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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: jacernudam@gmail.com
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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

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