Brief training increases nurses' comfort using tele-ultrasound: A feasibility study
Abstract
Background Nurses and other non-physician providers have demonstrated proficiency at obtaining images in the tele-ultrasound system. However, use of this skill requires comfort with the procedure and willingness to incorporate it into practice.Objectives To assess 1) level of comfort of non-physician providers performing tele-ultrasound before and after brief training and 2) feasibility of implementing an educational programme that improves level of comfort.Methods Feasibility study including a brief training session followed by hands-on tele-ultrasound. The pilot cohort performed tele-ultrasound on a healthy volunteer. The clinical cohort performed tele-ultrasound on criticalli ill patients with shock or respiratory failure. Remote intensivists provided real-time guidance via tele-medicine technology. Each participant completed a survey assessing training experience and level of comfort before and after training.Results Sixteen non-physician providers participated. All participants agreed that the training session prepared them for image acquisition and that the training experience was positive. The number of participants comfortable with ultrasound improved significantly (before vs. after training: 5/16 [31%] vs. 16/16 [100%], mean Likert score 2.7 vs. 4.8, p = 0.001).Conclusions After brief training, participants could comfortably perform tele-ultrasound and were more willing to incorporate it into tele-ICU-directed care. Results support conducting a larger-scale trial of tele-US to assess clinical utility.
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Based on research not included in this systematic review, synchronous RTMUS can be successfully performed with <60 min of training.
“Based on research not included in this systematic review, synchronous RTMUS can be successfully performed with <60 min of training (20, 21, 45, 46).”
From Tele-Ultrasound in Resource-Limited Settings: A Systematic Review (2019) · cites this paper as [46]
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- Authors
- Douglas, T. M., Levine, A. R., Olivieri, P. P., McCurdy, M. T., Papali, A., Zubrow, M. T., Rodick, K. M., Hurley, J. M., & Verceles, A. C.
- Affiliations
- State University of New York (US)
- University of Pittsburgh (US)
- University of Maryland, Baltimore (US)
- Corresponding author
- Verceles, Avelino C.
- ORCID
- Venue
- Intensive and Critical Care Nursing
- Publisher
- Elsevier BV
- Published
- 2019-04
- Volume
- 51
- Pages
- 45-49
- ISSN
- 0964-3397 (ISSN-L)
- OpenAlex
- W2902513030
- Cited by
- 20
- References
- 27
- Citations by year
- 2025: 3 · 2024: 3 · 2023: 4 · 2022: 3 · 2021: 3 · 2020: 2 · 2019: 2
- FWCI
- 1.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Intensive and Critical Care Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Ultrasound in Clinical Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Ultrasound Imaging and Elastography
- Keywords
- tele-ultrasound, point-of-care ultrasound, nurse training, procedural comfort, non-physician providers, tele-ICU, shock, respiratory failure, critical care nursing
- MeSH terms
- Clinical Competence, Humans, Nurses, Pilot Projects, Teaching, Ultrasonography, Cohort Studies, Telemedicine
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