Effects of the Hazardous Area Response Team Training Program on the Knowledge and Confidence in Operational Skills of Prehospital Emergency Medical Personnel in Thailand: A Quasi-Experimental Study.

IF 1.5 Q3 EMERGENCY MEDICINE Open Access Emergency Medicine Pub Date : 2023-12-14 eCollection Date: 2023-01-01 DOI:10.2147/OAEM.S436054
Thongpitak Huabbangyang, Thanidtha Nomrabporn, Watcharan Chiraratchawarich, Rapeeporn Rojsaengroeng
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Abstract

Background: Hazardous areas are places emitting hazardous materials, terrorist- or war-related, which lead to public health risks in developed and developing countries globally. Hence, prehospital emergency medical personnel who work as frontliners should be trained.

Patients and methods: Data via pretest, posttest, and questionnaire surveys regarding the HART's knowledge of and confidence in operational skills were collected using the 5-point Likert scale. The cohort included prehospital emergency medical personnel aged >18 years. The training program comprised lectures, practicals, and examinations and included three subcourses: emergency medicine in the chemical, biological, radiation, and nuclear hazardous area (EM-CBRN) course; Thailand Tactical Emergency Medical Service (TTEMS) course; and cooperation and preparation for disaster (CPD) course.

Results: The HART's mean multiple choice question (MCQ) posttest knowledge score (12.80±3.11) was significantly higher (p<0.001) than the mean pretest knowledge score (7.74±3.71) for the EM-CBRN course. The HART's mean MCQ posttest knowledge score (24.04±2.79) was significantly higher (p<0.001) than the mean pretest knowledge score (14.34±3.92) for the TTEMS course. Further, the HART's mean MCQ posttest knowledge score (21.03±3.49) was significantly higher (p<0.001) than the mean pretest knowledge score (14.40±5.08) for the CPD course. The HART's mean confidence in operational skill score for the EM-CBRN course was significantly higher (p<0.001) after training (4.45±0.59) than before training (2.77±0.90). The HART's mean confidence in operational skill score for the TTEMS course was significantly higher (p<0.001) after training (4.55±0.59) than before training (2.78±0.98). The HART's mean confidence in operational skill score for the CPD course was significantly higher (p<0.001) after training (4.70±0.41) than before training (3.03±0.90).

Conclusion: The HART training program significantly affected the HART's knowledge development and confidence in operational skills, particularly the frontline prehospital emergency medical personnel. Therefore, prehospital emergency medical personnel should undergo training, and learning activities must be developed to reinforce capacity and improve knowledge and confidence.

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危险区域应急小组培训计划对泰国院前急救人员操作技能知识和信心的影响:准实验研究》。
背景:在全球发达国家和发展中国家,危险区域是指散发危险材料的地方,这些材料与恐怖活动或战争有关,导致公共健康风险。因此,作为前线工作者的院前急救人员应接受培训:采用李克特五点量表,通过前测、后测和问卷调查收集有关院前急救人员对操作技能的了解和信心的数据。培训对象包括年龄大于 18 岁的院前急救人员。培训课程包括讲座、实践和考试,其中包括三个子课程:化学、生物、辐射和核危险区域急救医学(EM-CBRN)课程;泰国战术紧急医疗服务(TTEMS)课程;灾难合作与准备(CPD)课程:结果:HART 的平均选择题(MCQ)测试后知识得分(12.80±3.11)明显高于其他课程(ppppppp):HART培训项目极大地影响了HART的知识发展和操作技能信心,尤其是院前急救一线医务人员。因此,院前急救医务人员应接受培训,并开展学习活动以强化能力,提高知识和信心。
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来源期刊
Open Access Emergency Medicine
Open Access Emergency Medicine EMERGENCY MEDICINE-
CiteScore
2.60
自引率
6.70%
发文量
85
审稿时长
16 weeks
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