Volume 25, Issue 2 (7-2019)
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Esmaeilzadeh M H, Mogharab M, Hosseini S M R, Bazeli J, Zamani A. Effect of pre-hospital trauma management training program on the capability of clinical decision-making in emergency medical technicians
. Journal of Hayat 2019; 25 (2) :168-178
URL: http://hayat.tums.ac.ir/article-1-2988-en.html
URL: http://hayat.tums.ac.ir/article-1-2988-en.html
Mohammad Hossein Esmaeilzadeh * 
1, Marzieh Mogharab2 , Seyyed Mohammad Reza Hosseini2 , Javad Bazeli3 , Amin Zamani3
1, Marzieh Mogharab2 , Seyyed Mohammad Reza Hosseini2 , Javad Bazeli3 , Amin Zamani3
1- Dept. of Emergency Medicine, School of Nursing and Midwifery, Gonabad University of Medical Sciences, Gonabad, Iran; Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran , mohammadhoseinesmailzade@gmail.com
2- Dept. of Emergency Medicine, School of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran
3- Dept. of Emergency Medicine, School of Nursing and Midwifery, Gonabad University of Medical Sciences, Gonabad, Iran; Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
2- Dept. of Emergency Medicine, School of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran
3- Dept. of Emergency Medicine, School of Nursing and Midwifery, Gonabad University of Medical Sciences, Gonabad, Iran; Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
Abstract: (4076 Views)
Background & Aim: Improving clinical decision-making is one of the challenges of the pre-hospital emergency system. Therefore, the aim of this study was to determine the effect of pre-hospital trauma management training program on the capability of clinical decision- making in emergency medical technicians.
Methods & Materials: In a randomized controlled field trial study, 64 pre-hospital emergency technicians from Gonabad University of Medical Sciences, were randomly assigned to either intervention or control groups by the stratified sampling method in 2018. For the intervention group, a pre-hospital trauma management training program was administered based on existing domestic and global standards in a two-day crash course with a combination of learning techniques including lecture and simulation. The research instruments were a demographic questionnaire and a researcher-made questionnaire on clinical decision-making, completed before the course, immediately and one month after the completion of the course. Data were analyzed by the SPSS software version 19 using independent t-test, the repeated analysis of variance and Bonferroni's post-test.
Results: The mean changes in clinical decision-making scores before and immediately after the intervention (9.31 vs. 0.3), before and one month after the intervention (7.86 vs. 1.1) and immediately after the intervention and follow-up one month after the intervention (1.62 in. vs. 1.39) were significantly higher in the intervention group than in the control group (P<0.001).
Conclusion: The pre-hospital trauma management training program can improve clinical decision-making in pre-hospital emergency medical technicians. Therefore, this program can be integrated into the technicians’ training programs.
Clinical trial registry: IRCT20180802040677N1
Methods & Materials: In a randomized controlled field trial study, 64 pre-hospital emergency technicians from Gonabad University of Medical Sciences, were randomly assigned to either intervention or control groups by the stratified sampling method in 2018. For the intervention group, a pre-hospital trauma management training program was administered based on existing domestic and global standards in a two-day crash course with a combination of learning techniques including lecture and simulation. The research instruments were a demographic questionnaire and a researcher-made questionnaire on clinical decision-making, completed before the course, immediately and one month after the completion of the course. Data were analyzed by the SPSS software version 19 using independent t-test, the repeated analysis of variance and Bonferroni's post-test.
Results: The mean changes in clinical decision-making scores before and immediately after the intervention (9.31 vs. 0.3), before and one month after the intervention (7.86 vs. 1.1) and immediately after the intervention and follow-up one month after the intervention (1.62 in. vs. 1.39) were significantly higher in the intervention group than in the control group (P<0.001).
Conclusion: The pre-hospital trauma management training program can improve clinical decision-making in pre-hospital emergency medical technicians. Therefore, this program can be integrated into the technicians’ training programs.
Clinical trial registry: IRCT20180802040677N1
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