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Preparing an orthopedic department for COVID-19: Lessons learned from reorganization and educational activities

Background and purpose — The COVID-19 pandemic has disrupted healthcare services around the world. We (1) describe the organizational changes at a level 1 trauma center, (2) investigate how orthopedic healthcare professionals perceived the immense amount of information and educational activities, an...

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Autores principales: Jensen, Rune Dall, Bie, Magnus, Gundsø, Anne Plønd, Schmid, Johannes Martin, Juelsgaard, Joachim, Gamborg, Maria Louise, Mainz, Hanne, Rölfing, Jan Duedal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8023962/
https://www.ncbi.nlm.nih.gov/pubmed/32907437
http://dx.doi.org/10.1080/17453674.2020.1817305
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author Jensen, Rune Dall
Bie, Magnus
Gundsø, Anne Plønd
Schmid, Johannes Martin
Juelsgaard, Joachim
Gamborg, Maria Louise
Mainz, Hanne
Rölfing, Jan Duedal
author_facet Jensen, Rune Dall
Bie, Magnus
Gundsø, Anne Plønd
Schmid, Johannes Martin
Juelsgaard, Joachim
Gamborg, Maria Louise
Mainz, Hanne
Rölfing, Jan Duedal
author_sort Jensen, Rune Dall
collection PubMed
description Background and purpose — The COVID-19 pandemic has disrupted healthcare services around the world. We (1) describe the organizational changes at a level 1 trauma center, (2) investigate how orthopedic healthcare professionals perceived the immense amount of information and educational activities, and (3) make recommendations on how an organization can prepare for disruptive situations such as the COVID-19 pandemic in the future. Methods — We conducted a retrospective survey on the organizational restructuring of the orthopedic department and the learning outcomes of a needs-driven educational program. The educational activities were evaluated by a non-validated, 7-item questionnaire. Results — The hospital established 5 COVID-19 clusters, which were planned to be activated in sequential order. The orthopedic ward comprised cluster 4, where orthopedic nursing staff were teamed up with internal medicine physicians, while the orthopedic team were redistributed to manage minor and major injuries in the emergency department (ED). The mean learning outcome of the educational activities was high–very high, i.e., 5.4 (SD 0.7; 7-point Likert scale). Consequently, the staff felt more confident to protect themselves and to treat COVID-19 patients. Interpretation — Using core clinical competencies of the staff, i.e., redistribution of the orthopedic team to the ED, while ED physicians could use their competencies treating COVID-19 patients, may be applicable in other centers. In-situ simulation is an efficient tool to enhance non-technical and technical skills and to facilitate organizational learning in regard to complying with unforeseen changes.
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spelling pubmed-80239622021-04-22 Preparing an orthopedic department for COVID-19: Lessons learned from reorganization and educational activities Jensen, Rune Dall Bie, Magnus Gundsø, Anne Plønd Schmid, Johannes Martin Juelsgaard, Joachim Gamborg, Maria Louise Mainz, Hanne Rölfing, Jan Duedal Acta Orthop Research Article Background and purpose — The COVID-19 pandemic has disrupted healthcare services around the world. We (1) describe the organizational changes at a level 1 trauma center, (2) investigate how orthopedic healthcare professionals perceived the immense amount of information and educational activities, and (3) make recommendations on how an organization can prepare for disruptive situations such as the COVID-19 pandemic in the future. Methods — We conducted a retrospective survey on the organizational restructuring of the orthopedic department and the learning outcomes of a needs-driven educational program. The educational activities were evaluated by a non-validated, 7-item questionnaire. Results — The hospital established 5 COVID-19 clusters, which were planned to be activated in sequential order. The orthopedic ward comprised cluster 4, where orthopedic nursing staff were teamed up with internal medicine physicians, while the orthopedic team were redistributed to manage minor and major injuries in the emergency department (ED). The mean learning outcome of the educational activities was high–very high, i.e., 5.4 (SD 0.7; 7-point Likert scale). Consequently, the staff felt more confident to protect themselves and to treat COVID-19 patients. Interpretation — Using core clinical competencies of the staff, i.e., redistribution of the orthopedic team to the ED, while ED physicians could use their competencies treating COVID-19 patients, may be applicable in other centers. In-situ simulation is an efficient tool to enhance non-technical and technical skills and to facilitate organizational learning in regard to complying with unforeseen changes. Taylor & Francis 2020-09-10 /pmc/articles/PMC8023962/ /pubmed/32907437 http://dx.doi.org/10.1080/17453674.2020.1817305 Text en © 2020 The Author(s). Published by Taylor & Francis on behalf of the Nordic Orthopedic Federation http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Jensen, Rune Dall
Bie, Magnus
Gundsø, Anne Plønd
Schmid, Johannes Martin
Juelsgaard, Joachim
Gamborg, Maria Louise
Mainz, Hanne
Rölfing, Jan Duedal
Preparing an orthopedic department for COVID-19: Lessons learned from reorganization and educational activities
title Preparing an orthopedic department for COVID-19: Lessons learned from reorganization and educational activities
title_full Preparing an orthopedic department for COVID-19: Lessons learned from reorganization and educational activities
title_fullStr Preparing an orthopedic department for COVID-19: Lessons learned from reorganization and educational activities
title_full_unstemmed Preparing an orthopedic department for COVID-19: Lessons learned from reorganization and educational activities
title_short Preparing an orthopedic department for COVID-19: Lessons learned from reorganization and educational activities
title_sort preparing an orthopedic department for covid-19: lessons learned from reorganization and educational activities
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8023962/
https://www.ncbi.nlm.nih.gov/pubmed/32907437
http://dx.doi.org/10.1080/17453674.2020.1817305
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