Brown Seth A, Hayden Theresa C, Randell Kimberly A, Rappaport Lara, Stevenson Michelle D, Kim In K
1Department of Pediatrics,East Tennessee State University,Johnson City,TennesseeUSA.
2Department of A&S Criminal Justice,University of Louisville,Louisville,KentuckyUSA.
Prehosp Disaster Med. 2017 Feb;32(1):20-26. doi: 10.1017/S1049023X16001230. Epub 2016 Dec 22.
Previous studies have illustrated pediatric knowledge deficits among Emergency Medical Services (EMS) providers. The purpose of this study was to identify perspectives of a diverse group of EMS providers regarding pediatric prehospital care educational deficits and proposed methods of training improvements.
Purposive sampling was used to recruit EMS providers in diverse settings for study participation. Two separate focus groups of EMS providers (administrative and non-administrative personnel) were held in three locations (urban, suburban, and rural). A professional moderator facilitated focus group discussion using a guide developed by the study team. A grounded theory approach was used to analyze data.
Forty-two participants provided data. Four major themes were identified: (1) suboptimal previous pediatric training and training gaps in continuing pediatric education; (2) opportunities for improved interactions with emergency department (ED) staff, including case-based feedback on patient care; (3) barriers to optimal pediatric prehospital care; and (4) proposed pediatric training improvements.
Focus groups identified four themes surrounding preparation of EMS personnel for providing care to pediatric patients. These themes can guide future educational interventions for EMS to improve pediatric prehospital care. Brown SA , Hayden TC , Randell KA , Rappaport L , Stevenson MD , Kim IK . Improving pediatric education for Emergency Medical Services providers: a qualitative study. Prehosp Disaster Med. 2017;32(1):20-26.
先前的研究已阐明紧急医疗服务（EMS）提供者存在儿科知识缺陷。本研究的目的是确定不同组别的EMS提供者对儿科院前护理教育缺陷的看法以及培训改进的建议方法。
采用立意抽样法招募不同工作场景中的EMS提供者参与研究。在三个地点（城市、郊区和农村）分别针对EMS提供者（行政和非行政人员）举行了两个焦点小组讨论。由一名专业主持人使用研究团队制定的指南推动焦点小组讨论。采用扎根理论方法分析数据。
42名参与者提供了数据。确定了四个主要主题：（1）先前儿科培训不理想以及继续儿科教育存在培训差距；（2）改善与急诊科（ED）工作人员互动的机会，包括基于病例的患者护理反馈；（3）优化儿科院前护理的障碍；（4）提议的儿科培训改进措施。
焦点小组确定了围绕EMS人员为儿科患者提供护理的准备工作的四个主题。这些主题可为EMS未来的教育干预提供指导，以改善儿科院前护理。布朗SA，海登TC，兰德尔KA，拉帕波特L，史蒂文森MD，金IK。改善紧急医疗服务提供者的儿科教育：一项定性研究。院前急救与灾难医学。2017；32（1）：20 - 26。
