Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-23T08:13:24.391Z Has data issue: false hasContentIssue false
  • English
  • Français

Primary Health Care Pediatricians’ Self-Perception of Theoretical Knowledge and Practical Skills in Life-Threatening Emergencies: A Cross-Sectional Study

Published online by Cambridge University Press:  06 February 2020

José Antonio Cernuda Martínez Open the ORCID record for José Antonio Cernuda Martínez [Opens in a new window] ,
Rafael Castro Delgado Open the ORCID record for Rafael Castro Delgado [Opens in a new window]  and
Pedro Arcos González Open the ORCID record for Pedro Arcos González [Opens in a new window]
José Antonio Cernuda Martínez*
Affiliation:
Emergency and Disaster Research Unit, Faculty of Medicine and Health Sciences, University of Oviedo, Spain
Rafael Castro Delgado
Affiliation:
Emergency and Disaster Research Unit, Faculty of Medicine and Health Sciences, University of Oviedo, Spain
Pedro Arcos González
Affiliation:
Emergency and Disaster Research Unit, Faculty of Medicine and Health Sciences, University of Oviedo, Spain
*
Correspondence: José Antonio Cernuda Martínez, Emergency and Disaster Research Unit, Faculty of Medicine and Health Sciences, 7th floor, Campus del Cristo, 33006, Oviedo – Spain E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction:

Within out-of-hospital emergencies, Primary Health Care (PHC) pediatricians will likely be the first to provide health care at the scene of a life-threatening emergency (LTE) in children. Pediatricians should be trained to initially intervene, safely and effectively the LTEs, including the activation of Emergency Medical Systems (EMS), an adequate stabilization of patients and transport to the hospital.

Study Objectives:

The aims of this study are to know the training received for out-of-hospital LTEs by PHC pediatricians of the Principality of Asturias (Spain) and the perception they have about their own theoretical knowledge and practical skills in a series of emergency procedures used in LTEs; also, to analyze the differences according to the geographical context of their work.

Methods:

This was a cross-sectional, descriptive, and observational study of a sample of 27 PHC pediatricians from PHC Service of Asturias, Spain, from among the total of 88 pediatricians who make up the staff of pediatricians, conducted from April through May 2019. The survey was designed ad hoc using the Curriculum in Primary Care Pediatrics (CPCP) proposed by the European Confederation of Primary Care Pediatricians (ECPCP; Europe), which indicates the theoretical and practical procedures that must be acquired by the PHC pediatricians. It is composed of 30 procedures or techniques employed in LTEs using a 11-point Likert scale rating to detect their self-perception about theoretical knowledge and practical skills from zero (“Minimum”) to 10 (“Maximum”).

Results:

There are significant differences in the mean of theoretical knowledge and practical skills in many procedures or techniques studied, depending on the different areas of work.

Conclusion:

Asturian pediatricians are generally well-prepared to solve LTEs with a few exceptions. The degree of self-perception and acquisition of general theoretical knowledge and general practical skills in LTEs is heterogeneous, with differences according to the scope of work.

