Castellheim Albert Gyllencreutz, Persson Gustav, Kuikka Juuso, Babinski Karol, Robinson Yohan, Taube Fabian
Department of Anesthesiology and Intensive Care Medicine, Institution of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg, Sweden.
BMC Med Educ. 2025 Jan 5;25(1):22. doi: 10.1186/s12909-024-06488-7.
Chemical, biological and nerve gas events have a significant impact on public health, necessitating proper education and training. This study investigated the educational needs as perceived by two groups, frontline healthcare workers and medical students, in relation to chemical, biological, and nerve gas events.
Three distinct web-based cross-sectional surveys were conducted, one each for chemical, biological, and nerve gas events, with each survey following the same structural format including sections on (a) theoretical knowledge assessment, using multiple-choice questions regarding identification, protection, and treatment, (b) perception of threat, using questions based on a 5-point Likert scale to gauge views on threat/preparedness and (c) perception of existing competency, with questions regarding prior education and the need for additional education and training.
The surveys on chemical, biological, and nerve agents received responses from 44, 36, and 59 participants respectively, comprising both frontline healthcare workers and medical students. The total response rate was approximately 16%. In the theoretical knowledge section of each survey, neither group of participants reached 51% correct answer rate in any of the three surveys. In the section on perception of threat, the percentages of responses in the low half of the Likert Scale were 43.2%, 53.0%, and 96.4% for biological, chemical, and nerve gas surveys, respectively. For the same surveys, 56.8%, 78.7%, and 87.6% of responses were in the middle of the Likert Scale. Regarding perception of competency, 146.2%, 143.1%, and 170.4% of combined responses indicated low existing competency for biological, chemical, and nerve gas surveys, respectively. High and middle ratings for competency were low across all surveys. The perception of need for education were high in the high half and low in the low half of the Likert Scale. The were no statistically significant differences across the sections among the study groups.
The results indicate a widespread tendency to downplay the presence of significant threat and a perception of low existing competency. There is a broad agreement on the need or education and training in managing events of chemical, biological, and nerve gas agents, for frontline healthcare personnel as well as medical students in Sweden.
化学、生物及神经性毒剂事件对公众健康有重大影响，因此需要进行适当的教育和培训。本研究调查了一线医护人员和医学生这两组人员对化学、生物及神经性毒剂事件的教育需求。
开展了三项不同的基于网络的横断面调查，分别针对化学、生物及神经性毒剂事件，每项调查都采用相同的结构形式，包括以下部分：（a）理论知识评估，使用关于识别、防护和治疗的多项选择题；（b）威胁感知，使用基于5点李克特量表的问题来衡量对威胁/准备情况的看法；（c）对现有能力的感知，包括关于先前教育以及对额外教育和培训需求的问题。
关于化学、生物和神经性毒剂的调查分别收到了44名、36名和59名参与者的回复，其中包括一线医护人员和医学生。总回复率约为16%。在每项调查的理论知识部分，两组参与者在三项调查中的任何一项中正确答案率均未达到51%。在威胁感知部分，生物、化学和神经性毒剂调查中李克特量表下半部分的回复百分比分别为43.2%、53.0%和96.4%。对于相同的调查，56.8%、78.7%和87.6%的回复处于李克特量表中间部分。关于能力感知，生物、化学和神经性毒剂调查中分别有146.2%、143.1%和170.4%的综合回复表明现有能力较低。所有调查中能力的高评分和中等评分都很低。李克特量表上半部分对教育需求的感知较高，下半部分较低。各研究组在各部分之间没有统计学上的显著差异。
结果表明，普遍存在淡化重大威胁存在以及认为现有能力较低的倾向。瑞典的一线医护人员和医学生在应对化学、生物和神经性毒剂事件的教育和培训需求方面存在广泛共识。
