119구급대의 스마트의료지도 직무수행능력 영향요인
Factors influencing the performance of emergency medical technicians utilizing smart advanced life support (SALS)
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Purpose: The present study was conducted to identify the factors influencing the perfromance of the emergency medical technicians (EMTs) utilizing smart advance life support (SALS) and to provide appropriate feedback to improve SALS performance. Methods: The study subjects were recruited from 119 EMT members working in G city participating in SALS project. A total of 155 data were used in the analysis. Results: Of the three areas, the mean score of importance was the highest (4.53±0.48). followed by educational needs (4.24±0.66), and SALS performance (4.08±0.55). Importance was identified as a significant factor influencing SALS performance (β=.187, p<.047).The length of education. work scope. amd role of level 1 EMTs vary significantly depending on the type of qualifications they have as emergency medical professionals, while the supply of level 1 EMTs has already reached a point of saturation. Accordingly, the current regulation on allowing level 2 EMTs with at least three years of experience to take the level 1 EMT test presents serious inequity for students just graduating from their emergency medical services program. It is also a factor that degrades the professionalism of level 1 EMTs. Conclusion: Based on the results of this study, it was found that mediation and education programs need to be implemented to highlight the importance of the tasks performed in SALS situations in order to improve performance.
Abstract
Purpose: The present study was conducted to identify the factors influencing the perfromance of the emergency medical technicians (EMTs) utilizing smart advance life support (SALS) and to provide appropriate feedback to improve SALS performance. Methods: The study subjects were recruited from 119 EMT members working in G city participating in SALS project. A total of 155 data were used in the analysis. Results: Of the three areas, the mean score of importance was the highest (4.53±0.48). followed by educational needs (4.24±0.66), and SALS performance (4.08±0.55). Importance was identified as a significant factor influencing SALS performance (β=.187, p<.047).The length of education. work scope. amd role of level 1 EMTs vary significantly depending on the type of qualifications they have as emergency medical professionals, while the supply of level 1 EMTs has already reached a point of saturation. Accordingly, the current regulation on allowing level 2 EMTs with at least three years of experience to take the level 1 EMT test presents serious inequity for students just graduating from their emergency medical services program. It is also a factor that degrades the professionalism of level 1 EMTs. Conclusion: Based on the results of this study, it was found that mediation and education programs need to be implemented to highlight the importance of the tasks performed in SALS situations in order to improve performance.
참고문헌 (15)
- 이종구, "미국 원격의료에 관한 최근 동향과 의료법 개정안의 검토", 법학논총, 40(4), pp.3~38 (2016), 법학연구소[DOI]
- Report on the result of the smart advanced life support pilot project of 119 rescuers and emergency medical technicians, "National emergency medical center", ~ (2016)
- Moon HJ, "Effect of intravenous vascular access and drug administration on out-ofhospital cardiac arrest outcomes following prehospital advanced life support: results from the smart advanced life support study", master’s, pp.2016
- 이은경, "응급실 초진 간호사의 한국형 응급 환자 분류도구 수행능력에 영향을 미치는 요인", 임상간호연구, 24(1), pp.94~102 (2018), 병원간호사회[DOI]
- Kim NG, "Recognition and performance of 119emergency medical technicians for the medical oversight", master’s, pp.2013
- Jonathan R. Benger, "Effect of a Strategy of a Supraglottic Airway Device vs Tracheal Intubation During Out-of-Hospital Cardiac Arrest on Functional Outcome", JAMA, 320(8), pp.779~791 (2018), American Medical Association (AMA)[DOI]
- Alexis Cournoyer, "Prehospital Advanced Cardiac Life Support for Out-of-hospital Cardiac Arrest: A Cohort Study", Academic Emergency Medicine, 24(9), pp.1100~1109 (2017), Wiley[DOI]
- 김진현, "구급차 내에서 수행한 구급대원의 정맥로 확보에 관한 융합연구", 한국융합학회논문지, 8(11), pp.177~182 (2017), 한국융합학회[DOI]
- R. W. Neumar, "Part 8: Adult Advanced Cardiovascular Life Support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care", Circulation, 122(18_suppl_3), pp.S729~S767 (2010), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Jerry P. Nolan, "European Resuscitation Council Guidelines for Resuscitation 2010 Section 1. Executive summary", Resuscitation, 81(10), pp.1219~1276 (2010), Elsevier BV[DOI]
- 안기옥, "1급 응급구조사의 드릴형 골내 주사의 병원전 사용에 대한 교육 효과 평가", 대한응급의학회지, 19(6), pp.611~616 (2008), 대한응급의학회
- 김재민, "119 구급대원 직접의료지도체계 구축 및 간접프로토콜에 의한 업무 수행 확대- 경기도에서의 경험", 대한응급의학회지, 26(4), pp.276~285 (2015), 대한응급의학회
- 박유나, "구급대원의 전문심장소생술 시뮬레이션훈련이 직무수행융합능력에 미치는 영향", 한국융합학회논문지, 10(4), pp.99~106 (2019), 한국융합학회[DOI]
- 이성희, "119 구급대원의 직무스트레스와 직무만족도", 지역사회간호학회지, 17(4), pp.521~529 (2006), 한국지역사회간호학회
- 민부자, "수석교사가 인식하는 직무의 중요도 및 수행도 차이 분석", 교육과정연구, 28(4), pp.103~133 (2010), 한국교육과정학회[DOI]
