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Physician and nurses' perception of paediatric trauma care in Israeli emergency departments
Raya Madar1, Bruria Adini2, David Greenberg3
1Nursing Administration, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Insights
Paediatric trauma care is best managed in specialized paediatric emergency departments (PEDs), according to healthcare professionals. Enhanced training and experience significantly boost staff confidence in treating critically injured children.
Area of Science:
- Emergency Medicine
- Paediatric Trauma Care
- Healthcare Professional Attitudes
Background:
- Effective paediatric trauma treatment necessitates specialized infrastructure, equipment, and trained personnel.
- Existing models for paediatric trauma care require evaluation to optimize patient admission and management.
- Understanding healthcare provider perceptions is crucial for improving paediatric trauma response.
Purpose of the Study:
- To assess physician and nurse perceptions regarding paediatric trauma training, confidence, and management.
- To identify optimal models for admitting and treating paediatric trauma patients.
- To inform the development of specialized paediatric trauma care protocols.
Main Methods:
- An attitude survey was conducted, drawing on existing literature and a prior qualitative study.
- A 26-item paper-based questionnaire was distributed to staff in general and paediatric emergency departments across 22 Israeli medical centers.
- Data were collected from 843 physicians and nurses.
Main Results:
- A majority (61.1%) of respondents consider paediatric emergency departments (PEDs) the most appropriate setting for paediatric trauma.
- 88.5% believe minor paediatric trauma should be managed in designated paediatric trauma centers.
- Higher professional confidence in managing paediatric trauma is correlated with specialized training, increased case exposure, and working in larger medical centers.
Conclusions:
- Paediatric emergency departments are perceived as the preferred environment for paediatric trauma management.
- Severe paediatric trauma cases may be best treated in high-volume paediatric trauma centers.
- Specialized training is essential for emergency medicine teams to effectively manage paediatric trauma.
Background:
Treatment of paediatric trauma requires specialized infrastructure, medical equipment, medical staff and ancillary support personnel that have been specifically trained for such tasks.
Aims And Objectives:
To examine the perceptions and attitudes of physicians and nurses in general and paediatric emergency departments (PEDs) on training, confidence, and management of paediatric trauma in order to facilitate the establishment of an optimal model for admitting and treating paediatric trauma patients.
Design:
Drawing on published literature and a previously conducted qualitative study that explored the provision of medical care to paediatric trauma patients, we conducted an attitude survey.
Methods:
A 26-item paper-based questionnaire was distributed by nurse managers to all staff working within general EDs and PEDs of 22 medical centres across Israel.
Results:
Of 843 physicians and nurses who completed the survey, 61.1% considered PEDs the most appropriate facility for treating both minor and severe paediatric trauma, 88.5% believed that minor paediatric trauma should be treated in designated paediatric trauma centres, and 53.6% deemed that paediatric emergency medicine specialists are the most suitable primary decision makers in paediatric trauma. PED teams expressed greater professional confidence for treating paediatric trauma and multiple casualty incident patients. Greater professional confidence was positively correlated with paediatric trauma training, greater exposure to paediatric trauma cases, and working in larger medical centres.
Conclusions:
The results of the current study suggest that PEDs are perceived to be more appropriate for dealing with paediatric trauma. Also, treatment of severe trauma may be more appropriate in centres that admit large numbers of paediatric trauma cases.
Relevance To Clinical Practice:
Emergency medicine teams should undergo training for dealing with paediatric trauma. Such training would develop their skills, increase their confidence, and enhance their emotional abilities to cope with paediatric trauma.
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