巴林医护人员协助应对飞行中紧急情况的意愿和自信。

Willingness and self-confidence of healthcare workers in Bahrain in assisting with in-flight emergencies.

作者信息

Sharaf Eman, AlUbaidi Basem A A, Alawainati Mahmood A, Al Maskati Manal, Alnajjar Layal

机构信息

Department of Emergency Medicine, Ottawa University, Ottawa, Canada.

Department of Family Medicine, Primary Healthcare Centers, Manama, Bahrain.

出版信息

J Family Community Med. 2024 Jul-Sep;31(3):222-229. doi: 10.4103/jfcm.jfcm_341_23. Epub 2024 Jul 17.

DOI:10.4103/jfcm.jfcm_341_23

PMID:39176017

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11338386/

Abstract

BACKGROUND

In-flight medical emergency (IFE) impose considerable challenges on healthcare workers (HCWs) because of limited resources, constrained environment, and medico-legal issues. This study assessed HCWs knowledge, willingness, and confidence in addressing in-flight medical emergencies.

MATERIALS AND METHODS

A cross-sectional study was conducted between June and August 2023 among nurses and physicians working in primary healthcare centers and governmental hospitals in Bahrain. Subjects were selected using stratified random sampling; a self-administered online questionnaire of high reliability (Cronbach alpha = 0.914) was used to collect the data. Logistic regression analysis were performed to determine association of knowledge, willingness, and confidence in dealing with in-flight emergencies with various characteristics of HCWs.

RESULTS

The study included 805 HCWs with mean age of 35.5 years (SD=9.2). The findings indicated deficiency in training, with <10% of participants trained on IFE. A considerable proportion of participants exhibited low levels of knowledge (88.3%) and confidence (75.9%) with IFE. Nonetheless, more than half of the participants expressed the willingness to assist in IFE (59.1%). Non-Bahraini healthcare professionals (odds ratio [OR] = 2.901, < 0.001) had higher knowledge of IFE. Nurses (OR = 1.642, = 0.047) and participants with longer work experience had higher willingness to assist in IFE. In addition, professionals who were non-Bahraini (OR = 3.249, < 0.001), working in secondary care (OR = 1.619, 95% confidence interval = 0.021), had had training on IFE (OR = 2.247, = 0.004), and had encountered IFE before (OR = 1.974, = 0.006) had greater self-confidence levels.

CONCLUSION

Considering the low levels of knowledge and confidence healthcare professionals in Bahrain had with regard to IFE, targeted training initiatives and educational programs are necessary to improve HCW's confidence and preparedness to deal with such emergencies.

摘要

背景

由于资源有限、环境受限以及医疗法律问题，飞行中的医疗紧急情况（IFE）给医护人员（HCWs）带来了巨大挑战。本研究评估了医护人员在应对飞行中的医疗紧急情况方面的知识、意愿和信心。

材料与方法

2023年6月至8月间，在巴林的基层医疗中心和政府医院工作的护士和医生中进行了一项横断面研究。采用分层随机抽样选择研究对象；使用高可靠性的自填式在线问卷（Cronbach α = 0.914）收集数据。进行逻辑回归分析以确定处理飞行中紧急情况的知识、意愿和信心与医护人员各种特征之间的关联。

结果

该研究纳入了805名医护人员，平均年龄为35.5岁（标准差 = 9.2）。研究结果表明培训存在不足，接受过IFE培训的参与者不到10%。相当一部分参与者在IFE方面表现出知识水平低（88.3%）和信心不足（75.9%）。尽管如此，超过一半的参与者表示愿意协助处理IFE（59.1%）。非巴林医疗专业人员（优势比[OR] = 2.901，< 0.001）对IFE的了解更多。护士（OR = 1.642，= 0.047）和工作经验较长的参与者协助处理IFE的意愿更高。此外，非巴林专业人员（OR = 3.249，< 0.001）、在二级护理机构工作的人员（OR = 1.619，95%置信区间 = 0.021）、接受过IFE培训（OR = 2.247，= 0.004）以及之前遇到过IFE（OR = 1.974，= 0.006）的专业人员自信心更强。