| Autor: |
David H. Wang, Charles Dunn, Justin K. Brooten, Brian Gacioch, Michael Taigman, Zili He, James Dziura, Amelia M. Breyre |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
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| Zdroj: |
Journal of the American College of Emergency Physicians Open, Vol 5, Iss 5, Pp n/a-n/a (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2688-1152 |
| DOI: |
10.1002/emp2.13331 |
| Popis: |
Abstract Objective To evaluate the impact of a nationally available continuing education online curriculum on Emergency Medical Services (EMS) clinician confidence and knowledge in caring for end‐of‐life (EOL) patients. Methods This is a prospective observational study of EMS clinicians (emergency medical technicians [EMTs], advanced EMTs [AEMTs], and paramedics). EMS clinicians and physicians with both EMS and palliative care expertise developed two 20‐min modules regarding: (1) communication skills (including death notification) and (2) hospice knowledge. EMS clinicians’ subject confidence (modified Likert‐scale) and knowledge were assessed electronically immediately before and after each module. Data analysis compared before and after module improvements in knowledge and confidence. Linear regressions analyzed baseline EOL skill confidence scores based on EMS agency, level of certification, and years of experience. Results We analyzed completed datasets for 1825 EMS clinicians (979 EMTs, 112 AEMTs, and 734 paramedics) representing a heterogeneous cohort across different EMS agencies (617 private, 545 fire‐based, 298 hospital‐based, 61 third service, and 304 other) and all 50 states and the District of Columbia. After the communication module, the number of EMS clinicians who reported confidence in delivering bad news increased from 62% (1131/1825) to 80% (1468/1825) (p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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