Sim Reese, Cockrell Hannah, Best Al M, Baghdassarian Aline
Virginia Commonwealth University School of Medicine.
Virginia Commonwealth University School of Medicine, Departments of Emergency Medicine and Biostatistics Richmond, VA.
Int Emerg Nurs. 2021 May;56:100998. doi: 10.1016/j.ienj.2021.100998. Epub 2021 Apr 18.
Emergency Medical Services (EMS) system in Armenia follows the Franco-German model in which physician - nurse dyads staff ambulances. This study aims to evaluate the knowledge and attitudes of EMS nurses regarding pediatric rapid assessment and resuscitation.
This is a cross-sectional, anonymous, self-administered survey study of a convenience sample of 200 out-of-hospital emergency nurses in June and July 2015.
Response rate was 87.5%. Half of respondents failed to achieve the pre-defined passing score of 70% on the 10-question knowledge test (sample mean 6.32 ± 1.85 SD). Test score was positively correlated with pediatric training, current pediatric continuing medical education (CME), years with EMS and female gender. Questions regarding recognition of shock and initiation of neonatal and pediatric cardiopulmonary resuscitation were most frequently missed. Nurses were least confident in their ability to care for neonates and infants. 79.4% indicated that they would benefit from further pediatric training, and 86.1% indicated that knowledge from the Anglo-American model of emergency medicine could improve pediatric emergency care (PEC) in Armenia.
There is a need for additional PEC training and continuing education for EMS nurses in Yerevan, Armenia. Training EMS nurses would improve first responder awareness of pediatric acute management and resuscitation and enhance the quality of emergency care of children.
亚美尼亚的紧急医疗服务（EMS）系统采用法德模式，救护车配备医生 - 护士二人组。本研究旨在评估EMS护士在儿科快速评估和复苏方面的知识与态度。
这是一项横断面、匿名、自填式的调查研究，于2015年6月和7月对200名院外急救护士的便利样本进行了调查。
回复率为87.5%。在10道题的知识测试中，一半的受访者未能达到预先设定的70%及格分数（样本均值6.32±1.85标准差）。测试分数与儿科培训、当前儿科继续医学教育（CME）、从事EMS工作的年限以及女性性别呈正相关。关于休克识别以及新生儿和儿科心肺复苏启动的问题最常答错。护士对照顾新生儿和婴儿的能力最缺乏信心。79.4%的人表示他们将从进一步的儿科培训中受益，86.1%的人表示来自英美式急诊医学模式的知识可以改善亚美尼亚的儿科急诊护理（PEC）。
亚美尼亚埃里温的EMS护士需要额外的PEC培训和继续教育。培训EMS护士将提高急救人员对儿科急性处理和复苏的认识，并提高儿童急诊护理的质量。
