Nasopharyngeal Swab Education for COVID-19

Outline

Introduction

Knowledge Focused Trigger

Organizational Priorities

Current Practice

PICOT Question

Literature Review

Appraisal of Evidence

Synthesis of Evidence

Strengths and Limitations

Summary of Findings

Information Gathering

Recommendations

Conclusion

References

Introduction

https://covid19.who.int

Knowledge Focused Trigger

Organizational Priorities

Current Practice

Information Gathering

PICOT Question

Are educated MedSurg nurses (I) more successful in performing COVID-19 nasopharyngeal swabs (P) compared with non-educated MedSurg nurses (C) for accurate COVID-19 test results (O)?

Literature Review

Databases/ Sources of Articles

Key Words: COVID-19, Nasopharyngeal swab, education, training, video, medical-surgical, nurse

PubMed

CINAHL Library

A search using the keywords above produced a total of __ articles. After eliminating duplicates or out-of-date articles, and those that were non-applicable, our number of pertinent articles was reduced to 10.

Appraisal of Evidence

Level of Evidential Strength*	Number of Studies	Overall Quality
Level I: Evidence obtained from experimental studies, such as RCTs, & systematic reviews, with or without meta-analysis.	For example (2)	For example (A)
Level II: Evidence obtained from quasi-experimental studies, or systematic reviews consisting of a combination of RCTs & quasi-experimental studies.
Level III: Evidence obtained from non-experimental studies, mixed-method studies, & qualitative studies.
Level IV: Opinions of respected authorities or nationally recognized subject matter expert committees based on scientific evidence.
Level V: Based non-research evidence such as literature reviews, case studies, quality improvement, & expert opinion based on experiential evidence.	6	B

Base the Appraisal of Evidence using The Johns Hopkins Nursing Evidence-based Practice Rating Scale (check the uploaded scale)

Number of Studies: Based on the following articles in the Reference list.

Strengths and Limitations

Strengths:

Limitations:

Synthesis of Evidence

Article	Level of Evidence	Grade	Summary
Abud et al.	II (Example only)	B (Example only)	(Example Only) A quasi-experimental study in which a visual-focused video regarding toileting assistance was developed for patient education. A feasibility trial was conducted in an acute ward.
Bwire et al.
Chaghari et al.
Chee et al.
Li et al.
Mark et al.
Pondaven-Letourmy et al.
Any other articles you search?
Any other articles you search?
Any other articles you search?

Base the Appraisal of Evidence using The Johns Hopkins Nursing Evidence-based Practice Rating Scale (check the uploaded scale)

Summary of Findings

Recommendations

In-service training

Reinforce teaching back to measure knowledge

Appoint a designated person to teach each floor (Superuser)

Use visual models

Training session with video instruction and live demonstration

3D printed nose models during swab training sessions

Conclusion

References

Abud, B. T., Hajnas, N. M., Redleaf, M., Kerolus, J. L., & Lee, V. (2020). Assessing the Impact of a Training Initiative for Nasopharyngeal and Oropharyngeal Swabbing for COVID-19 Testing. OTO open, 4(3), 2473974X20953094. https://doi.org/10.1177/2473974X20953094

Bwire, G. M., Majigo, M. V., Njiro, B. J., & Mawazo, A. (2020). Detection profile of sars‐cov‐2 using rt‐pcr in different types of clinical specimens: A systematic review and meta‐analysis. Journal of Medical Virology. https://doi.org/10.1002/jmv.26349

Chaghari, M., Saffari, M., Ebadi, A., & Ameryoun, A. (2017). Empowering education: A new model for in-service training of nursing staff. Journal of Advances in Medical Education & Professionalism, 5(1), 26–32.

Chee J, Lin X, Lim WS, Loh WS, Thong M, Ng L. Using 3D-printed nose models in nasopharyngeal swab training. Oral Oncol. 2020 Oct 8:105033. doi: 10.1016/j.oraloncology.2020.105033.

Li, L., Shim, T., & Zapanta, P. E. (2020). Optimization of COVID-19 testing accuracy with nasal anatomy education. American journal of otolaryngology,

42(1), 102777. Advance online publication. https://doi.org/10.1016/j.amjoto.2020.102777

References

Mark, M. E., LoSavio, P., Husain, I., Papagiannopoulos, P., Batra, P. S., & Tajudeen, B. A. (2020). Effect of implementing simulation education on health care worker comfort with nasopharyngeal swabbing for covid-19. Otolaryngology–Head and Neck Surgery, 163(2), 271–274. https://doi.org/10.1177/0194599820933168

Pondaven-Letourmy, S., Alvin, F., Boumghit, Y., & Simon, F. (2020). How to perform a nasopharyngeal swab in adults and children in the covid-19 era. European Annals of Otorhinolaryngology, Head and Neck Diseases, 137(4), 325–327. https://doi.org/10.1016/j.anorl.2020.06.001

World Health Organization. WHO coronavirus disease (COVID-19) dashboard. Published 2020. Accessed November 16, 2020. https://covid19.who.int

References