Survey on the current situation and demand of training for first witnesses of children among medical staff in Hunan Province

doi:10.3760/cma.j.cn115259-20240515-00488

Abstract

Abstract: Objective To understand the level of medical personnel′s mastery of children′s on-site rescue capabilities in Hunan Province and to investigate the demand for conducting first witness training for children, in order to inform future training in this area. Methods From April 10 to 24, 2024, a self-made survey questionnaire was used to survey medical personnel in Hunan Province through WeChat questionnaires. The questionnaire data was collected and subjected to descriptive and chi square test. Results Among the 10 746 medical staff who participated in the survey, 5 862(54.6%) had received training as the first witness for children, and 9 313(86.7%) of medical staff believed that they had the ability to identify the critical condition of children. Among the self-evaluation of first witness abilities, the mastery rates of child cardiopulmonary resuscitation [9 674(90.0%)] and child Heimlich maneuver [10 089(93.9%)] were very high, while the mastery rates of child AED [7 900(73.5%)] and trauma four techniques [7 857(73.1%)] were relatively low. Among the investigators, 10 226(95.2%) believed there is a difference between adult and child first witnesses, and 10 524(97.9%) believed it is necessary to conduct training for child first witnesses. In addition, 9 988(92.9%) had a need to participate in the training of children′s first witnesses, and 7 927(73.8%) had a need to participate in the training of children′s first witness mentors. The higher the level of hospital institutions, the higher the professional titles of personnel, the longer the working years, the professionals engaged in pediatrics, and the investigators with the first witness training certificate, the higher the necessity of affirming the first witness of children, self-evaluation of the first witness ability, and training needs. The differences are statistically significant (all P<0.05). Conclusions Medical personnel in Hunan Province should strengthen the training of children′s first witnesses, especially in grassroots medical institutions, junior medical personnel, and child AED use and the four techniques of child trauma in children′s first witness abilities, which need to be further trained.

Key words: Child, Medical staff, First eyewitness, Training needs, Hunan

CLC Number:

R-05

Liu Pingping, Huang Jiaotian, Zhang Xinping, Fan Jianghua, Zhang Yu, Xiao Zhenghui, Lu Xiulan. Survey on the current situation and demand of training for first witnesses of children among medical staff in Hunan Province[J]. Chinese Journal of Medical Education, 2025, 45(7): 542-546.

References

[1] 殷欣, 刘涛, 邓秋霞. 我国“第一目击者”培训现状及展望[J].吉林医学,2013,34(28):5878-5879. DOI:10.3969/j.issn.1004-0412.2013.28.069.
[2] 中国老年保健协会第一目击者现场救护专业委员会, 现场救护第一目击者行动专家共识组. 现场救护第一目击者行动专家共识[J].中华危重病急救医学,2019,31(5):513-527. DOI:10.3760/cma.j.issn.2095-4352.2019.05.001.
[3] 肖薇薇, 张静航, 陈芳, 等. 第一目击者急救知识技能导师培训模式探讨与实践[J].中国急救复苏与灾害医学杂志,2024,19(2):256-260. DOI:10.3969/j.issn.1673-6966.2024.02.028.
[4] 孙琪, 金志鹏. 2020年美国心脏协会心肺复苏及心血管急救指南[J].中华实用儿科临床杂志,2021,36(5):321-328. DOI:10.3760/cma.j.cn101070-20201102-01701.
[5] Haggie S, Barnes EH, Selvadurai H, et al. Paediatric pneumonia: deriving a model to identify severe disease[J].Arch Dis Child, 2022,107(5):491-496. DOI:10.1136/archdischild-2021-322665.
[6] Simon HK, Sullivan F. Confidence in performance of pediatric emergency medicine procedures by community emergency practitioners[J].Pediatr Emerg Care, 1996,12(5):336-339. DOI:10.1097/00006565-199610000-00003.
[7] Cashen K, Sutton RM, Reeder RW, et al. Association of CPR simulation program characteristics with simulated and actual performance during paediatric in-hospital cardiac arrest[J].Resuscitation, 2023,191:109939. DOI:10.1016/j.resuscitation.2023.109939.
[8] 实用休克杂志(中英文)编委会, 湖南省复苏质量控制中心. 医院内急诊重症快速反应小组建设专家共识[J].实用休克杂志(中英文),2023,7(2):109-114.
[9] Brilli RJ, Gibson R, Luria JW, et al. Implementation of a medical emergency team in a large pediatric teaching hospital prevents respiratory and cardiopulmonary arrests outside the intensive care unit[J].Pediatr Crit Care Med, 2007,8(3):236-246; quiz 247. DOI:10.1097/01.PCC.0000262947.72442.EA.
[10] O′Halloran A, Morgan RW, Kennedy K, et al. Characteristics of pediatric in-hospital cardiac arrests and resuscitation duration[J].JAMA Netw Open, 2024,7 (7): e2424670. DOI:10.1001/jamanetworkopen.2024.24670.
[11] 儿童创伤急救早期处理专家共识组. 儿童创伤急救早期处理专家共识[J].临床儿科杂志,2017,35(5):377-383. DOI:10.3969/j.issn.1000-3606.2017.05.014.
[12] Shimoda-Sakano TM, Schvartsman C, Reis AG. Epidemiology of pediatric cardiopulmonary resuscitation[J].J Pediatr (Rio J), 2020,96(4):409-421. DOI:10.1016/j.jped.2019.08.004.

