Evidence map›Paper›PMID 39347807›Full record

ArticleIntensive care medicine2024

The impact of the massive open online course C19_SPACE during the COVID-19 pandemic on clinical knowledge enhancement: a study among medical doctors and nurses.

Maurizio Cecconi, Anita Barth, Gergő József Szőllősi, Gizella Melania Istrate, Joel Alexandre, Frantisek Duska, Stefan J Schaller, Carole Boulanger, Johannes Mellinghoff, Peter Waldauf and 5 more

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Article in Intensive care medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. The environmental cost of learning: COIntensive care medicine · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Maurizio CecconiDepartment of Biomedical Sciences, Humanitas University, Via Levi Montalcini, Pieve Emanuele, Milan, Italy. maurizio.cecconi@hunimed.eu.ORCID 0000-0002-4376-6538
Anita BarthFaculty of Health Sciences, Department of Nursing and Midwifery, University of Debrecen, Debrecen, Hungary.
Gergő József SzőllősiFaculty of Economics and Business, Coordination Center for Research in Social Sciences, University of Debrecen, Debrecen, Hungary.
Gizella Melania IstrateEuropean Society of Intensive Care Medicine (ESICM), Brussels, Belgium.
Joel AlexandreEuropean Society of Intensive Care Medicine (ESICM), Brussels, Belgium.
Frantisek Duska3rd Faculty of Medicine, Department of Anesthesiology and Intensive Care, Charles University and Kralovske Vinohrady University Hospital in Prague, Prague, Czech Republic.
Stefan J SchallerDepartment of Anesthesiology and Intensive Care Medicine (CCM/CVK), Charité - Universitätsmedizin Berlin, Berlin, Germany.
Carole BoulangerDepartment of Intensive Care, Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK.
Johannes MellinghoffSchool of Sports and Health Sciences, University of Brighton, Brighton, UK.
Peter Waldauf3rd Faculty of Medicine, Department of Anesthesiology and Intensive Care, Charles University and Kralovske Vinohrady University Hospital in Prague, Prague, Czech Republic.
Armand R J GirbesDepartment of Intensive Care Medicine, Research VUmc Intensive Care (REVIVE), Amsterdam Medical Data Science (AMDS), Amsterdam Cardiovascular Sciences (ACS), Amsterdam Infection and Immunity Institute (AI&II), UMC, Location VUmc, VU Amsterdam, Amsterdam, The Netherlands.
Lennie DerdeDepartment of Intensive Care Medicine, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Jan J De WaeleDepartment of Critical Care Medicine, Ghent University Hospital, Ghent, Belgium.
Elie AzoulayMédecine Intensive and Réanimation, Hôpital Saint-Louis, Assistance Publique-Hôpitaux de Paris, Université Paris Cité, Paris, France.
Jozef KeseciogluDepartment of Intensive Care Medicine, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.

Funding

European Commission tender SANTE/2020/B/041
6 · The paper itself

Abstract

purposeDuring the initial phase of the pandemic, healthcare professionals faced difficulties due to the limited availability of comprehensive learning resources on managing patients affected with coronavirus disease 2019 (COVID-19). The COVID-19 Skills Preparation Course (C19_SPACE) was tailored to meet the overwhelming demand for specialized training. The primary objective of this study was to assess the efficacy and impact of this program on enhancing clinical knowledge and to identify factors affecting this improvement.

methodsAs part of the project, data were collected prospectively to measure the baseline knowledge. After the descriptive statistics, multiple and multivariate logistic regression models were executed to identify the factors associated with knowledge increase.

resultsThe final sample included 3140 medical doctors (MDs) and 3090 nurses (RNs). For the primary analysis, the mean value of the baseline knowledge test score of MDs was 62.41 (standard deviation, SD = 13.48), and it significantly (p < 0.001) increased to 84.65 (SD = 11.95). Factors influencing overall knowledge scores were female sex (AOR = 1.34 [1.04-1.73]), being a specialist qualified for intensive care medicine (adjusted odds ratio, AOR = 0.56, [0.33-0.96]), and performance on the pre-test (AOR = 0.91, [0.90-0.92]). As for the RNs, the mean value of the total knowledge score was 63.25 (SD = 13.53), which significantly (p < 0.001) increased to 81.51 (SD = 14.21). Factor associated with knowledge was performance on the pre-test (AOR = 0.92 [0.92-0.93]).

conclusionsC19_SPACE effectively increased the clinical knowledge of doctors and nurses. The effect was more pronounced in the program's target group of healthcare workers with less experience in the intensive care unit (ICU). Other factors associated with knowledge enhancement were sex and being a specialist in intensive care.

Indexed as

Clinical CompetenceCOVID-19AdultEducation, DistanceFemaleHumansMaleMiddle AgedNursesPandemicsPhysiciansProspective StudiesSARS-CoV-2EducationIntensive careKnowledge enhancementPandemic

Identifiers

PMID39347807

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.