Knowledge, attitude, and clinical skill of emergency medical technicians from Tehran emergency center in trauma exposure

Abstract

Introduction:Prehospital care is the first part of the trauma treatment and care system. Diagnostic and therapeutic measures taken before these patients arrive at the hospital plays significantly reduce mortality and improve their outcomes. Therefore, the present study aimed to determine the knowledge, attitude, and clinical skill of emergency medical technicians in Tehran Emergency Center in trauma exposure.Methods:In this descriptive study, 213 participants were selected through stratified random sampling. Data were collected using a four-part questionnaire including demographic information, trauma knowledge questionnaire, trauma attitude questionnaire, and a clinical skill checklist. To compare the level of knowledge, attitude, and clinical skills on the one hand and demographic variables, on the other hand, independent samples t-test and one-way ANOVA were utilized. Then, to examine the normality of data distribution, Kolmogorov–Smirnov test with Bonferroni post hoc test was used to compare mean scores on different levels of the variables in questionnaires. Data were analyzed in SPSS/17 using descriptive and inferential statistics.Results:Results showed that the majority of participants (81.1%) had an average knowledge of trauma. Examining their attitude regarding trauma revealed that the majority (88.3%) had a positive attitude toward trauma and taking care of trauma patients. Moreover, the skill of 62.4% of technicians regarding trauma was good. Based on Pearson's correlation, significant positive correlations existed between scores of knowledge and scores of attitude (r = 0.186, P < 0.05), scores of knowledge and scores of clinical skill (r = 0.333, P < 0.05), and scores of attitude and scores of clinical skill (r = 0.258, P < 0.05).Conclusion:According to the results, emergency medical technicians in Tehran had a good level of knowledge, attitude, and clinical skills in trauma exposure. However, to maintain and enhance the level of knowledge and skills, in-service training should be continued more vigorously and periodically evaluated in the clinical practice.

Knowledge, Attitudes and Associated Factors of pre-hospital care Among Health Care Workers in Three Selected pre hospital care Center in Addis Ababa, Ethiopia, 2022

“…Health care workers who got training were 2 times (AOR = 2.25(95%CI: 1.33, 4.52)) more likely to have good knowledge as compared to their counterparts towards pre-hospital care. This is similar with study done in Indonesia showed that, training had a signi cantt in uence on the knowledge, attitude, and practice scores for pre-hospital care [19].…”

“…A study done in Tehran showed that the level of knowledge regarding trauma and its management was good in 17.4% (37), average in 81.1% (173), and weak in 1.4% [19]. In similar manner a study in India showed that, 87.50% of nursing students and 72.50% of nursing staff knew the de nition and abbreviation of BLS.…”

“…In 2018 study done in Indonesia about knowledge, attitude and practice of ambulance nurses in prehospital care indicates that attitude of the study participant for pre-hospital care was highest [19]. A study in India on assessments of knowledge, attitude and practices of paramedic health care workers towards covid-19 pandemic indicated that, 84.6% of participants had positive attitude towards COVID-19 and remaining 15.5% had negative attitude [21].…”

Clinical competencies of emergency medical services paramedics in responding to emergency conditions using Objective Structured Clinical Examination (OSCE) in Guilan

“…According to the World Health Organization (WHO), injuries caused by trauma are the main reasons for death in different countries and up to 2020, trauma will be the third cause of death and disability in different age groups (1). Emergencies are high-risk situations in which individuals' physical or mental conditions are suddenly affected, requiring immediate and appropriate actions to be taken (2,3). To reduce the morbidity and mortality rate of trauma, an appropriate planning for the care and treatment of these patients is needed.…”

“…At this stage, an initial diagnosis of the lesions, triage of the injured and early resuscitation occurs. The successful operation of the pre-hospital system will play a crucial role in patients' outcome (1,3). The most critical and important part of the emergency medical services (EMS) is the competent paramedics (4)(5)(6).…”