Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-22T12:52:06.501Z Has data issue: false hasContentIssue false

Improving Pediatric Education for Emergency Medical Services Providers: A Qualitative Study

Published online by Cambridge University Press:  22 December 2016

Seth A. Brown*
Affiliation:
Department of Pediatrics, East Tennessee State University, Johnson City, Tennessee USA
Theresa C. Hayden
Affiliation:
Department of A&S Criminal Justice, University of Louisville, Louisville, Kentucky USA
Kimberly A. Randell
Affiliation:
Pediatric Emergency Medicine, Children’s Mercy Hospitals and Clinics, Kansas City, Missouri USA
Lara Rappaport
Affiliation:
Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado USA
Michelle D. Stevenson
Affiliation:
Department of Pediatrics, University of Louisville, Louisville, Kentucky USA
In K. Kim
Affiliation:
Department of Pediatrics, University of Louisville, Louisville, Kentucky USA
*
Correspondence: Seth A. Brown, MD East Tennessee State University Department of Pediatrics 400 N. State of Franklin Rd Johnson City, Tennessee 37604 USA E-mail: [email protected]

Abstract

Objectives

Previous studies have illustrated pediatric knowledge deficits among Emergency Medical Services (EMS) providers. The purpose of this study was to identify perspectives of a diverse group of EMS providers regarding pediatric prehospital care educational deficits and proposed methods of training improvements.

Methods

Purposive sampling was used to recruit EMS providers in diverse settings for study participation. Two separate focus groups of EMS providers (administrative and non-administrative personnel) were held in three locations (urban, suburban, and rural). A professional moderator facilitated focus group discussion using a guide developed by the study team. A grounded theory approach was used to analyze data.

Results

Forty-two participants provided data. Four major themes were identified: (1) suboptimal previous pediatric training and training gaps in continuing pediatric education; (2) opportunities for improved interactions with emergency department (ED) staff, including case-based feedback on patient care; (3) barriers to optimal pediatric prehospital care; and (4) proposed pediatric training improvements.

Conclusion

Focus groups identified four themes surrounding preparation of EMS personnel for providing care to pediatric patients. These themes can guide future educational interventions for EMS to improve pediatric prehospital care.

BrownSA , HaydenTC , RandellKA , RappaportL , StevensonMD , KimIK . Improving Pediatric Education for Emergency Medical Services Providers: A Qualitative Study. Prehosp Disaster Med. 2017;32(1):20–26.

Type
Original Research
Copyright
© World Association for Disaster and Emergency Medicine 2016 

