Kuska Thelma C, Zonfrillo Mark R
Palos Heights, IL; Providence, RI.
Palos Heights, IL; Providence, RI.
J Emerg Nurs. 2017 May;43(3):239-245. doi: 10.1016/j.jen.2016.06.016. Epub 2017 Mar 28.
Each year, more than 130,000 children younger than 13 years are treated in the emergency department after evaluation of injuries sustained from motor vehicle crashes (MVCs). Many of these injuries can be prevented with use of child restraints. In this study we sought to assess emergency nurses' knowledge of child passenger safety (CPS) and its use to keep children safe while traveling in motor vehicles.
A cross-sectional anonymous study was distributed electronically to 530 emergency nurses who were asked to forward the survey link to other emergency nurses through snowball sampling. The target population included full-time and part-time emergency nurses, including nurse practitioners caring for pediatric patients. Emergency nurses' CPS knowledge, attitudes, and practices were ascertained.
Nine hundred eighty-four emergency nurses completed a Web-based survey. All 6 CPS knowledge and scenario-based items were answered correctly by only 18.8% of the sample; these respondents were identified as the "high knowledge" group. Similarly, ED nurses rarely addressed CPS during ED visits in the prior 6 months. Those with high knowledge were more likely to be confident about providing recommendations for CPS topics.
Emergency nurses can improve their knowledge and provision of CPS in the emergency department, particularly for children presenting for care following MVCs. These results identify opportunities to increase the knowledge and confidence of emergency nurses in providing CPS information to parents seen in the emergency department, especially those involved in MVCs. The gap in knowledge can be overcome by providing the nurses with increased CPS-focused educational opportunities.
每年，超过13万名13岁以下儿童在因机动车碰撞事故（MVC）受伤接受评估后在急诊科接受治疗。使用儿童约束装置可预防许多此类伤害。在本研究中，我们试图评估急诊护士对儿童乘客安全（CPS）的了解情况，以及其在儿童乘坐机动车时保障儿童安全方面的应用。
一项横断面匿名研究以电子方式分发给530名急诊护士，要求他们通过滚雪球抽样将调查链接转发给其他急诊护士。目标人群包括全职和兼职急诊护士，包括护理儿科患者的执业护士。确定急诊护士的CPS知识、态度和做法。
984名急诊护士完成了基于网络的调查。样本中只有18.8%的人正确回答了所有6个CPS知识和基于情景的问题；这些受访者被确定为“高知识”组。同样，急诊护士在前6个月的急诊就诊中很少提及CPS。知识水平高的人更有可能对提供CPS主题的建议充满信心。
急诊护士可以提高他们在急诊科的CPS知识和提供CPS的能力，特别是对于因MVC前来就诊的儿童。这些结果确定了增加急诊护士在向急诊科就诊的家长，特别是那些涉及MVC的家长提供CPS信息方面的知识和信心的机会。通过为护士提供更多以CPS为重点的教育机会，可以克服知识差距。
