緊急救護技術員自評急救處置能力之研究

A Study of the Self-Assessed Emergency Management Competencies of Emergency Medical Technicians

羅雨凡(Yu-Fan LO) ； 謝素英(Suh-Ing HSIEH) ； 楊久滕(Giou-Teng YIANG) ； 許麗齡(Li-Ling HSU)

《護理雜誌》 66卷2期 (2019/04) Pp. 48-56

https://doi.org/10.6224/JN.201904_66(2).07

摘要

背景：緊急救護技術員須能準確評估急救需求，因這關係著病患的安全及預後。但國內目前無制定相關專業核心能力指標及課程，易導致不適當之處置。目的：旨在探討緊急救護技術員自評急救處置能力，及比較不同背景的整體自評急救處置能力差異。方法：採橫斷式調查，方便取樣自東部某消防局的緊急救護技術員為研究對象，以自擬問卷進行資料收集，共發放295份問卷，回收272份，回收率92.2%。結果：本研究發現緊急救護技術員自評執行急救處置能力整體平均得分為3.58，得分最高的項目為：「正確操作自動體外去顫器」；得分最低的項目為：「明白產後出血的處理方式」。此外其分數會因年齡、教育程度、緊急救護技術員資格、緊急救護教官或助教資格、擔任緊急救護技術員年資、服務單位每月救護勤務量、個人月平均救護勤務量，及最近一年內是否曾額外參與緊急救護課程，而有顯著差異存在。結論：可將評分較低項目，如：急產及兒科急症納入訓練課程，設計標準化教材及不同教學策略、增設考核制度，以提升信心不足案件之緊急救護適當性及品質。

關鍵字

緊急醫療救護 ； 緊急救護技術員 ； 急救處置能力 ； 自我評估

並列摘要

Background: Emergency medical technicians (EMTs) must be able to assess patient needs for emergency medical services in order to ensure patient safety and optimal prognosis. However, Taiwan currently has no relevant core competency indices or required courses in place for EMTs. The relative inaccessibility of training may seriously compromise the performance of EMTs. Purpose: This study investigated self-assessed emergency management competency and related demographic factors in a sample of EMTs. Methods: This cross-sectional survey used a convenience sample of EMTs working at a fire station in eastern Taiwan. Data were collected using a questionnaire including a new emergency management competency self-assessment scale. A total of 272 of the 295 distributed questionnaires were returned (92.2%). Results: The mean score for emergency management competency was 3.58 points. The highest-scored item was ＂I know how to use an automated external defibrillator correctly＂ and the lowest-scored item was ＂I know how to handle postpartum hemorrhaging (PPT).＂ The factors that were found to significantly influence self-assessed emergency management competencies included the age, education, EMT qualification, EMT instructor / assistant qualification, and years as an EMT of the respondent and the number of emergency medical tasks handled by their unit per month, average monthly personal workload, and having attended additional emergency medical courses in the previous year. Conclusions: Future training for EMTs should focus on improving competencies related to pediatric emergencies, obstetric emergencies, and other low-scoring items using proper instructional materials, strategies, and learning-outcome-assessment mechanisms. This training may be expected to improve the quality and appropriateness of future emergency medical treatment through greater EMT confidence and competence.

並列關鍵字

emergency medical treatment ； emergency medical technician ； emergency management competencies ； self-assessment

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