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Pediatric Online Disaster Preparedness Training for Medical and Non-Medical Personnel: A Multi-Level Modeling
Phung K Pham1, Solomon M Behar1, Bridget M Berg2
11Division of Emergency and Transport Medicine,Children's Hospital Los Angeles,Los Angeles,California USA.
Insights
Online training significantly improved pediatric disaster preparedness knowledge for both medical and non-medical hospital staff. Repeated attempts enhanced learning, particularly for non-medical personnel in specific modules.
Area of Science:
- Emergency Medicine
- Disaster Preparedness
- Pediatric Healthcare
Background:
- Disaster preparedness is critical due to terrorism and natural catastrophes.
- Children are particularly vulnerable during disasters, yet healthcare systems have preparedness gaps.
- Pediatric disaster preparedness knowledge among hospital staff requires enhancement.
Purpose of the Study:
- To examine knowledge acquisition in pediatric disaster preparedness among medical and non-medical hospital personnel.
- To assess the effectiveness of a five-module online training course.
- To identify differences in learning between medical and non-medical staff.
Main Methods:
- Analysis of archival data from an online pediatric disaster preparedness training course (July 2009-August 2012).
- Utilized linear growth curve multi-level modeling to analyze module scores based on participant role and attempt number.
- Included 5,773 participants (3,686 medical, 2,087 non-medical) with 44,115 module attempts.
Main Results:
- Overall, participants significantly improved scores with repeated attempts in planning, triage, and age-specific care modules.
- Medical personnel consistently scored higher than non-medical personnel across all attempts.
- Non-medical personnel showed significant score improvements in disaster management and hospital emergency code response modules with repeated attempts.
Conclusions:
- Online training effectively enhances pediatric disaster preparedness knowledge for both medical and non-medical hospital personnel.
- Successive training modules can reinforce and improve knowledge acquisition.
- The findings highlight the value of online platforms for broad-based disaster preparedness education in healthcare settings.
Abstract:
IntroductionTerrorism and natural catastrophes have made disaster preparedness a critical issue. Despite the documented vulnerabilities of children during and following disasters, gaps remain in health care systems regarding pediatric disaster preparedness. This research study examined changes in knowledge acquisition of pediatric disaster preparedness among medical and non-medical personnel at a children's hospital who completed an online training course of five modules: planning, triage, age-specific care, disaster management, and hospital emergency code response.
Methods:
A multi-disciplinary team within the Pediatric Disaster Resource and Training Center at Children's Hospital Los Angeles (Los Angeles, California USA) developed an online training course. Available archival course data from July 2009 to August 2012 were analyzed through linear growth curve multi-level modeling, with module total score as the outcome (0 to 100 points), attempt as the Level 1 variable (any module could be repeated), role in the hospital (medical or non-medical) as the Level 2 variable, and attempt by role as the cross-level effect.
Results:
A total of 44,115 module attempts by 5,773 course participants (3,686 medical personnel and 2,087 non-medical personnel) were analyzed. The average module total score upon first attempt across all participants ranged from 60.28 to 80.11 points, and participants significantly varied in how they initially scored. On average in the planning, triage, and age-specific care modules: total scores significantly increased per attempt across all participants (average rate of change ranged from 0.59 to 1.84 points) and medical personnel had higher total scores initially and through additional attempts (average difference ranged from 13.25 to 16.24 points). Cross-level effects were significant in the disaster management and hospital emergency code response modules: on average, total scores were initially lower among non-medical personnel compared to medical personnel, but non-medical personnel increased their total scores per attempt by 3.77 points in the disaster management module and 6.40 points in the hospital emergency code response module, while medical personnel did not improve their total scores through additional attempts.
Conclusion:
Medical and non-medical hospital personnel alike can acquire knowledge of pediatric disaster preparedness. Key content can be reinforced or improved through successive training in an online course. PhamPK, BeharSM, BergBM, UppermanJS, NagerAL. Pediatric online disaster preparedness training for medical and non-medical personnel: a multi-level modeling analysis Prehosp Disaster Med. 2018;33(4):349-354.
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