Back to Search
Start Over
Effectiveness of a Pediatric Emergency Medicine Curriculum in a Public Tanzanian Referral Hospital
- Source :
- Western Journal of Emergency Medicine, Western Journal of Emergency Medicine, Vol 21, Iss 1 (2019)
- Publication Year :
- 2019
- Publisher :
- Department of Emergency Medicine, University of California, Irvine School of Medicine, 2019.
-
Abstract
- Introduction: The World Health Organization recently recognized the importance of emergency and trauma care in reducing morbidity and mortality. Training programs are essential to improving emergency care in low-resource settings; however, a paucity of comprehensive curricula focusing specifically on pediatric emergency medicine (PEM) currently exists. The African Federation for Emergency Medicine (AFEM) developed a PEM curriculum that was pilot-tested in a non-randomized, controlled study to evaluate its effectiveness in nurses working in a public Tanzanian referral hospital. Methods: Fifteen nurses were recruited to participate in a two-and-a-half-day curriculum of lectures, skill sessions, and simulation scenarios covering nine topics; they were matched with controls. Both groups completed pre- and post-training assessments of their knowledge (multiple-choice test), self-efficacy (Likert surveys), and behavior. Changes in behavior were assessed using a binary checklist of critical actions during observations of live pediatric resuscitations. Results: Participant-rated pre-training self-efficacy and knowledge test scores were similar in both control and intervention groups. However, post-training, self-efficacy ratings in the intervention group increased by a median of 11.5 points (interquartile range [IQR]: 6-16) while unchanged in the control group. Knowledge test scores also increased by a median of three points (IQR: 0-4) in the nurses who received the training while the control group’s results did not differ in the two periods. A total of 1192 pediatric resuscitation cases were observed post-training, with the intervention group demonstrating higher rates of performance of three of 27 critical actions. Conclusion: This pilot study of the AFEM PEM curriculum for nurses has shown it to be an effective tool in knowledge acquisition and improved self-efficacy of pediatric emergencies. Further evaluation will be needed to assess whether it is currently effective in changing nurse behavior and patient outcomes or whether curricular modifications are needed.
- Subjects :
- Educational Advances
medicine.medical_specialty
Referral
education
MEDLINE
lcsh:Medicine
Likert scale
03 medical and health sciences
0302 clinical medicine
Pediatric emergency medicine
Intervention (counseling)
medicine
030212 general & internal medicine
Curriculum
Original Research
business.industry
lcsh:R
lcsh:Medical emergencies. Critical care. Intensive care. First aid
030208 emergency & critical care medicine
lcsh:RC86-88.9
General Medicine
Checklist
Test (assessment)
Family medicine
Emergency Medicine
business
Subjects
Details
- Language :
- English
- ISSN :
- 19369018 and 1936900X
- Volume :
- 21
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Western Journal of Emergency Medicine
- Accession number :
- edsair.doi.dedup.....8e4f99114f2f8c8e411e12d602133b17