爱尔兰临床医生对脑震荡评估与管理的自我效能感

Concussion Assessment and Management Self-efficacy Among Irish Clinicians.

作者信息

Postawa Anna P, O'Connor Siobhán, Whyte Enda F

机构信息

Centre for Injury Prevention and Performance, School of Health and Human Performance, Dublin City University, Dublin, Ireland.

SHE Research Centre, Department of Sport and Health Science, Technological University of the Shannon - Midlands, Athlone, Ireland.

出版信息

Sports Health. 2025 Jul;17(4):710-722. doi: 10.1177/19417381241287209. Epub 2024 Oct 24.

DOI:10.1177/19417381241287209

PMID:39448546

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12188122/

Abstract

BACKGROUND

This study explored concussion assessment and management self-efficacy and practices of allied healthcare professionals in Ireland.

HYPOTHESES

(1) Self-efficacy levels and practices vary across different concussion assessment and management skills, (2) the ability to practice skills impacts self-efficacy most.

STUDY DESIGN

Cross-sectional.

LEVEL OF EVIDENCE

Level 3.

METHODS

Survey of allied healthcare professionals (285 responders), investigating (1) demographics, (2) concussion assessment (immediate and office) and management (postconcussion advice and management/rehabilitation) self-efficacy levels and practices, and (3) factors affecting self-efficacy.

RESULTS

Levels of self-efficacy among clinicians were 64.5 ± 26.6 (immediate assessment) and 56.6 ± 25.4 (postconcussion advice) (highest scores: concussion symptom checklist [80 ± 28.4], physical rest advice [80.1 ± 27.8]; lowest: Child Sport Concussion Assessment Tool [44.6 ± 41.2] and nutrition advice [34.1 ± 33.7]). Overall levels of self-efficacy among Certified Athletic Therapists and Chartered Physiotherapists were 51.5 ± 20.1 (assessment) and 62.1 ± 20.9 (management) (highest scores: history/clinical evaluation nonspecific to concussion [86.6 ± 16.2], physical rest advice [86.3 ± 20]; lowest: paper/pencil neuropsychological test [16.7 ± 28.6], advice on medication use [39.2 ± 35]). A strong positive correlation was observed between clinician self-efficacy and frequency of use of overall ( = 0.795; < 0.01) and immediate ( = 0.728; < 0.01) assessment, advice ( = 0.805; < 0.01), and management ( = 0.812; < 0.01) skills. Factors with greatest positive impact on clinician self-efficacy were the ability to practice skills during clinical placement (3.3 ± 0.9) and remaining emotionally (3.3 ± 0.8) and physically (3.3 ± 0.8) calm while practicing.

CONCLUSION

Clinicians in Ireland had moderate self-efficacy in concussion care. Those who used concussion-relevant skills frequently in practice displayed higher self-efficacy for those skills.

CLINICAL RELEVANCE

Concussion-related self-efficacy can be enhanced through practice in a clinical environment and through experiencing composure while practicing.

摘要

背景

本研究探讨了爱尔兰联合医疗保健专业人员的脑震荡评估与管理自我效能感及实践情况。

假设

（1）自我效能水平和实践情况因不同的脑震荡评估与管理技能而异；（2）技能实践能力对自我效能的影响最大。

研究设计

横断面研究。

证据水平

3级。

方法

对联合医疗保健专业人员进行调查（285名受访者），调查内容包括：（1）人口统计学信息；（2）脑震荡评估（即时和门诊）及管理（脑震荡后建议和管理/康复）的自我效能水平与实践情况；（3）影响自我效能的因素。

结果

临床医生的自我效能水平在即时评估方面为64.5±26.6，在脑震荡后建议方面为56.6±25.4（得分最高的是：脑震荡症状清单[80±28.4]，身体休息建议[80.1±27.8]；得分最低的是：儿童运动脑震荡评估工具[44.6±41.2]和营养建议[34.1±33.7]）。认证运动治疗师和特许物理治疗师的总体自我效能水平在评估方面为51.5±20.1，在管理方面为62.1±20.9（得分最高的是：与脑震荡无关的病史/临床评估[86.6±16.2]，身体休息建议[86.3±20]；得分最低的是：纸笔神经心理测试[16.7±28.6]，药物使用建议[39.2±35]）。观察到临床医生的自我效能与总体（r = 0.795；P < 0.01）、即时（r = 0.728；P < 0.01）评估、建议（r = 0.805；P < 0.01）及管理（r = 0.812；P < 0.01）技能的使用频率之间存在强正相关。对临床医生自我效能产生最大积极影响的因素是在临床实习期间实践技能的能力（3.3±0.9），以及在实践过程中保持情绪（3.3±0.8）和身体（3.3±0.8）平静。