Evaluation and Impact of the 'Advanced Pediatric Life Support' Course in the Care of Pediatric Emergencies in Spain

Autor: Francesc Ferres Serrat, Javier Benito, Concepción Míguez Navarro, Paula Vázquez López, María Teresa Alonso Salas, Santiago Mintegi, Carlos Luaces-Cubells, Mercedes De la Torre Espí, Carmen Campos Calleja, Javier A. Gonzalez del Rey, Ignacio Manrique Martínez
Rok vydání: 2017
Předmět:
Program evaluation
Adult
Male
medicine.medical_specialty
Health Personnel
education
MEDLINE
Personal Satisfaction
Pediatrics
GeneralLiterature_MISCELLANEOUS
03 medical and health sciences
0302 clinical medicine
immune system diseases
Surveys and Questionnaires
ComputingMilieux_COMPUTERSANDEDUCATION
Medicine
Humans
030212 general & internal medicine
Practice Patterns
Physicians'
neoplasms
health care economics and organizations
Practice patterns
business.industry
Pediatric Emergency Medicine
030208 emergency & critical care medicine
General Medicine
Pediatric emergencies
Clinical Practice
Life Support Care
Spain
Life support
Family medicine
Pediatrics
Perinatology and Child Health
Emergency Medicine
Education
Medical
Continuing
Female
Software_PROGRAMMINGLANGUAGES
InformationSystems_MISCELLANEOUS
Emergencies
business
Program Evaluation
Zdroj: Pediatric emergency care. 34(9)
ISSN: 1535-1815
Popis: The Advanced Pediatric Life Support (APLS) course was introduced in the training of professionals who care for pediatric emergencies in Spain in 2005.To analyze the impact of the APLS course in the current clinical practice in Spanish PEDs.The directors of APLS courses were asked about information regarding the courses given to date, especially on the results of the satisfaction survey completed by students at the end of the course. Furthermore, in December 2014, a survey was conducted through Google Drive, specifically asking APLS students about the usefulness of the APLS course in their current clinical practice.In the last 10 years since the APLS course was introduced in Spain, there have been 40 courses in 6 different venues. They involved a total of 1520 students, of whom 958 (63.0%) felt that the course was very useful for daily clinical practice. The survey was sent to 1,200 students and answered by 402 (33.5%). The respondent group most represented was pediatricians, 223 (55.5%), of whom 61 (27.3%) were pediatric emergency physicians, followed by pediatric residents, 122 (30.3%). One hundred three (25.6%) respondents had more than 10 years of professional practice and 291 (72.4%) had completed the course in the preceding four years. Three hundred forty-one of the respondents (84.9%: 95% confidence interval [CI], 81.9-87.9) said that they always use the pediatric assessment triangle (PAT) and 131 (32.6%: 95% CI, 28-37.1) reported that their organization has introduced this tool into their protocols. Two hundred twenty-three (55.5%: 95% CI, 50.6-60.3) believed that management of critically ill patients has improved, 328 (81.6%: 95% CI, 77.8-85.3) said that the PAT and the systematic approach, ABCDE, help to establish a diagnosis, and 315 (78.4%: 95% CI, 74.3-82.4) reported that the overall number of treatments has increased but that these treatments are beneficial for patients. Hospital professionals (191; 47.5%) include the PAT in their protocols more frequently than pre-hospital professionals (68.5% vs 55.4%; p0.01) and consider PAT useful in the management of patients (60.2% vs 51.1%; p0.05). Neither the time elapsed since the completion of the course, nor category and years of professional experience had any influence on the views expressed about the impact of the APLS course in clinical practice.Most health professionals who have received the APLS course, especially those working in the hospital setting, think that the application of the systematic methods learned, the PAT and ABCDE, has a major impact on clinical practice.
Databáze: OpenAIRE
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