Ekundayo O James, Jones Gennifer, Brown Angela, Aliyu Muktar, Levine Robert, Goldzweig Irwin
Department of Family and Community Medicine, Meharry Medical College, 1005 Dr. D. B. Todd Jr. Boulevard, Nashville, TN 37208, USA.
Int J Pediatr. 2013;2013:821693. doi: 10.1155/2013/821693. Epub 2013 Feb 11.
Introduction. Motor vehicle crashes are the leading cause of death among US children aged 4-14 years. In theory, health provider counseling about Child Passenger Safety (CPS) could be a useful deterrent. The data about the effectiveness of CPS dissemination is sparse, but existing results suggest that providers are not well informed. Moreover, there is insufficient evidence to determine whether provider counseling about CPS is effective. Methods. We therefore assessed CPS best practice knowledge among 217 healthcare workers at hospitals in seven cities throughout the USA and evaluated the impact of a brief, lunch and learn educational intervention with a five-item questionnaire. Attendees were comprised of physicians, nurses, social workers, pediatric residents, and pediatric trauma response teams. Results. Pre-post survey completion was nearly 100% (216 of 217 attendees). Participation was fairly evenly distributed according to age (18-29, 30-44, and 45+ years). More than 80% of attendees were women. Before intervention, only 4% of respondents (9/216) answered all five questions correctly; this rose to 77% (167/216) (P < 0.001, using a Wilcoxon signed-rank test) after intervention. Conclusion. Future research should consider implementation and controlled testing of comparable educational programs to determine if they improve dissemination of CPS best practice recommendations in the long term.
引言。机动车碰撞是美国4至14岁儿童死亡的主要原因。理论上,医疗服务提供者关于儿童乘客安全(CPS)的咨询可能是一种有效的威慑措施。关于CPS传播有效性的数据很少,但现有结果表明提供者了解不足。此外,没有足够的证据来确定提供者关于CPS的咨询是否有效。方法。因此,我们评估了美国七个城市医院的217名医护人员对CPS最佳实践的了解情况,并通过一份包含五个项目的问卷评估了一次简短的“午餐学习”教育干预的影响。参与者包括医生、护士、社会工作者、儿科住院医师和儿科创伤应对团队。结果。调查前后的完成率接近100%(217名参与者中的216名)。参与情况按年龄(18 - 29岁、30 - 44岁和45岁以上)分布较为均匀。超过80%的参与者为女性。干预前,只有4%的受访者(9/216)正确回答了所有五个问题;干预后这一比例升至77%(167/216)(使用Wilcoxon符号秩检验,P < 0.001)。结论。未来的研究应考虑实施和对照测试类似的教育项目,以确定它们是否能长期改善CPS最佳实践建议的传播。