Feb 23.

Abstract

Background: High-consequence infectious diseases (HCIDs) represent a group of acute infectious diseases with the potential to impact healthcare systems and public health profoundly. Effective management requires a system-based strategy focused on early detection, initiation of infection prevention and control measures, and appropriate use of personal protective equipment (PPE). Inadequate training in the safe use of HCID PPE, and lack of familiarity with key processes such as HCID waste and spills management, exacerbates the risk posed to healthcare workers (HCWs). Enhanced training opportunities are required to ensure that staff are equipped with the necessary knowledge and capabilities to protect themselves from pathogen exposure and infection.

Aim: To create a bespoke interprofessional HCID simulation training programme.

Methods: A detailed learning needs analysis was undertaken, which identified multiple areas amenable to educational intervention. A full-day HCID simulation programme was developed, providing HCWs the opportunity to practice and gain proficiency in various domains.

Findings: Six interprofessional participants took part in the HCID simulation programme pilot. All six (100%) participants felt that the stated learning objectives had been achieved, and five and one participants found the programme to be extremely useful (83%) or very useful (17%), respectively. Following refinement based on pilot feedback, a further six courses have been run for 38 participants, of whom 97% found the programme to be extremely useful or very useful.

Conclusion: The development of a training intervention in the low-frequency, high-risk field of HCIDs had a positive impact. Given the disproportionate impact on HCWs at times of HCID outbreaks, more investment is needed to keep the workforce upskilled.

Keywords: High-consequence infectious diseases; Infection prevention and control; Interprofessional; PPE; Simulation.

MeSH terms

  • Communicable Diseases
  • Health Personnel* / education
  • Humans
  • Infection Control / methods
  • Simulation Training* / methods