Keywords

emergenciesknowledgepediatriciansprimary health care
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 35 , Issue 2 , April 2020 , pp. 152 - 159
Copyright
© World Association for Disaster and Emergency Medicine 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Poropat, F, Heinz, P, Barbi, E, Ventura, A. Comparison of two European pediatric emergency departments: does primary care organization influence emergency attendance? Ital J Pediatr. 2017;43(1):29.10.1186/s13052-017-0339-yCrossRefGoogle ScholarPubMed
The Alma-Ata conference on primary health care. WHO Chron. 1978;32(11):409–430.Google Scholar
World Health Organization (WHO). Primary health care-now more than ever. The World Health Report 2008. Geneva, Switzerland: WHO; 2008. http://www.who.int/whr/2008/whr08_en.pdf. Accessed July 10, 2019.Google Scholar
Law 137/1984. BOE February 1, 1984; p. 2627–2629. Accessed July 10, 2019.Google Scholar
Law 14/1986. General of Health. BOE April 29, 1986; p. 15207–15224. Accessed July 10, 2019.Google Scholar
Shirm, S, Liggin, R, Dick, R, Graham, J. Prehospital preparedness for pediatric mass-casualty events. Pediatrics. 2007;120(4):756–761.10.1542/peds.2006-2856CrossRefGoogle ScholarPubMed
Adhikari, DD, Mahathi, K, Ghosh, U, et al. Impact of prehospital care on the outcome of children arriving with agonal breathing to a pediatric emergency service in South India. J Family Med Prim Care. 2016;5(3):625–630.10.4103/2249-4863.197321CrossRefGoogle ScholarPubMed
Committee on Pediatric Emergency Medicine. Preparation for emergencies in the offices of pediatricians and pediatric primary care providers. Pediatrics. 2007;120(1):200–212.10.1542/peds.2007-1109CrossRefGoogle Scholar
Hegenbarth, MA. Committee on drugs. Preparación para las emergencias pediátricas: fármacos que deben tenerse en cuenta. Pediatrics (ed esp). 2008;65(2):92–101.Google Scholar
Ericsson, KA. Deliberate practice and acquisition of expert performance: a general overview. Acad Emerg Med. 2008;15(11):988–994.10.1111/j.1553-2712.2008.00227.xCrossRefGoogle ScholarPubMed
Civantos Fuentes, E. Atención inicial al trauma extrahospitalario. Pediatr Integral. 2011;15(Suppl 1):62–69.Google Scholar
Flores, G, Weinstock, DJ. The preparedness of pediatricians for emergencies in the office: what is broken, should we care, and how can we fix it? Arch Pediatr Adolesc Med. 1996;150(3):249–256.10.1001/archpedi.1996.02170280019003CrossRefGoogle ScholarPubMed
Salas, E, Diaz-Granados, D, Weaver, SJ, King, H. Does team training work? Principles for health care. Acad Emerg Med. 2008;15(11):1002–1009.10.1111/j.1553-2712.2008.00254.xCrossRefGoogle ScholarPubMed
Falcone, RA Jr, Daugherty, M, Schweer, L, Patterson, M, Brown, RL, García, VF. Multidisciplinary pediatric trauma team training using high-fidelity trauma simulation. J Pediatr Surg. 2008;43(6):1065–1071.10.1016/j.jpedsurg.2008.02.033CrossRefGoogle ScholarPubMed
European Confederation of Primary Care Pediatricians. Curriculum in Primary Care Pediatrics. https://www.ecpcp.eu/fileadmin/pdf_doc_ppt/Curriculum_in_Primary_Care_Paediatrics_4.12.2014.pdf. Accessed July 24, 2019.Google Scholar
Spanish Statistics Institute. Register of inhabitants. https://www.ine.es. Accessed July 25, 2019.Google Scholar
Cernuda Martínez, JA, Castro Delgado, R, Ferrero Fernández, E, Arcos González, P. Self-perception of theoretical knowledge and practical skills by primary health care physicians in life-threatening emergencies. Prehosp Disaster Med. 2018;33(5):508–518.10.1017/S1049023X18000808CrossRefGoogle ScholarPubMed
Cernuda Martínez, JA, Castro Delgado, R, Cuartas Álvarez, T, Arcos González, P. Primary health care nurses’ self-perception of theoretical knowledge and practical skills in life- threatening emergencies: a cross-sectional study. Prehosp Disaster Med. 2019;34(4):376–384.10.1017/S1049023X19004461CrossRefGoogle ScholarPubMed
Civantos Fuentes, E, Rodríguez Núñez, A, Iglesisas Vázquez, JA, Sánchez Santos, L. Evaluación de la actuación de los pediatras de atención primaria en un escenario simulado de trauma pediátrico. An Pediatr (Barc). 2012;77(3):203–207.10.1016/j.anpedi.2012.01.027CrossRefGoogle Scholar
Cottrell, EK, O’Brien, K, Curry, M. Understanding safety in prehospital emergency medical services for children. Prehosp Emerg Care. 2014;18(3):350–358.10.3109/10903127.2013.869640CrossRefGoogle ScholarPubMed
Lammers, RL, Byrwa, MJ, Fales, WD, Hale, RA. Simulation-based assessment of paramedic pediatric resuscitation skills. Prehosp Emerg Care. 2009;13(3):345–356.10.1080/10903120802706161CrossRefGoogle ScholarPubMed
Lammers, RL, Willoughby-Byrwa, M, Fales, WD. Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest. Simul Healthc. 2014;9(3):174–183.10.1097/SIH.0000000000000013CrossRefGoogle ScholarPubMed
Lammers, R, Byrwa, M, Fales, W. Root causes of errors in a simulated prehospital pediatric emergency. Acad Emerg Med. 2012;19(1):37–47.10.1111/j.1553-2712.2011.01252.xCrossRefGoogle Scholar