Alisic Eva, Tyler Mark P, Giummarra Melita J, Kassam-Adams Rahim, Gouweloos Juul, Landolt Markus A, Kassam-Adams Nancy
Monash University Accident Research Centre, Monash University, Clayton, Australia; Department of Psychosomatics and Psychiatry, University Children's Hospital Zurich, Zurich, Switzerland.
School of Psychological Science and Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Clayton, Australia; School of Psychology and Public Health, Department of Psychology and Counselling, La Trobe University, Melbourne, Australia.
Eur J Psychotraumatol. 2017 Feb 8;8(1):1273587. doi: 10.1080/20008198.2016.1273587. eCollection 2017.
Pre-hospital providers, such as paramedics and emergency medical technicians, are in a position to provide key emotional support to injured children and their families. Our goal was to examine (a) pre-hospital providers' knowledge of traumatic stress in children, attitudes towards psychosocial aspects of care, and confidence in providing psychosocial care, (b) variations in knowledge, attitudes, and confidence according to demographic and professional characteristics, and (c) training preferences of pre-hospital providers regarding psychosocial care to support paediatric patients and their families. We conducted a cross-sectional, online survey among an international sample of 812 pre-hospital providers from high-income countries. The questionnaire was adapted from a measure for a similar study among Emergency Department staff, and involved 62 items in 7 main categories (e.g. personal and work characteristics, knowledge of paediatric traumatic stress, and confidence regarding 18 elements of psychosocial care). The main analyses comprised descriptive statistics and multiple regression analyses. On average, respondents answered 2.7 (= 1.59) out of seven knowledge questions correctly. Respondents with higher knowledge scores were more often female, parent of a child under 17, and reported that at least 10% of their patients were children. A majority of participants (83.5%) saw all 18 aspects of psychosocial care as part of their job. Providers felt moderately confident ( = 3.2, = 0.45) regarding their skills in psychosocial care, which was predicted by gender (female), having more experience, having a larger proportion of child patients, and having received training in psychosocial care in the past five years. Most respondents (89.7%) wanted to gain more knowledge and skills regarding psychosocial care for injured children. In terms of training format, they preferred an interactive website or a one-off group training. There appears to be both a need and an opportunity for education initiatives regarding paediatric traumatic stress in the pre-hospital context.
诸如护理人员和急救医疗技术人员等院前急救人员能够为受伤儿童及其家庭提供关键的情感支持。我们的目标是研究：（a）院前急救人员对儿童创伤应激的了解、对护理心理社会方面的态度以及提供心理社会护理的信心；（b）根据人口统计学和专业特征，在知识、态度和信心方面的差异；（c）院前急救人员对支持儿科患者及其家庭的心理社会护理的培训偏好。我们对来自高收入国家的812名院前急救人员进行了一项横断面在线调查。该问卷改编自一项针对急诊科工作人员的类似研究的测量工具，包含7个主要类别中的62个项目（如个人和工作特征、儿科创伤应激知识以及对心理社会护理18个要素的信心）。主要分析包括描述性统计和多元回归分析。平均而言，受访者在七个知识问题中正确回答了2.7个（标准差=1.59）。知识得分较高的受访者更多为女性、17岁以下儿童的家长，并且报告称其至少10%的患者为儿童。大多数参与者（83.5%）将心理社会护理的所有18个方面视为其工作的一部分。急救人员对自己的心理社会护理技能感到中等程度的自信（均值=3.2，标准差=0.45），这种自信可由性别（女性）、经验更丰富、儿童患者比例更高以及在过去五年接受过心理社会护理培训来预测。大多数受访者（89.7%）希望获得更多关于受伤儿童心理社会护理的知识和技能。在培训形式方面，他们更喜欢交互式网站或一次性小组培训。在院前急救背景下，针对儿科创伤应激的教育举措似乎既有需求也有机会。
