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119 구급대원의 현장응급처치 표준지침에 대한 인식과 교육 요구도 분석

An analysis of awareness and educational needs related to prehospital emergency care guidelines among 119 EMTs

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Purpose: This study aimed to identify the awareness and performance levels of 119 EMTs (Emergency Medical Technicians) regarding the standard on-scene emergency care guidelines, to develop a differentiated training program reflecting paramedic characteristics, and to provide foundational data for improving the quality of prehospital emergency medical services. Methods: Data were collected from 307 responses of 119 EMTs (EMT-Paramedics and nurses) between March 15 and July 25, 2024. The data were analyzed using IBM SPSS Statistics 30.0 for frequency, mean, and standard deviation, as well as independent-samples t-tests, one-way ANOVA, and post hoc analysis. The relationship between awareness and performance of the standard guidelines was examined through an Importance–Performance Analysis (IPA). Results: The participants’ mean awareness (3.71 ± 0.47) and performance (3.50 ± 0.50) scores for the overall standard guidelines were relatively low, whereas the importance (4.26 ± 0.50) and educational needs (4.21 ± 0.52) scores were high. In the subdomain analysis, special-situation emergency care showed the lowest awareness (3.40 ± 0.66) and performance (3.29 ± 0.62) scores, whereas pediatric emergency care recorded the highest importance (4.47 ± 0.63) and educational needs (4.38 ± 0.60) scores. Conclusion: Items categorized as “Concentrate Here” in the IPA matrix—based on awareness, performance, importance, and educational needs—require targeted and systematic training. These items should be prioritized in the development of educational programs aimed at improving the quality of prehospital emergency medical services.

Abstract

Purpose: This study aimed to identify the awareness and performance levels of 119 EMTs (Emergency Medical Technicians) regarding the standard on-scene emergency care guidelines, to develop a differentiated training program reflecting paramedic characteristics, and to provide foundational data for improving the quality of prehospital emergency medical services. Methods: Data were collected from 307 responses of 119 EMTs (EMT-Paramedics and nurses) between March 15 and July 25, 2024. The data were analyzed using IBM SPSS Statistics 30.0 for frequency, mean, and standard deviation, as well as independent-samples t-tests, one-way ANOVA, and post hoc analysis. The relationship between awareness and performance of the standard guidelines was examined through an Importance–Performance Analysis (IPA). Results: The participants’ mean awareness (3.71 ± 0.47) and performance (3.50 ± 0.50) scores for the overall standard guidelines were relatively low, whereas the importance (4.26 ± 0.50) and educational needs (4.21 ± 0.52) scores were high. In the subdomain analysis, special-situation emergency care showed the lowest awareness (3.40 ± 0.66) and performance (3.29 ± 0.62) scores, whereas pediatric emergency care recorded the highest importance (4.47 ± 0.63) and educational needs (4.38 ± 0.60) scores. Conclusion: Items categorized as “Concentrate Here” in the IPA matrix—based on awareness, performance, importance, and educational needs—require targeted and systematic training. These items should be prioritized in the development of educational programs aimed at improving the quality of prehospital emergency medical services.

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