Pediatric Educational Needs Assessment for Urban and Rural Emergency Medical Technicians
Pediatric Educational Needs Assessment for Urban and Rural Emergency Medical Technicians
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DOI：
10.1097/pec.0b013e31823a3e73
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发表时间：
2011-12-01
影响因子：
1.4
通讯作者：
Meckler, Garth D.
中科院分区：
文献类型：
--
作者：
Fleischman, Ross J.;Yarris, Lalena M.;Meckler, Garth D.
目的：这项研究的目的是确定过去的经验，目前的需求，障碍，和所需的方法，培训城市和农村紧急医疗technics.Methods：这62个问题的试点测试的书面调查是在2008年管理俄勒冈州EMS和2009年EMS儿童会议。将应答者与登记列表和州紧急医疗服务（EMS）数据库进行比较，以评估无应答者偏倚。机构超过10英里的人口40,000被定义为rural.Results：二百一十九（70%）的313 EMS人员返回调查。受访者是3%的第一反应者，27%的紧急医疗技术人员基础，20%的中间，和47%的护理人员。68%是农村人口，32%是城市人口。68%的人报告儿科转运率低于10%。总体而言，受访者对儿科患者的舒适护理评分为5分Likert量表的3.1分（95%置信区间，3.1-3.2）。72%的人报告说，在儿科护理的17个主题中，平均评分低于“舒适”（4分），这与认证水平没有差异。7%的人表示在过去的两年里没有接受过儿科培训，76%的人希望更多。“现有培训的质量”被列为最重要的培训障碍; 26%的农村EMS人员和7%的城市EMS人员将距离列为最重要的障碍（P < 0.01）。51%的人认为高度逼真的模拟是帮助他们最好地学习的方法。在过去的2年中，19%的人在高度逼真的儿科模拟器上接受过培训。1 ~ 3小时是培训的首选时间。结论：除了距离作为障碍外，城市和农村之间的反应没有显着差异。城市和农村的供应商都希望获得资源，特别是高度逼真的模拟，以解决儿科运输不频繁和培训有限的问题。
Objective: The objective of the study was to identify past experiences, present needs, barriers, and desired methods of training for urban and rural emergency medical technicians.Methods: This 62-question pilot-tested written survey was administered at the 2008 Oregon EMS and 2009 EMS for Children conferences. Respondents were compared with registration lists and the state emergency medical services (EMS) database to assess for nonresponder bias. Agencies more than 10 miles from a population of 40,000 were defined as rural.Results: Two hundred nineteen (70%) of 313 EMS personnel returned the surveys. Respondents were 3% first responders, 27% emergency medical technician basics, 20% intermediates, and 47% paramedics. Sixty-eight percent were rural, and 32% were urban. Sixty-eight percent reported fewer than 10% pediatric transports. Overall, respondents rated their comfort caring for pediatric patients as 3.1 on a 5-point Likert scale (95% confidence interval, 3.1-3.2). Seventy-two percent reported a mean rating of less than "comfortable" (4 on the scale) across 17 topics in pediatric care, which did not differ by certification level. Seven percent reported no pediatric training in the last 2 years, and 76% desired more. The "quality of available trainings" was ranked as the most important barrier to training; 26% of rural versus 7% of urban EMS personnel ranked distance as the most significant barrier (P < 0.01). Fifty-one percent identified highly realistic simulations as the method that helped them learn best. In the past 2 years, 19% had trained on a highly realistic pediatric simulator. One to 3 hours was the preferred duration for trainings.Conclusions: Except for distance as a barrier, there were no significant differences between urban and rural responses. Both urban and rural providers desire resources, in particular, highly realistic simulation, to address the infrequency of pediatric transports and limited training.