Self-Perception of Theoretical Knowledge and Practical Skills by Primary Health Care Physicians in Life-Threatening Emergencies

2018 ◽  
Vol 33 (5) ◽  
pp. 508-518 ◽  
Author(s):  
José Antonio Cernuda Martínez ◽  
Rafael Castro Delgado ◽  
Elena Ferrero Fernández ◽  
Pedro Arcos González
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Geographical Area ◽  
General Level ◽  
Theoretical Knowledge ◽  
Practical Skills ◽  
Self Perception ◽  
Primary Health ◽  
Life Threatening ◽  
Primary Health Care Physicians

AbstractObjectivesThe goal of this study was to find out the training received in Urgent and Emergency Medicine (UEM) by the Primary Health Care (PHC) physicians of Asturias (Spain), as well as their perception of their own theoretical knowledge and practical skills in a series of procedures employed in life-threatening emergencies (LTEs), and also to analyze the differences according to the geographical area of their work.MethodsThis was a cross-sectional survey of PHC physicians using an ad hoc survey of a sample of 213 physicians in Asturias regarding their self-perception of theoretical knowledge and practical skills in techniques used in LTEs by areas of work (rural, suburban, and urban). The interview was conducted by mail from April through May 2017. The data processing has used absolute and relative frequencies, as well as central tendency parameters and dispersion parameters. The estimates for the entire population have been made using confidence intervals for the mean of 95%. In the comparison of parameters, the differences between parameters with a probability of error less than five percent (P<.05) have been considered significant. For the comparison of means between the different techniques in the different areas of work, ANOVA was used.ResultsWith respect to the training of physicians, in general, for managing emergencies, both at the regional level and by areas of work (rural, suburban, and urban), none of the sets analyzed attained five points. By areas of work, it was the suburban region where there was a greater average general level of knowledge. There were significant differences in the average theoretical knowledge and the average practical skills in the procedures studied according to the different areas of work. The greater number of significant differences was between the urban and suburban regions and within the urban area.Conclusions:It’s necessary to ensure an adequate homogeneity of the levels of theoretical knowledge and practical skills of PHC physicians in order to guarantee the equity of provision of health care in emergencies in different geographical areas.Cernuda MartínezJA, Castro DelgadoR, Ferrero FernándezE, Arcos GonzálezP. Self-perception of theoretical knowledges and practical skills by primary health care physicians in life-threatening emergencies. Prehosp Disaster Med. 2018;33(5):508–518.

Primary Health Care Nurses’ Self-Perception of Theoretical Knowledges and Practical Skills in Life-Threatening Emergencies: A Cross-Sectional Study

2019 ◽  
Vol 34 (04) ◽  
pp. 376-384 ◽  
Author(s):  
José Antonio Cernuda Martínez ◽  
Rafael Castro Delgado ◽  
Tatiana Cuartas Álvarez ◽  
Pedro Arcos González
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Geographical Area ◽  
Theoretical Knowledge ◽  
Practical Skills ◽  
Self Perception ◽  
Cross Sectional ◽  
Emergency Procedures ◽  
Primary Health ◽  
Life Threatening

AbstractBackground:Within out-of-hospital emergencies, primary health care (PHC) nurses must face life-threatening emergencies (LTEs), which are defined as “a situation associated with an imminent life risk that entails the start-up of resources and special means to resolve the situation.”Objectives:The objectives of this study were to know the training received for out-of-hospital LTEs by PHC nurses of Asturias, Spain and the perception they have about their theoretical knowledge and practical skills in a series of emergency procedures or techniques used in LTE emergencies; as well as to analyze the differences according to the geographical area of their work.Design:Cross-sectional, descriptive, and observational study was conducted in 2018 of a sample of PHC service nurses of Asturias, Spain.Methods:A total of 236 nurses from PHC service centers of Asturias, Spain, from among the total of 730 nurses who make up the staff of nurses of the PHC service of Asturias, between April and May 2018, were surveyed. The survey was designed ad hoc using the Doctrinal Body of Emergency Nursing (DBEN) proposed by the Spanish Society of Emergency Medicine (SEMES; Madrid, Spain), which indicates the theoretical and practical procedures that must be acquired by the PHC nurses. It is composed of 37 procedures or techniques employed in LTEs using an 11-point Likert scale rating to detect their self-perception about theoretical knowledge and practical skills from zero (“Minimum”) to ten (“Maximum”).Results:There were significant differences in the mean of theoretical knowledge and practical skills in many procedures or techniques studied, depending on the different areas of work.Conclusions:All PHC nurses must be perfectly trained to provide initial quality assistance to the LTE, with both theoretical and practical knowledge of the different techniques, so that it can continue to be attended by the corresponding Emergency Service.

