Psychosocial Care for Injured Children: Worldwide Survey among Hospital Emergency Department Staff

详细信息    查看全文

• 作者：Eva Alisic ; PhD¹ ; ² ; ^{eva.alisic@monash.edu" class="auth_mail" title="E-mail the corresponding author} ; Claire Hoysted ; BSc(Hons)³ ; Nancy Kassam-Adams ; PhD⁴ ; ⁵ ; Markus A. Landolt ; PhD⁶ ; ⁷ ; Sarah Curtis ; MD ; MSc⁸ ; Anupam B. Kharbanda ; MD ; MSc⁹ ; Mark D. Lyttle ; MBCHB¹⁰ ; ¹¹ ; Niccolò ; Parri ; MD¹² ; Rachel Stanley ; MD ; MHSA¹³ ; Franz E. Babl ; MD ; MPH¹⁴ ; on behalf of Pediatric Emergency Research Canada (PERC) ; Martin Osmond ; MD ; Amy Plint ; MD ; Stephen Freedman ; MD ; David Johnson ; MD ; Diana Murray ; MD ; Sarah Williamson-Urquhart ; BScKin ; Janet Curran ; PhD ; Andrew Dixon ; MD ; Garth Meckler ; MD ; Liza Bialy ; BSc ; MPH ; Quynh Doan ; MD ; Antonia Stang ; MD ; Andrew Dixon ; MD ; Ahmed Mater ; MD ; Darcy Beer ; MD ; Gary Joubert ; MD ; Anthony Crocco ; MD ; Adrienne Davis ; MD ; Andrea Moore ; MD ; Waleed Alqurashi ; MD ; Sasha Dubrovsky ; MD ; Evelyne Trottier ; MD ; Mathieu Blanchet ; MD ; Katrina Hurley ; MD ; Robert Porter ; MD
• 关键词：ED ; Emergency department ; PERN ; Pediatric Emergency Research Networks
• 刊名：The Journal of Pediatrics
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：170
• 期：Complete
• 页码：227-233.e6
• 全文大小：201 K

文摘

To examine emergency department (ED) staff's knowledge of traumatic stress in children, attitudes toward providing psychosocial care, and confidence in doing so, and also to examine differences in these outcomes according to demographic, professional, and organizational characteristics, and training preferences.

Study design

We conducted an online survey among staff in ED and equivalent hospital departments, based on the Psychological First Aid and Distress-Emotional Support-Family protocols. Main analyses involved descriptive statistics and multiple regressions. Respondents were 2648 ED staff from 87 countries (62.2% physicians and 37.8% nurses; mean years of experience in emergency care was 9.5 years with an SD of 7.5 years; 25.2% worked in a low- or middle-income country).

Results

Of the respondents, 1.2% correctly answered all 7 knowledge questions, with 24.7% providing at least 4 correct answers. Almost all respondents (90.1%) saw all 18 identified aspects of psychosocial care as part of their job. Knowledge and confidence scores were associated with respondent characteristics (eg, years of experience, low/middle vs high-income country), although these explained no more than 11%-18% of the variance. Almost all respondents (93.1%) wished to receive training, predominantly through an interactive website or one-off group training. A small minority (11.1%) had previously received training.

Conclusions

More education of ED staff regarding child traumatic stress and psychosocial care appears needed and would be welcomed. Universal education packages that are readily available can be modified for use in the ED.