INVESTIGATING THE EFFECTIVENESS OF PRE-HOSPITAL TRAUMA MANAGEMENT TRAINING PROGRAM ON THE CAPABILITY OF CLINICAL DECISION-MAKING IN EMERGENCY MEDICAL TECHNICIANS

Background and Aim : Improving clinical decision-making is one of the challenges of the prehospitalemergency system. Therefore, the aim of this study was to determine pre-hospital traumamanagement training program on clinical decision- making in emergency medical Technicians.Methods : In a randomized field trial study, 64 pre-hospital emergency technicians were randomlyassigned to two groups of test and control group by stratified sampling. Pre-hospital traumamanagement training program was developed based on existing domestic and global standards intwo days of pressure with a composition of lectures and simulation learning technics in the testgroup. In the control group, no intervention was performed at the time of the intervention. Theresearch instrument was a demographic questionnaire and a researcher-made clinical decisionmaking questionnaire completed immediately before the course, immediately and one month afterthe completion of the course. The content validity and reliability of the tool were confirmed by apilot study with Cronbach alpha test (81%). Data were analyzed by SPSS-19 software usingindependent T-test, repeated analysis of variance and Bonferroni s post-test.Results : The mean score of clinical decision-making in intervention group was significant lyincreased from 48.2 before intervention to 55.8 at one month follow up and the effect size of groupwas 0.58 (p <0.001). Also, the mean changes in clinical decision-making scores before and after(9.31 vs. 0.3), before and one month later (7.86 vs. 1.1) and immediately after the intervent io nfollow-up one month later (1.62 in. Vs. 1.39) in the experimental group was significantly higherthan the control group (p <0.001).Conclusion : The pre-hospital trauma management training program can enhance the clinica ldecision-making of pre-hospital emergency medical technicians.

کلیدواژه ها:

Trauma ، Emergency Medical Services ، Clinical Decision-Making