Primary Health Care Pediatricians’ Self-Perception of Theoretical Knowledge and Practical Skills in Life-Threatening Emergencies: A Cross-Sectional Study

2020 ◽  
Vol 35 (2) ◽  
pp. 152-159
Author(s):  
José Antonio Cernuda Martínez ◽  
Rafael Castro Delgado ◽  
Pedro Arcos González
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Theoretical Knowledge ◽  
Practical Skills ◽  
Self Perception ◽  
Cross Sectional ◽  
Emergency Procedures ◽  
Primary Health ◽  
Life Threatening

AbstractIntroduction:Within out-of-hospital emergencies, Primary Health Care (PHC) pediatricians will likely be the first to provide health care at the scene of a life-threatening emergency (LTE) in children. Pediatricians should be trained to initially intervene, safely and effectively the LTEs, including the activation of Emergency Medical Systems (EMS), an adequate stabilization of patients and transport to the hospital.Study Objectives:The aims of this study are to know the training received for out-of-hospital LTEs by PHC pediatricians of the Principality of Asturias (Spain) and the perception they have about their own theoretical knowledge and practical skills in a series of emergency procedures used in LTEs; also, to analyze the differences according to the geographical context of their work.Methods:This was a cross-sectional, descriptive, and observational study of a sample of 27 PHC pediatricians from PHC Service of Asturias, Spain, from among the total of 88 pediatricians who make up the staff of pediatricians, conducted from April through May 2019. The survey was designed ad hoc using the Curriculum in Primary Care Pediatrics (CPCP) proposed by the European Confederation of Primary Care Pediatricians (ECPCP; Europe), which indicates the theoretical and practical procedures that must be acquired by the PHC pediatricians. It is composed of 30 procedures or techniques employed in LTEs using a 11-point Likert scale rating to detect their self-perception about theoretical knowledge and practical skills from zero (“Minimum”) to 10 (“Maximum”).Results:There are significant differences in the mean of theoretical knowledge and practical skills in many procedures or techniques studied, depending on the different areas of work.Conclusion:Asturian pediatricians are generally well-prepared to solve LTEs with a few exceptions. The degree of self-perception and acquisition of general theoretical knowledge and general practical skills in LTEs is heterogeneous, with differences according to the scope of work.

scholarly journals Factors Influencing Prescribing Decisions Among Primary Health Care Physicians in Al-Buraimi Governorate, Oman

2019 ◽  
Vol 11 (4) ◽  
pp. 12
Author(s):  
Hilal Salim Al Shamsi ◽  
Talib Salim Al Kalbani ◽  
Abdullah Ghthaith Almutairi ◽  
Sulaiman Salim Al Mashrafi
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Medical Knowledge ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Primary Health ◽  
Life Threatening ◽  
Evidenced Based ◽  
Primary Health Care Physicians

Prescribing plays a major role in the activities practiced by physicians. The vast majority of health care consultations occur in the primary health care (PHC) system, where medication errors are more likely and can even be potentially life threatening. The goal of this study is to explore the factors affecting prescribing decisions among physicians working in PHC institutions in Al-Buraimi Governorate, Oman using a cross-sectional survey. Of the 53 physicians who received the questionnaire, 41 (77.4%) completed it. The Cronbach&#39;s alpha of the instrument was 0.913. The main patient factors that influenced prescribing decisions were age group (78%), gender (75.6%), and medication preference or untruthful patients (70.7%). The main physician factors were the lack of treatment alternatives (70.7%), doctor&ndash;patient relationship (68.3%), strict policies and guidelines (65.9%) and avoiding problems of drug unavailability (65.9%). The pharmacist influenced prescribing decisions for 36.6% of physicians. The methods used for keeping physician s&rsquo; medical knowledge up to date were private reading and the Internet (87.8% and 80.5%, respectively). Sources of prescribing guidance were colleagues and evidenced-based medicine websites (78.0% and 70.7%, respectively). The current study sheds some light on the factors and behaviours that influence physician prescribing decisions in PHCs in Al-Buraimi Governorate, Oman. Additionally, this study could be used for developing policies to improve drug selections and to increase clinical and economic effectiveness and efficiency.

scholarly journals Barriers Facing Primary Health Care Physicians When Dealing with Emergency Cases in Jeddah, Saudi Arabia

2015 ◽  
Vol 8 (8) ◽  
pp. 192 ◽  
Author(s):  
Majed A. Aloufi ◽  
Marwan A. Bakarman
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Primary Health Care ◽  
Emergency Services ◽  
Fine Tuning ◽  
Cross Sectional ◽  
Primary Health ◽  
Primary Health Care Centers ◽  
Primary Health Care Physicians ◽  
Health Care Centers

<p><strong>OBJECTIVES:</strong> To estimate the prevalence of emergency cases reporting to Primary Health Care centers (PHC), Jeddah, Saudi Arabia and to explore the barriers facing PHC physicians when dealing with such emergency cases.<strong></strong></p><p><strong>METHODS:</strong> A cross-sectional analytic study, where all physicians working in the PHC of the Ministry of Health (MOH) in Jeddah; were invited to participate (n=247). The study period was from July 2013 till December 2013. Data were collected through two sources. 1- A self-administered questionnaire used to determine the physicians’ perceived competence when dealing with emergency cases. 2- A structured observation sheet used to evaluate availability of equipment, drugs, ambulances and other supporting facilities required to deal with emergency cases.</p><p><strong>RESULTS:</strong> The response rate was 83.4%. The physicians’ age ranged between 25 and 60 years with a mean ±SD of 34.4±7.5 years. Majority of them (83.5%) did not attend ATLS courses at all whereas 60.7% never attended ACLS courses. The majority (97.1%) had however attended BLS courses. Physicians in the age group 36-45 years, non-Saudi, those who had SBFM, those who reported experience in working in emergency departments and physicians who reported more working years in PHCCs (&gt;5 years) had a significant higher score of perceived level of competence in performing emergency skill scale than others (P&lt;0.05). The prevalence of emergency cases attending PHC in Jeddah (2013) was 5.2%.</p><p><strong>CONCLUSION:</strong> Emergency services at PHC in Jeddah are functioning reasonably well, but require fine tuning of services and an upgrade in their quality.</p>

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