병원 전 응급구조사의 응급분만 프로토콜 개발 및 타당도 검증
The development and validation of a prehospital emergency delivery protocol for paramedics
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: This study aimed to develop a standardized protocol of systematic and explicit roles and procedures for paramedics for the maternal and newborn management during prehospital emergency delivery situations. Methods: This study is a methodological study with detailed step-by-step items proposed by an expert group based on evidence from a literature review. The content validity of the proposed preliminary prehospital emergency delivery protocol was verified before the final protocol was confirmed. Results: All 23 detailed items of the preliminary protocol met the reference cut-off (CVI value of 0.8 or higher). After considering, revising, and supplementing expert opinions for each of the 23 items 23 detailed in the proposed protocols, four steps were confirmed. The steps included five items for the management of the imminent mother, 10 items for delivery progress, five items for newborn management, and three items for postpartum management of the mother. Conclusion: This study’s findings may serve as reference for developing future specialized training programs for paramedics, to ensure enhanced competence in prehospital emergency delivery situations. The protocol should be reviewed and revised periodically to ensure currency.
Abstract
Purpose: This study aimed to develop a standardized protocol of systematic and explicit roles and procedures for paramedics for the maternal and newborn management during prehospital emergency delivery situations. Methods: This study is a methodological study with detailed step-by-step items proposed by an expert group based on evidence from a literature review. The content validity of the proposed preliminary prehospital emergency delivery protocol was verified before the final protocol was confirmed. Results: All 23 detailed items of the preliminary protocol met the reference cut-off (CVI value of 0.8 or higher). After considering, revising, and supplementing expert opinions for each of the 23 items 23 detailed in the proposed protocols, four steps were confirmed. The steps included five items for the management of the imminent mother, 10 items for delivery progress, five items for newborn management, and three items for postpartum management of the mother. Conclusion: This study’s findings may serve as reference for developing future specialized training programs for paramedics, to ensure enhanced competence in prehospital emergency delivery situations. The protocol should be reviewed and revised periodically to ensure currency.
참고문헌 (29)
- "119 annual statistics of EMS 2023" (2023)[URL]
- "2021 medical care and delivery vulnerable areas support project second announcement" (2021)[URL]
- "2023 medical care and delivery vulnerable areas support project second announcement" (2023)[URL]
- 정시영, "119 구급대를 통해 이송한 병원 도착 전 응급 분만의 현황과 분석", 대한응급의학회지, 28(3), pp.240~247 (2017), 대한응급의학회
- Korean Council of Professors for Emergency Medical Service, "Special considerations and operations(bledsoe porter cherry)", pp.21~91 (2021), Deihakseorim
- 백미례, "진통 분만, 질출혈과 성폭행 환자에 대한 119구급대원의 병원전 응급처치 분석", 한국응급구조학회지, 17(2), pp.9~20 (2013), 사단법인 한국응급구조학회
- "Press release to hold first central emergency medical committee in 2023" (2023)[URL]
- 백미례, "응급구조학과 학생의 응급분만 시뮬레이션 교육 만족도 영향요인", 한국화재소방학회 논문지, 28(5), pp.98~103 (2014), 한국화재소방학회[DOI]
- 노경희, "119 구급대원에 대한 병원 전 분만과 신생아 처치 교육의 효과 및 만족도 조사 연구", 대한응급의학회지, 24(6), pp.674~683 (2013), 대한응급의학회
- Oh HW, "Analysis on prehospital care of emergency patients in obstetics and gynecology by 119paramedic", master, pp.2015
- Corton, Marlene M, "Williams Obstetrics", pp.433~472 (2018), McGraw-Hill
- The Korean Society of Emergency Medicine, "Emergency Medicine", pp.1125~1138 (2019), Koonja
- Tintinalli J., "Tiltinalli’s Emergency Medicine", pp.652~660 (2016), McGraw-Hill
- National Fire Agency, "The standard protocols for 119 emergency medical services provider", pp.357~363 (2023), National Fire Agency
- "2015 paramedic psychomotor competency portfolio. FP470" (2017)[URL]
- Fehring RJ, "Methods to validate nursing diagnoses", Heart & Lung : Journal of Critical Care, 16(6), pp.625~629 (1987)
- "119 annual statistics of EMS 2021" (2021)[URL]
- Aasheim V, "Perineal techniques during the second stage of labour for reducing perineal trauma", Cochrane Database Syst Rev, 6(6), pp.CD006672~ (2017)[DOI]
- Jevitt CM, "Shoulder dystocia : etiology, common risk factors, and management", J Midwifery Womens Health, 50(6), pp.485~497 (2005)[DOI]
- 이진아, "분만장에서의 환아처치 및 치료: 최상의 예후를 위한 출발", Perinatology, 26(1), pp.12~20 (2015), 대한주산의학회
- "2020 korean guidelines for cardiopulmonary resuscitation" (2021)[URL]
- Rush J, "Cleaning the umbilical cord with water rather than alcohol shortened the time to separation with no change in colonization", Evidence-Based Nursing, 1(4), pp.112~ (1998)[DOI]
- G Singh, "Nuchal Cord : A retrospective analysis", Med J Armed Forces India, 64(3), pp.237~240 (2008)[DOI]
- Sadan O, "Cord around the neck-should it be severed at labor? A randomized controlled study", Am J Obstet Gynecol, 24(1), pp.61~64 (2007)[DOI]
- Gülmezoglu AM, "Active management of the third stage of labour without controlled cord traction : a randomized non-inferiority controlled trial", Reprod Health, 21(6), pp.2~ (2009)[DOI]
- JF Yetter III, "Examination of the placenta", American Family Physician, 57(5), pp.1045~1054 (1998)
- 박주호, "다수사상자사고 대응 실습교육 프로토콜 개발 및 효과성 검증", 한국응급구조학회지, 26(3), pp.121~135 (2022), 사단법인 한국응급구조학회[DOI]
- 이명선, "시뮬레이션을 활용한 실습교육이 간호학생의 간호수행능력과 문제해결 과정에 미치는 효과", 한국간호교육학회지, 17(2), pp.226~234 (2011), 한국간호교육학회
- 백미례, "응급구조학과 시뮬레이션 교육에 참여한 강사들의 경험", 한국콘텐츠학회 논문지, 11(7), pp.210~218 (2011), 한국콘텐츠학회