Self-efficacy of emergency management of domestic helpers in pediatric home accidents: A cross-sectional survey in Hong Kong

Abstract

BackgroundAccidental injuries are the leading cause of deaths and disabilities in children globally and most of them occur at home. To save life and prevent sequelae, domestic helpers (DHs) require providing emergency management (i.e., first aid) to children involved in home accidents. However, their self-efficacy in emergency management for children is rarely investigated. Hence, this study aimed to tap that research gap.MethodsThis study adopted a cross-sectional descriptive survey design. A convenience sample of 385 DHs was obtained in Hong Kong. DHs' self-efficacy in emergency management for children involved in home accidents was measured using a 12-item well-validated survey instrument “Self-Efficacy of First Aid in Unintentional Injury at Home”. The total score ranged from 0 to 48. A higher score indicates greater confidence in emergency management for children involved in home accidents.ResultsAll the participants were women and most of them were aged between 31 and 35 years (N = 103, 26.8%). The mean score for DHs' self-efficacy in emergency management was 29.0 (SD 10.1). The three items with the lowest self-efficacy were managing bone fractures, performing cardiopulmonary resuscitation, and providing artificial respiration. Bivariate analysis showed that DHs' self-efficacy was significantly related to their educational level, first aid training, caring experience, and working experience. Multiple linear regression indicated that DHs' educational level (β = 0.136, p = 0.001) and first aid training (β = 0.532, p < 0.001) were significantly predicting their self-efficacy.ConclusionDH's self-efficacy of emergency management for children involved in home accidents was low, particularly in those severe situations and complicated first aid procedures.

Determining the mothers’ first-aid self-efficacy in-home accidents in Turkey

“…It has the highest percentage among the answers to the questions in the questionnaire. The results of the study are similar to the results of the previous studies [13,14,16]. In Turkey, people used to call 110 for a fire, 112 for an ambulance, 122 for a disaster or emergency, 155 for police, 156 for gendarmerie, 177 for forest fires, and 158 for coast guard before 2021.…”

“…In our study, it is seen that the mothers have the lowest self-efficacy score in administering CPR to the child and they feel themselves inadequate in this regard. The results of the study are similar to those of [13,16]. In the study [17] in England with parents of 3-12 month-old infants, the first-aid self-efficacy rate of parents is 16.4%, while their self-efficacy in CPR is 15.7%.…”

“…In our study, the mean firstaid self-efficacy scale score of mothers in home accidents is 30.90±9.50. It was 30.33±9.32 in the study conducted by [14] with parents in Taiwan, 29.00±10.10 in the study conducted by [16] with child caregivers in Hong Kong, and 25.55±9.36 in the study conducted by [13] with mothers in Turkey [16]. The results of our study are similar to the results of the studies in other countries, and we think that the fact that our study is conducted in Ankara, the capital city of Turkey, which is more developed in terms of education, social, and cultural aspects, is effective in getting higher first-aid self-efficacy score compared to another study conducted in Turkey.…”

Domestic Accidents of Children in the Orodara District of Burkina Faso: Mothers’ Knowledge of First-Aid Practices

“…In fact, experience with domestic accidents could be the main reason for improved mothers' knowledge. This has been reported by some authors, such as [7,28], although the study by Ho et al [29] showed no association between previous domestic accidents and mothers' level of knowledge. Another good explanation might be that mothers who have already brought another child involved in a domestic accident to a health center have learned the right attitudes and the ones to avoid, consequently increasing their knowledge scores.…”