Psychosocial Care for Injured Children: Worldwide Survey among Hospital Emergency Department Staff.

Authors: Alisic E, Hoysted C, Kassam-Adams N, Landolt MA, Curtis S, Kharbanda AB, Lyttle MD, Parri N, Stanley R, Babl FE; Pediatric Emergency Research Canada (PERC); Pediatric Emergency Medicine Collaborative Research Committee of the American Academy of Pediatrics (PEMCRC); Pediatric Emergency Research in the United Kingdom and Ireland (PERUKI); Research in European Pediatric Emergency Medicine (REPEM); Pediatric Emergency Care Applied Research Network (PECARN); Pediatric Research in Emergency Departments International Collaborative (PREDICT); Pediatric Emergency Research Networks (PERN); Pediatric Emergency Research Canada PERC; Pediatric Emergency Medicine Collaborative Research Committee of the American Academy of Pediatrics PEMCRC; Pediatric Emergency Research in the United Kingdom and Ireland PERUKI; Research in European Pediatric Emergency Medicine REPEM; Pediatric Emergency Care Applied Research Network PECARN; Pediatric Research in Emergency Departments International Collaborative PREDICT; Pediatric Emergency Research Networks PERN.

Source: J Pediatr. 2015 Dec 17. pii: S0022-3476(15)01306-2. doi: 10.1016/j.jpeds.2015.10.067. [Epub ahead of print]

Abstract

OBJECTIVE:

To examine emergency department (ED) staff’s knowledge of traumatic stress in children, attitudes toward providing psychosocial care, and confidence in doing so, and also to examine differences in these outcomes according to demographic, professional, and organizational characteristics, and training preferences.

STUDY DESIGN:

We conducted an online survey among staff in ED and equivalent hospital departments, based on the Psychological First Aid and Distress-Emotional Support-Family protocols. Main analyses involved descriptive statistics and multiple regressions. Respondents were 2648 ED staff from 87 countries (62.2% physicians and 37.8% nurses; mean years of experience in emergency care was 9.5 years with an SD of 7.5 years; 25.2% worked in a low- or middle-income country).

RESULTS:

Of the respondents, 1.2% correctly answered all 7 knowledge questions, with 24.7% providing at least 4 correct answers. Almost all respondents (90.1%) saw all 18 identified aspects of psychosocial care as part of their job. Knowledge and confidence scores were associated with respondent characteristics (eg, years of experience, low/middle vs high-income country), although these explained no more than 11%-18% of the variance. Almost all respondents (93.1%) wished to receive training, predominantly through an interactive website or one-off group training. A small minority (11.1%) had previously received training.

CONCLUSIONS:

More education of ED staff regarding child traumatic stress and psychosocial care appears needed and would be welcomed. Universal education packages that are readily available can be modified for use in the ED.

Copyright © 2015 Elsevier Inc. All rights reserved.

PMID:
26707581
[PubMed – as supplied by publisher]

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