Çocuk Acil Servis Sağlık Çalışanlarının Pediatrik Afet Triyajı Bilgi Düzeyleri

Yıl 2024, , 252 - 261, 28.08.2024

Gülşen Yalçın , Özlem Özdemir Balcı , Aysel Başer , Yasemin Aydın Güler , Murat Anıl

https://doi.org/10.22312/sdusbed.1488841

Öz

Amaç: Afetlerde yapılan triyajın, mümkün olan en fazla sayıda insana fayda sağlamayı hedeflediği bilinmektedir. Bu çalışmanın amacı, çocuk acil serviste görev yapan sağlık personelinin afet alanında çocuk triyajı konusundaki bilgi düzeylerini ölçmek, verilen eğitimin etkinliğini değerlendirmek ve bu eğitimi etkileyen faktörleri belirlemektir.
Materyal ve Metot: Bu çalışma, bir üniversite ile afiliye Eğitim ve Araştırma Hastanesi Çocuk Acil Servisi'nde Nisan-Temmuz 2023 tarihleri arasında yürütülen kesitsel bir çalışmadır. Çalışmaya Çocuk Acil servisinde çalışan sağlık personelleri katılmıştır. Katılımcılara jumpSTART triyaj temelli eğitim verilmiştir. Eğitim öncesi ve sonrası bilgi sınavı (BS) ve olgu senaryosu sınavı (OSS) uygulanmıştır. Çocuk acil servisinde çalışan doktor ve hemşirelerin afet triyajı konusundaki teorik bilgileri (maksimum puan 15) ve üç farklı senaryo üzerinden triyaj kararları (maksimum puan 60) ölçülmüştür. Ardından jumpSTART triyaj temelli eğitim verilmiştir. Bir hafta sonra son test ile eğitimin etkinliği değerlendirilmiştir.
Bulgular: Çalışmaya toplam 44 kişi (7 doktor, 37 hemşire) katılmıştır. Ortanca yaş: 35,5 (ÇDA=28-43,7) olup; 36’sı (%40,9) kadındır. Katılımcıların bilgi sınavı (ortanca 4’e karşılık 11; p<0,001) ve olgu sınavı (36,8±4,6’e karşılık 40,8±4,6; p=0,031) eğitim öncesi ve sonrası arasındaki fark anlamlıdır. Çocuk acil servisi triyaj biriminde çalışılan süre arttıkça son test BS puanı anlamlı düzeyde artış göstermiştir (p=0,047; r=0,448). Özellikle kırmızı kodlu hastaların triyajları konusundaki eğitimden daha çok fayda sağlanmıştır (p=0,010).
Sonuç: Bu çalışma, çocuk acil serviste görev yapan sağlık çalışanlarının afet triyajı bilgi ve beceri seviyelerini arttırmada başarıya ulaşmıştır. Eğitim programı, katılımcıların bilgi ve becerilerini geliştirmiştir. Pratik deneyimin bilgi artışında önemli bir rol oynadığı görülmüştür. Gelecek araştırmalarda daha geniş örneklemlerle çalışılması ve uzun vadeli etkilerin değerlendirilmesi önerilmektedir.

Anahtar Kelimeler

JumpSTART, Afet Triyajı, Sağlık Personeli Eğitimi, Triyaj Becerileri

Etik Beyan

Bu çalışma için Buca Seyfi Demirsoy Eğitim ve Araştırma Hastanesi Girişimsel Olmayan Araştırmalar Etik Kurulundan onay alınmıştır (2023/3-135).

Destekleyen Kurum

YOK

Teşekkür

YOK

Pediatric Disaster Triage Knowledge Levels of Pediatric Emergency Department Health Care Workers

Öz

Objective: Triage in disasters aims to benefit as many people as possible. This study aimed to measure the knowledge level of healthcare personnel working in pediatric emergency departments about child triage in the disaster area, to evaluate the effectiveness of the training provided and to determine the factors affecting this training.

Material and Method: This study is cross-sectional research conducted at the Pediatric Emergency Department of A University affiliated Training and Research Hospital between April and July 2023. Healthcare personnel working in the Pediatric Emergency Department participated in the study. Participants received training based on the JumpSTART triage system. Pre- and post-training knowledge tests (KT) and scenario-based tests (SBT) were administered. The theoretical knowledge of disaster triage (maximum score of 15) and triage decisions based on three different scenarios (maximum score of 60) of doctors and nurses working in the pediatric emergency department were measured. Following this, training based on the JumpSTART triage system was provided. The effectiveness of the training was evaluated with a post-test conducted one week later.

Results: A total of 44 participants (7 doctors and 37 nurses) were included in the study. The median age was 35.5 years (IQR=28-43.7), with 36 participants (40.9%) being female. The difference in participants' scores between the pre- and post-training knowledge tests (KT) (median 4 vs. 11; p<0.001) and scenario-based tests (SBT) (36.8±4.6 vs. 40.8±4.6; p=0.031) was significant. As the duration of working in the pediatric emergency triage unit increased, the posttest KT scores showed a significant increase (p=0.047; r=0.448). The training was particularly beneficial for triaging patients with red codes (p=0.010).

Conclusion: This study successfully enhanced the disaster triage knowledge and skill levels of healthcare personnel in the pediatric emergency department. The training program effectively improved the participants' knowledge and skills. Practical experience played a significant role in the increase of knowledge. Future research should involve larger sample sizes and assess the long-term effects of such training programs.

Anahtar Kelimeler

JumpSTART, Disaster Triage, Healthcare Personnel Training, Triage Skills

Kaynakça

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