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现场分诊决策方案教育资源评估:对紧急医疗服务人员的受众研究

Evaluation of field triage decision scheme educational resources: audience research with emergency medical service personnel.

作者信息

Sarmiento Kelly, Eckstein Daniel, Zambon Allison

机构信息

Centers for Disease Control and Prevention, Atlanta, GA, USA.

出版信息

Health Promot Pract. 2013 Mar;14(2):174-80. doi: 10.1177/1524839912437788. Epub 2012 Jul 5.

Abstract

In an effort to encourage appropriate field triage procedures, the Centers for Disease Control and Prevention (CDC), in collaboration with the National Highway Traffic Safety Administration and the American College of Surgeons-Committee on Trauma, convened the National Expert Panel on Field Triage to update the Field Triage Decision Scheme: The National Trauma Triage Protocol (Decision Scheme). In support of the Decision Scheme, CDC developed educational resources for emergency medical service (EMS) professionals, one of CDC's first efforts to develop and broadly disseminate educational information for the EMS community. CDC wanted to systematically collect information from the EMS community on what worked and what did not with respect to these educational materials and which materials were of most use. An evaluation was conducted to obtain feedback from EMS professionals about the Decision Scheme and use of Decision Scheme educational materials. The evaluation included a survey and a series of focus groups. Findings indicate that a segment of the Decision Scheme's intended audience is using the materials and learning from them, and they have had a positive influence on their triage practices. However, many of the individuals who participated in this research are not using the Decision Scheme and indicated that the materials have not affected their triage practices. Findings presented in this article can be used to inform development and distribution of additional Decision Scheme educational resources to ensure they reach a greater proportion of EMS professionals and to inform other education and dissemination efforts with the EMS community.

摘要

为鼓励采取适当的现场分诊程序,美国疾病控制与预防中心(CDC)与美国国家公路交通安全管理局以及美国外科医师学会创伤委员会合作,召集了国家现场分诊专家小组,以更新《现场分诊决策方案:国家创伤分诊协议》(决策方案)。为支持该决策方案,CDC为紧急医疗服务(EMS)专业人员开发了教育资源,这是CDC首次为EMS社区开发并广泛传播教育信息的努力之一。CDC希望系统地收集EMS社区关于这些教育材料哪些有效、哪些无效以及哪些材料最有用的信息。为此进行了一项评估,以获取EMS专业人员对决策方案及决策方案教育材料使用情况的反馈。该评估包括一项调查和一系列焦点小组讨论。结果表明,决策方案的部分目标受众正在使用这些材料并从中学习,且这些材料对他们的分诊实践产生了积极影响。然而,许多参与这项研究的人员并未使用决策方案,并表示这些材料并未影响他们的分诊实践。本文所呈现的结果可用于为进一步开发和分发决策方案教育资源提供参考,以确保这些资源能覆盖更大比例的EMS专业人员,并为与EMS社区开展的其他教育和传播工作提供参考。

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