[1]	Liu Yalin, Yu Dehua, Zhan Huajian, Li Jinhong, Bai Tiao, Qiu Wei, Fu Qiangqiang, Ma Le, Pu Zhen, Wang Leijun, Yang Sen. Investigation on the service status and training needs of primary care physicians in three regions of Tibet [J]. Chinese Journal of Medical Education, 2025, 45(7): 537-541.
[2]	Yan Jiayi, Wang Hui, He Fan, Cheng Wenhong, Gao Xueping, Huang Yi, Ke Xiaoyan, Lu Jianping, Tang Ni, Cao Qingjiu, Si Tianmei. Comparison of the current status of the training models for child and adolescent psychiatrists between China and foreign countries and its implications [J]. Chinese Journal of Medical Education, 2025, 45(7): 553-557.
[3]	Wang Zihe, Liu Guoliang, Lu Qingjun, Zhang Yunjian, Mu Xinlin, Liu Qiangui, Shi Juhong. Survey on the current situation and demand for the application of auscultation technology among clinical doctors in China [J]. Chinese Journal of Medical Education, 2024, 44(2): 109-112.
[4]	Hu Yanqiu, Deng Haoyue, Cheng Guiqing, Gui Chunyi. Analysis of the demand and factors of standardized training among EENT new nurses based on Goldstein model [J]. Chinese Journal of Medical Education, 2023, 43(8): 574-577.
[5]	Wang Yaxin, He Jingbo, Sun Yin, Ayidana Kaierdebieke, Zhang Suhan, Liu Na′na, Lin Hang, Ma Liangkun. Investigation and analysis of the status and demand of ″nutrition during pregnancy″ training in Beijing in 2022 [J]. Chinese Journal of Medical Education, 2023, 43(7): 543-547.
[6]	Yang Sen, Wang Junpeng, Zhang Hanzhi, Ge Xuhua, Ma Le, Jia Can, Luosangrenzeng, Shi Jianjun, Yu Dehua. Analysis of training needs of general practitioners in primary care facilities in Shigatse, Tibet [J]. Chinese Journal of Medical Education, 2023, 43(5): 381-385.
[7]	ZuMuReTi·Yimin, Guo Yan, Wang Minnan, ReNa·Maimaiti. Application of the flipped classroom blended teaching method based on SPOC in the child health care course [J]. Chinese Journal of Medical Education, 2023, 43(2): 123-126.
[8]	Zhu Hengliang, Zhu Huayi, Yin Rongrong, Yang Fangfang, Qiu Yawei, Zhou Zhonghui, Jiang Shu, Yang Zhijun, Su Guoqiang, Yang Wen, Lu Jiafa, Jia Yingzhu. Needs assessment and analysis on continuing medical education in medical assistance program [J]. Chinese Journal of Medical Education, 2023, 43(10): 788-792.
[9]	Xiao Guanghong, Lu Na, Zhuang Simin, Hou Jiawen, Zhao Ya'nan, Ma Ximei, Wang Yanhong. The application of training needs analysis in nursing professional training [J]. Chinese Journal of Medical Education, 2023, 43(1): 53-57.
[10]	Qin Ru'nan, Liu Baofeng, Zhang Mengnan, Li Xiaolin, Li Xudong, Zeng Qiang. Investigation and analysis on health science popularization cognition of medical staff in Tianjin [J]. Chinese Journal of Medical Education, 2022, 42(9): 783-786.
[11]	Wang Hui, Wang Haijun, Zhou Hong, Liu Zheng, Luo Shusheng, Bao Heling, An Lin, Gao Yanqiu, Kang Chuyun, Zhou Qianling, Juan Juan, Zhang Xiaosong, Peng Zhenyao, Zhou Yu. Application and thinking of online case-based learning in maternal and child health care [J]. Chinese Journal of Medical Education, 2022, 42(7): 633-637.
[12]	He Xiaolu, Fan Yutong, Bai Yang, Liu Jing, Chen Binbin. Study on the relationship of ideological and political education with professionalism and job involvement degree of medical staff [J]. Chinese Journal of Medical Education, 2022, 42(2): 132-136.
[13]	Luo Hanqing, Lin Hongyi, He Yumiao, Zhao Zirui, Wang Zi, Yang Ruizhe, Luo Xin, Wu Nan, Long Xiao, Wu Dong, Huang Hui, Zhao Chan. Exploration of a course on medical innovation and technology translation for young practitioners in medical institutions [J]. Chinese Journal of Medical Education, 2022, 42(11): 977-981.
[14]	Wu Rong, Lu Tingting, Hu Dan, Chen Mingsheng, Zhu Jing. Discussion on optimization strategies of primary health workers training based on needs and expectations [J]. Chinese Journal of Medical Education, 2022, 42(11): 969-972.
[15]	Zhang Guining, Wu Cailin, Wang Sheng, He Xuehong, Long Shanlian, Wei Wei, Yu Kehan, Huang Huiqiao. The investigation and analysis of the cognition, attitudes and training needs of standardized training residents for COVID-19 infection prevention and control during the pandemic [J]. Chinese Journal of Medical Education, 2021, 41(4): 343-346.