Children's safety initiative: a national assessment of pediatric educational needs among emergency medical services providers.
Children's safety initiative: a national assessment of pediatric educational needs among emergency medical services providers.
复制标题
DOI：
10.3109/10903127.2014.959223
复制
发表时间：
2015-04
影响因子：
2.4
通讯作者：
Guise JM
中科院分区：
文献类型：
--
作者：
Hansen M;Meckler G;Dickinson C;Dickenson K;Jui J;Lambert W;Guise JM
由于缺乏接触和培训，紧急医疗服务（EMS）提供者可能在儿科护理方面存在关键的知识差距。目前几乎没有证据可以指导教育工作者了解最有可能提高患者安全性的知识差距。本研究的目的是确定教育需求的EMS供应商相关的儿科护理在各个领域，以告知课程的发展。儿童安全倡议-EMS在儿科急诊护理的提供者和内容专家（包括各级医生、护士和院前提供者）中进行了一项关于儿科急诊患者安全的三阶段德尔菲调查。每一轮都包括与提供者的教育需求或培训对患者安全事件的影响有关的问题。我们确定了以下领域的知识差距：案例曝光，能力和知识，评估和决策，批判性思维和熟练程度。根据将个人知识差距列为“极有可能”（10分中的likert类型得分为7-10分）导致安全事件的受访者比例对个人知识差距进行排名。共有737名受访者被纳入调查第一阶段的分析。护理人员占受访者的50.8%; EMT-Basics/第一反应者占22%，医生占11.4%。在最后一轮调查中确定的首要教育重点包括：儿科气道管理，与儿童一起工作时的反应者焦虑，以及提供者的一般儿科技能。决策过程中的前三个需求包括知道何时中途改变计划，知道何时执行和先进的气道，以及评估儿童的疼痛。排在前3位的技术或手术技能需求是儿科高级气道、新生儿复苏和静脉/骨内通路。对于新生儿，确定的具体教育需求包括了解适当的生命体征和预防体温过低。这是第一次大规模的德尔菲调查有关儿科院前教育。我们的研究结果提供了与院前提供者的教育需求相关的基础信息。医学主任和教育工作者可以利用这些结果来塑造未来的课程发展。
Emergency Medical Services (EMS) providers may have critical knowledge gaps in pediatric care due to lack of exposure and training. There is currently little evidence to guide educators to the knowledge gaps most likely to improve patient safety. The objective of this study was to identify educational needs of EMS providers related to pediatric care in various domains in order to inform development of curricula. The Children’s Safety Initiative-EMS performed a three-phase Delphi survey on patient safety in pediatric emergencies among providers and content experts in pediatric emergency care including physicians, nurses and pre-hospital providers of all levels. Each round included questions related to educational needs of providers or the effect of training on patient safety events. We identified knowledge gaps in the following domains: case exposure, competency and knowledge, assessment and decision making, and critical thinking and proficiency. Individual knowledge gaps were ranked by portion of respondents who ranked them “highly likely” (likert-type score 7–10 out of 10) to contribute to safety events. There were 737 respondents who were included in analysis of the first phase of the survey. Paramedics were 50.8% of respondents; EMT-Basics/first responders were 22% and physicians 11.4%. The top educational priorities identified in the final round of the survey include: pediatric airway management, responder anxiety when working with children, and general pediatric skills among providers. The top three needs in decision-making include knowing when to alter plans mid-course, knowing when to perform and advanced airway, and assessing pain in children. The top 3 technical or procedural skills needs were pediatric advanced airway, neonatal resuscitation, and intravenous/intraosseos access. For neonates, specific educational needs identified included knowing appropriate vital signs and preventing hypothermia. This is the first large-scale Delphi survey related to pediatric pre-hospital education. Our results provide foundational information related to the educational needs of pre-hospital providers. Medical directors and educators can use the results to shape future curricular development.
登录
查看更多内容
影响因子：
1.4
作者：
Stevens, SL;Alevander, JL
通讯作者：
Alevander, JL
影响因子：
1.4
作者：
Fleischman, Ross J.;Yarris, Lalena M.;Meckler, Garth D.
通讯作者：
Meckler, Garth D.
影响因子：
2.4
作者：
Lammers, Richard Lee;Byrwa, Maria J.;Hale, Robert A.
通讯作者：
Hale, Robert A.
影响因子：
4.4
作者：
Miller, Melissa K.;Dowd, Denise;Simon, Stephen D.
通讯作者：
Simon, Stephen D.
影响因子：
6.2
作者：
Smith, GA;Thompson, JD;Haley, KJ
通讯作者：
Haley, KJ