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Promotion of knowledge, skill, and performance of emergency medical technicians in prehospital care of traumatic patients: An action-research study

机译:促进急诊医学技术人员在创伤患者的治疗中的知识,技能和表现:行动研究研究

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Background: Annually, there is a high rate of mortality due to trauma. Prehospital emergency personnel are the first caregivers present beside trauma patients, and their dexterity to take care of trauma patients is of great significance in the vast majority of patients' survival. Materials and Methods: This study was action research with the participation of 125 prehospital emergency personnel from May 2016 to December 2018 in five stages (observation, reflection, planning, action, and evaluation) in Iran. Knowledge, skills, and performance of personnel were assessed before and after the action. Data collection tools included knowledge questionnaire and PERFECT skill assessment checklist by Objective Structured Clinical Examination method and researcher-made checklist for performance. Data were analyzed using SPSS-21 software. Results: The findings indicated that 67.82% and 84.4% of prehospital emergency staff have median to low knowledge and expertise in respect to trauma care, respectively. Their performance of necessary measurements for trauma patients was poor prior to training. There was a significant difference between the mean knowledge, skills, and performance of medical emergency technicians before and after the training course (P = 0.00). Conclusions: Participation of beneficiaries in planning for trauma patient's care is helpful. Establishment of prehospital trauma life support training in the medical emergency, training curriculum, and its instruction to prehospital emergency personnel while serving in trauma care will be of great benefit.
机译:背景:每年,由于创伤引起的死亡率很高。预孢子症应急人员是第一个存在于创伤患者旁边的护理人员,他们的灵活性在绝大多数患者的生存方面具有重要意义。材料与方法:本研究是在2016年5月至2018年12月在2018年5月至2018年12月参加伊朗的五个阶段(观察,反思,规划,行动和评估)的行动研究。在行动之前和之后评估人员的知识,技能和表现。数据收集工具包括知识调查问卷和完善的技能评估清单,通过客观结构化临床检查方法和用于性能的研究员制作的清单。使用SPSS-21软件分析数据。结果:调查结果表明,67.82%和84.4%的预孢子急救人员分别有中位于关于创伤护理的知识和专业知识。他们在训练前对创伤患者进行必要测量的表现。在培训过程之前和之后的医疗应急技术人员的平均知识,技能和性能之间存在显着差异(P = 0.00)。结论:受益者参与创伤患者的护理计划有助于。在医疗紧急情况下,在医疗紧急情况下,培训课程及其在创伤护理时服务的指导下的培训创伤生命支持培训将具有很大的好处。

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