ASSESSMENT OF BASIC PEDIATRIC EMERGENCY COMPENTENCIES AMONG HEALTHCARE PROVIDERS IN LAO CAI PROVINCE IN 2024
##plugins.themes.vojs.article.main##
Abstract
Objectives: To evaluate the basic pediatric emergency competencies of physicians and nurses in provincial and district hospitals in Lao Cai Province, aiming to propose appropriate intervention and training strategies.
Subjects and Methods: A cross-sectional study conducted from January to March 2024. The study participants included healthcare providers (doctors and nurses) directly involved in the care and treatment of pediatric patients at district hospitals and Lao Cai Obstetrics and Pediatrics Hospital. The assessment involved theoretical examinations and direct observation of practical emergency skills to evaluate knowledge and prociency in basic pediatric emergency procedures.
Results: A total of 128 healthcare providers participated in the study with an average age of 36 years. Of these, 26.6% were male and 73.4% female. The average years of experience in healthcare was 12 years, and in hospitals approximately 10 years. The mean scores for theoretical knowledge of pediatric emergency ranged from 38/100 to 57/100, depending on the hospital. Less than 50% of participants mastered essential emergency skills. Specically, correct chest compression technique was performed by 71% for older children, 72% for infants using two hands, over 70% correctly performed bag-valve-mask ventilation. However, the prociency in endotracheal intubation was low, with less than 50% performing the technique correctly.
Conclusion: The pediatric emergency competencies of physicians and nurses in provincial and district hospitals in Lao Cai remain limited. Implementing appropriate training programs is essential to enhance basic pediatric emergency skills at the local level.
##plugins.themes.vojs.article.details##
Keywords
competency, emergenc, pediatric, Lao Cai
References
2. Sharrow D, Hug L, You Det al.Global, regional, and national trends in under-5 mortality between 1990 and 2019 with scenariobased projections until 2030: a systematic analysis by the UN Inter-agency Group for Child Mortality Estimation. The Lancet Global Health 2022;10.2 e195-e206. https://doi.org/10.1016/s2214-109x(21)00515-5
3. Stanojević M. Neonatal and child mortality - are they dierent in developing and developed countries?. J Perinat Med 2022;50(7):855-862. https://doi.org/10.1515/jpm-2022-0059
4. Quyết định số 1493/QĐ-TTg ngày 10/9/2021 của Thủ tướng Chính phủ về việc phê duyệt Chương trình “Can thiệp giảm tử vong trẻ em dưới 5 tuổi đến năm 2030”.
5. Lee ACC, Cousens S, Wall SN et al. Neonatal resuscitation and immediate newborn assessment and stimulation for the prevention of neonatal deaths: a systematic review, meta-analysis and Delphi estimation of mortality eect. BMC Public Health 2011;Suppl 3(Suppl 3):S12. https://doi.org/10.1186/1471-2458-11-s3-s12
6. Hoàng Trọng Kim và cộng sự. Tính an toàn của các trường hợp chuyển viện đến khoa cấp cứu Bv Nhi đồng 1 từ tháng 3/2003
đến tháng 2/2004. Tạp chí Y học thực hành 2004;495;116-121.
7. Vụ Sức khỏe Bà mẹ - Trẻ em, Bộ Y tế. Báo cáo tổng kết công tác năm 2016. Nhà xuất bản Y học, Hà Nội 2016.
8. Khu Thị Khánh Dung. Thực trạng cấp cứu sơ sinh và mô hình bệnh cấp cứu, tử vong sơ sinh tại Lào Cai. Tạp chí Nhi khoa 2020;13(2):10-16. https://doi.org/10.52724/tcnk.v14i1.15
9. Nguyễn Văn Tuấn, Lê Thị Mai Hương, Trần Đức Long và cộng sự. Đánh giá hiệu quả đào tạo cấp cứu nhi khoa cơ bản cho nhân viên y tế tuyến huyện tại tỉnh Thanh Hóa. Tạp chí Y học Việt Nam 2021;4:56–63.
10. Phan Hữu Phúc, Nguyễn Bảo Hạnh, Lê Ngọc Duy và cộng sự. Hiệu quả của đào tạo cấp cứu nhi khoa với sự hỗ trợ của công nghệ thực tế ảo cho cán bộ y tế tuyến tỉnh. Tạp chí Nhi khoa 2024,17(5):28-34. https://doi.org/10.52724/tcnk.v17i5.324
11. Lee ACC, Thampi N, Chan TSH et al. Eectiveness of refresher training on pediatric emergency skills among healthcare providers in low-resource settings: A randomized controlled trial. BMC Medical Education 2020;20(1):245. https://doi.org/10.1186/s12909-020-02176-3