Evaluation of a model for improving emergency medical and trauma services for children in rural areas.
To evaluate the effectiveness of a rural emergency medical and trauma services project in increasing the knowledge and confidence of emergency care personnel in the management of acutely ill and injured children.
This prospective, quasi-experimental study used an untreated control group design with pretest and posttest of pre-hospital and hospital-based emergency care personnel in two rural counties in central Ohio.
Project evaluation compared 50 emergency care providers from the intervention county with 43 emergency care providers from the control county.
Changes in knowledge and confidence of these personnel in the assessment and management of pediatric emergencies were compared.
Providers in the intervention county demonstrated a significantly greater increase in test scores regarding knowledge of pediatric emergencies than did providers in the control county (P=001).
Significantly greater improvement was also seen when comparisons of test scores were made for field (P=02) and hospital (P=03) emergency care personnel separately.
Self-reports on a visual analog scale indicated that providers in the project intervention county had a significantly greater decrease in anxiety than did control subjects when presented a scenario of a child experiencing a respiratory arrest (P=01). (...)
Mots-clés Pascal : Service hospitalier, Urgence, Traumatisme, Personnel sanitaire, Evaluation professionnelle, Formation professionnelle, Confiance, Connaissance, Echelle mesure, Evaluation, Enfant, Homme, Etats Unis, Amérique du Nord, Amérique, Etude comparative, Zone rurale, Soin intensif
Mots-clés Pascal anglais : Hospital ward, Emergency, Trauma, Health staff, Professional evaluation, Occupational training, Confidence, Knowledge, Measurement scale, Evaluation, Child, Human, United States, North America, America, Comparative study, Rural area, Intensive care
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0264548
Code Inist : 002B30A05. Création : 11/06/1997.