Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Department of Emergency Medicine and Pediatrics, University of California-Los Angeles David Geffen School of Medicine, Los Angeles, CA, USA.
Eval Health Prof. 2021 Dec;44(4):362-370. doi: 10.1177/01632787211003972. Epub 2021 Mar 24.
The current study assesses the relationship between continuing education (CE) with a focus on pediatrics and children with special heath care needs and how CE influences the knowledge and comfort levels of prehospital providers who treat these cases. Data are survey responses provided by paramedic and emergency medical technician (EMT) level providers (N = 575) in Los Angeles County. Regression models assessed the relationship between pediatric-focused continuing education and EMTs' knowledge of and comfort with pediatric cases, adjusting for relevant covariates. EMTs' participation in continuing education focusing on pediatrics and special health care needs was significantly associated with an increase in perceived comfort and knowledge. Among EMTs who did not receive continuing education focused on either pediatrics or special health care needs, the most frequently reported barrier to education was a perceived lack of availability. The impact of continuing education on perceived comfort and knowledge was more pronounced than the effect of prior experience, especially considering the limited prevalence of provider exposure to pediatric and childhood special health care needs cases compared to adult cases. Expanding educational opportunities is a promising approach to increasing the comfort and knowledge of EMTs who transport and care for pediatric cases.
本研究评估了以儿科为重点的继续教育与有特殊医疗需求的儿童之间的关系，以及继续教育如何影响治疗这些病例的院前提供者的知识和舒适度。数据来自洛杉矶县的护理人员和急救医疗技术员（EMT）级提供者（N=575）的调查回复。回归模型评估了儿科为重点的继续教育与 EMT 对儿科病例的知识和舒适度之间的关系，同时调整了相关协变量。EMT 参加以儿科和特殊医疗需求为重点的继续教育与感知舒适度和知识的增加显著相关。在没有接受儿科或特殊医疗需求继续教育的 EMT 中，报告最多的教育障碍是感知到缺乏可用性。继续教育对感知舒适度和知识的影响比先前经验的影响更为明显，特别是考虑到与成人病例相比，提供者接触儿科和儿童特殊医疗需求病例的比例有限。扩大教育机会是增加运输和护理儿科病例的 EMT 的舒适度和知识的一种有前途的方法。