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

1. Tsai, A, Kallsen, G. Epidemiology of pediatric prehospital care. Ann Emerg Med. 1987;16(3):284-292.CrossRefGoogle ScholarPubMed
2. Fleischman, R, Yarris, LM, Curry, MT, Yuen, SC, Breon, AR, Meckler, GD. Pediatric educational needs assessment for urban and rural emergency medical technicians. Pediatr Emerg Care. 2011;27(12):1130-1135.CrossRefGoogle Scholar
3. National EMS Core Content, 2005. http://www.ems.gov/education/EMSCoreContent.pdf. Accessed May 17, 2014.Google Scholar
4. National EMS Scope of Practice Model, 2006. http://www.ems.gov/education/EMSScope.pdf. Accessed May 17, 2014.Google Scholar
5. National EMS Education Standards, 2009. http://www.ems.gov/pdf/811077a.pdf. Accessed May 17, 2014.Google Scholar
6. Baker, T, King, W, Soto, W, Asher, C, Stolfi, A, Rowin, ME. The efficacy of pediatric Advanced Life Support training in Emergency Medical Service providers. Pediatr Emerg Care. 2009;25(8):508-512.CrossRefGoogle ScholarPubMed
7. Losek, J, Szewczuga, D, Glaeser, PW. Improved prehospital pediatric ALS care after an EMT-paramedic clinic training course. Am J of Emerg Med. 1994;12(4):429-432.CrossRefGoogle ScholarPubMed
8. Wyatt, J. When to use web based surveys. J Am Med Inform Assoc. 2000;7(4):426-429.CrossRefGoogle ScholarPubMed
9. Grudzen, CR, Timmermans, S, Koenig, WJ, et al. Paramedic and emergency medical technician’s views on opportunities and challenges when forgoing and halting resuscitation in the field. Acad Emerg Med. 2009;16(6):532-538.CrossRefGoogle ScholarPubMed
10. Butterfoss, F, Major, DA, Clarke, SM, et al. What providers from general emergency departments say about implementing a pediatric asthma pathway. Clin Pediatr. 2006;45(4):325-333.CrossRefGoogle ScholarPubMed
11. Cooper, S. Contemporary UK paramedical training and education. How do we train? How should we educate? Emerg Med J. 2005;22(5):375-379.CrossRefGoogle ScholarPubMed
12. Miles, D. Quality indicators for out-of-hospital Emergency Medical Services: the paramedics’ perspective. Prehosp Emerg Care. 1997;(1):23-27.Google Scholar
13. Thomas, J, Abo, BM, Wang, HE. Paramedic perceptions of challenges in out-of-hospital endotracheal intubation. Prehosp Emerg Care. 2007;(2):219-223.CrossRefGoogle ScholarPubMed
14. Kitzinger, J. Qualitative research: introducing focus groups. BMJ. 1995;311:299-302.CrossRefGoogle ScholarPubMed
15. Patton, MQ. Qualitative Evaluation and Research Methods. (2nd edition). Thousand Oaks, California USA: Sage Publications; 1990.Google Scholar
16. Denzin, N, Lincoln, Y. Handbook of Qualitative Research. Second Edition. Thousand Oaks, California USA: Sage Publications; 2000.Google Scholar
17. Mathison, S. Why triangulate? Educational Researcher. 1988;17(2):13-17.CrossRefGoogle Scholar
18. ATLAS qualitative software informational website. http://www.atlasti.com/index.html. Accessed April 7, 2014.Google Scholar
19. Seidel, JS, Hornbein, M, Yoshiyama, K, Kuznets, D, Finklestein, JZ, St Geme, JW Jr. Emergency Medical Services and the pediatric patient: are the needs being met? Pediatrics. 1984;73(6):769-772.CrossRefGoogle ScholarPubMed
20. Seidel, JS, Henderson, DP, Ward, P, Wayland, BW, Ness, B. Pediatric prehospital care in urban and rural areas. Pediatrics. 1991;88(4):681-690.CrossRefGoogle ScholarPubMed
21. Kumar, VR, Bachman, DT, Kiskaddon, RT. Children and adults in cardiopulmonary arrest: are advanced life support guidelines followed in the prehospital setting? Ann Emerg Med. 1997;29(6):743-747.CrossRefGoogle ScholarPubMed
22. Su, E, Schmidt, TA, Mann, NC, Zechnich, AD. A randomized controlled trial to assess decay in acquired knowledge among paramedics completing a pediatric resuscitation course. Acad Emerg Med. 2000;7(7):779-786.CrossRefGoogle ScholarPubMed
23. Youngquist, ST, Henderson, DP, Gausche-Hill, M, Goodrich, SM, Poore, PD, Lewis, RJ. Paramedic self-efficacy and skill retention in pediatric airway management. Acad Emerg Med. 2008;15(12):1295-1303.CrossRefGoogle ScholarPubMed
24. Hoyle, JD, Davis, AT, Putman, KK, Trytko, JA, Fales, WD. Medication dosing errors in pediatric patients treated by emergency medical services. Prehosp Emerg Care. 2012;16(1):59-66.CrossRefGoogle ScholarPubMed
25. Lammers, RL, Byrwa, MJ, Fales, WD, Hale, RA. Simulation based assessment of paramedic pediatric resuscitation skills. Prehosp Emerg Care. 2009;13(3):345-356.CrossRefGoogle ScholarPubMed
26. Cushman, JT, Fairbanks, RJ, O’Gara, KG, et al. Ambulance personnel perceptions of near misses and adverse events in pediatric patients. Prehosp Emerg Care. 2010;14(4):477-484.CrossRefGoogle ScholarPubMed
27. Glaeser, P, Linzer, J, Tunik, MG, Henderson, DP, Ball, J. Survey of nationally registered Emergency Medical Services providers: pediatric education. Ann Emerg Med. 2000;36(1):33-38.CrossRefGoogle ScholarPubMed
28. Institute of Medicine. Emergency Care for Children: Growing Pains. Washington, DC USA: National Academies Press; 2006.Google Scholar
29. Stevens, S, Alexander, JL. The impact of training and experience on EMS providers’ feelings toward pediatric emergencies in a rural state. Pediatr Emerg Care. 2005;21(1):12-17.CrossRefGoogle Scholar
30. Ngo, T, Belli, K, Shah, MI. EMS-C program manager survey on education of prehospital providers. Prehosp Emerg Care. 2014;18(3):424-428.CrossRefGoogle Scholar
31. Cottrell, EK, O’Brien, K, Curry, M, et al. Understanding safety in prehospital Emergency Medical Services for children. Prehosp Emerg Care. 2014;18(3):350-358.CrossRefGoogle ScholarPubMed
32. Breon, AR, Yarris, L, Law, J, Meckler, G. Determining the pediatric educational needs of prehospital providers, part 1. J Paramedic Practice. 2011;3(8):450-456.CrossRefGoogle Scholar
33. Breon, AR, Yarris, L, Law, J, Meckler, G. Determining the pediatric educational needs of prehospital providers, part 2. J Paramedic Practice. 2011;3(9):510-514.CrossRefGoogle Scholar
34. 2011 National EMS Assessment. http://ems.gov/pdf/2011/ National_EMS_Assessment_Final_Draft_12202011.pdf. Accessed January 19, 2012.Google Scholar
35. Foltin, G, Dayan, P, Tunik, M, et al. Priorities for pediatric prehospital research. Pediatr Emerg Care. 2010;26(10):773-777.CrossRefGoogle ScholarPubMed
Supplementary material: File

Brown supplementary material

Supplemental Table

Download Brown supplementary material(File)
File 16 KB