Injury prevention in the emergency department - A caregiver's perspective
Injury prevention in the emergency department - A caregiver's perspective
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DOI：
10.1097/pec.0b013e318180fddd
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发表时间：
2008-08-01
影响因子：
1.4
通讯作者：
Williams, Katie
中科院分区：
文献类型：
--
作者：
Gittelmah, Michael A.;Pomerantz, Wendy J.;Williams, Katie
背景资料：急诊科医生及其工作人员护理高危受伤患者，使急诊科（艾德）成为讨论伤害预防（IP）的适当场所。目的：确定家庭对艾德就诊期间IP信息传递的接受程度和短期有效性。方法：在城市儿科急诊室进行了一项横断面调查。有任何主要投诉的15岁以下儿童的护理人员被邀请参与。调查包括护理人员的背景，他们的初级保健儿科医生收到的IP信息，以及他们在ED接收IP信息的愿望。在调查完成后，参与者得到了一个适合年龄的IP讲义。随访电话调查，在2周，以确定照顾者的满意度和任何自我报告的IP的变化made.Results：二百五十一照顾者进行了接洽。有246例（98%）。有兴趣在艾德接收IP信息，217人（86%）同意参与。93%的人认为艾德应提供IP信息; 83%的人认为即使延长艾德访视时间也应该提供IP信息。在由谁提供信息或如何提供信息方面，参与者之间没有显著差异。217人中有130人（60%）完成了后续调查。97%的人认为知识产权信息是有用的，63%的人将讲义放在可检索的地方。百分之二十八的照顾者谁完成了后续调查报告，以改变他们的安全行为，由于他们的艾德encounter.Conclusions：许多家庭在城市儿科艾德希望IP信息在艾德设置。在艾德环境中进行简单的IP干预可能会鼓励家庭为孩子采取更安全的行为。
Background: Emergency medicine physicians and their staff care for high-risk injured patients, making the emergency department (ED) an appropriate place to discuss injury prevention (IP).Objective: To determine family receptiveness to and short-term effectiveness of IP information delivery during an ED visit.Methods: A cross-sectional survey was conducted in an urban pediatric ED. Caregivers of children younger than 15 years, with any chief complaint, were approached to participate. The survey consisted of caregiver's background, IP information received by their primary care pediatrician, and their wishes for receiving IP information in the ED. At survey completion, participants were given an age-appropriate IP handout. Follow-up phone surveys were made,at 2 weeks to determine caregiver satisfaction and any self-reported IP changes made.Results: Two hundred fifty-one caregivers were approached. Two hundred forty-six (98%) were. interested in receiving IP information in the ED, and 217 (86%) consented to participate. Ninety-three percent felt that the ED should provide IP information; 83% believed it should be offered even if it prolonged their ED visit. There was no significant difference among participants with regard to who should provide the information or how it should be provided. One hundred thirty (60%) of 217 completed the follow-up survey. Ninety-seven percent felt that the IP information was useful, and 63% kept the handout in a retrievable place. Twenty-eight percent of caregivers who completed the follow-up survey reported to change their safety behavior as a result of their ED encounter.Conclusions: Many families surveyed in an urban pediatric ED wished for IP information in the ED setting. A simple IP intervention in an ED setting may encourage families to practice safer behaviors for their children.