DOI QR코드

DOI QR Code

119구급대원 대상 환자평가 교육과정에서 교육내용, 교수법, 평가 방법의 상대적 중요도 비교

Comparison of the relative importance of educational content, teaching methods, and evaluation methods in the patient assessment curriculum for 119 EMTs

  • 서아람 (공주대학교 응급구조학과, 서울특별시소방학교) ;
  • 문준동 (공주대학교 응급구조학과)
  • Ah-Ram Seo (Department of Emergency Medical Service, Kongju National University, Seoul Metropolitan Fire Academy) ;
  • Jun-Dong Moon (Department of Emergency Medical Service, Kongju National University)
  • 투고 : 2024.03.10
  • 심사 : 2024.04.16
  • 발행 : 2024.04.30

초록

Purpose: This study compared the relative importance of educational content, teaching methods, and evaluation methods in the patient assessment curricula of 119 emergency medical technicians (EMTs). Methods: First, we identified the educational content, training hours, and teaching and evaluation methods of the existing patient assessment curriculum based on the National Competency Standard learning module. Second, we surveyed 30 EMTs affiliated with 119 services using the Analytic Hierarchy Process (AHP) method. Subsequently, we compared the differences between the current curriculum and the AHP analysis results. Results: Currently in operation, the "Advanced EMT Course" comprises three learning modules: assessment of patient status, scene size-up and triage, and assessment using monitoring devices. Among these, content related to the assessment of patient status received the most allocated time and was deemed the most important according to the AHP survey results. Conversely, while less time was allocated to scene size and triage compared with assessment using monitoring devices, the former was assessed as more important than the latter in the AHP results. Furthermore, scenario-based team training and procedure-focused individual practice were evaluated as relatively important teaching methods, while practical examination using a checklist was deemed the most appropriate evaluation method for all learning content. Conclusion: To improve the patient assessment curriculum, we propose adjusting teaching hours and introducing new teaching and evaluation methods based on the results of relative importance. The proposed improvement plan will contribute to enhancing the competency of 119 EMTs.

키워드

참고문헌

  1. Lee HJ, Cho KJ. Comparison of knowledge level of triage in 119 emts. Korean J Emerg Med Ser 2014;18(1):43-54. https://doi.org/10.14408/KJEMS.2014.18.1.043
  2. Jo YH, Shin SD, Suh GJ, Kim JS. The effect of hospital-based emergency medical technician training on the prehospital measurement of vital signs. J Korean Soc Emerg Med 2007;18(4):267-76.
  3. Jang JY, Park CB, Lee EJ, Song KJ, Shin SD, Lee YJ. Diagnostic test performance characteristics of st-segment elevation myocardial infarction by level 1 emergency medical technicians before vs after an electrocardiogram education program. J Korean Soc Emerg Med 2010;21(5):539-45.
  4. Seo BM, Lee SH, Yang MS, Lee SH, Kim SH, Cho SH et al. 119 Rescue team's awareness of anaphylaxis and asthma exacerbation in gyeonggi-do province of korea: before and after education. Allergy Asthma Respir Dis 2019;7(4):199-205. https://doi.org/10.4168/aard.2019.7.4.199
  5. Na H, Jeong JW, Lee SK, Kim GW. The assessment of a patient's chief complaints by emergency medical technicians and residents of an emergency department. J Korean Soc Emerg Med 2013;24(4):346-52.
  6. Jeong YJ, Lee SY, Park JH, Kim KH. Effect of prehospital patient consciousness level on prehospital stroke screening by emergency medical service provider of stroke patient. J Korean Soc Emerg Med 2023;34(1):20-9.
  7. Pollock MJ, Brown LH, Dunn KA. The perceived importance of paramedic skills and the emphasis they receive during ems education programs. Prehosp Emerg Care 1997;1(4):263-8. https://doi.org/10.1080/10903129708958821
  8. Human Resources Development Service of Korea. NCS and learning module search ; 07. Patient Assessment. Available at: https://www.ncs.go.kr/unity/th03/ncsResultSearch.do, 2022.
  9. Ministry of Government Legislation. Regulations on emergency medical services education and training. Available at: https://www.law.go.kr/admRulSc.do?menuId=5&subMenuId=41&tabMenuId=183&query=%EA%B5%AC%EA%B8%89%EB%8C%80%EC%9B%90%20%EA%B5%90%EC%9C%A1%ED%9B%88%EB%A0%A8#liBgcolor0, 2023.
  10. National Fire Service Academy. Notification of the 2023 national fire service academy training plan. Available at: https://www.nfa.go.kr/nfsa/firefighterway/educationinfo/professional/, 2022.
  11. Human Resources Development Service of Korea. What is an NCS learning module?. Available at: https://www.ncs.go.kr/th01/TH102-002-01.scdo, 2022.
  12. Saaty TL. A scaling method for priorities in hierarchical structures. J Math Psychol 1977;15(3):234-81. https://doi.org/10.1016/0022-2496(77)90033-5
  13. Ministry of Government Legislation. Regulations on the training and operation of emergency medical specialists. Available at: https://www.law.go.kr/admRulSc.do?menuId=5&subMenuId=41&tabMenuId=183&query=%EA%B5%AC%EA%B8%89%EC%A0%84%EB%AC%B8%EA%B5%90%EC%9C%A1%EC%82%AC#AJAX, 2023.
  14. Nadarajah S. A generalized normal distribution. J Appl Stat 2005;32(7):685-94. https://doi.org/10.1080/02664760500079464
  15. Saaty TL. How to make a decision: the analytic hierarchy process. Eur J Oper Res 1990;48(1):9-26. https://doi.org/10.1016/0377-2217(90)90057-I
  16. Mitchell N, Ebbs P, Burbidge S. A novel approach to problem-based learning in a paramedicine programme. International Paramedic Practice 2019;9(2):34-40. https://doi.org/10.12968/ippr.2019.9.2.34
  17. Jin J, Bridges SM. Educational technologies in problem-based learning in health sciences education: a systematic review. J Med Internet Res 2014;16(12):e251. https://doi.org/10.2196/jmir.3240
  18. Williams B. Do undergraduate paramedic students embrace case based learning using a blended teaching approach? a 3-year review. Australasian Journal of Educational Technology 2009;25(3):421-39. https://doi.org/10.14742/ajet.1143
  19. Korea Development Institute. A study on multi-criteria analysis approaches for conducting pre-feasibility studies. Available at: https://kdi.re.kr/research/reportView?&pub_no=6067&pg=5&tema=I0&pp=10, 2000.
  20. Chun KH, Lee HJ. The evaluation of responses and abilities of 119 emts to perform pediatric triage. Fire Sci. Eng 2021;35(5):66-73. https://doi.org/10.7731/KIFSE.9125d72b
  21. Gausche M, Henderson DP, Seidel JS. Vital signs as part of the prehospital assessment of the pediatric patient: a survey of paramedics. Ann Emerg Med 1990;19(2):173-8. https://doi.org/10.1016/S0196-0644(05)81804-9
  22. Trust MD, Schellenberg M, Biswas S, Inaba K, Cheng V, Warriner Z et al. Prehospital vital signs accurately predict initial emergency department vital signs. Prehosp Disaster Med 2020;35(3):254-9. https://doi.org/10.1017/S1049023X2000028X
  23. Park HJ. Models and practices of curriculum development. 1st ed. Seoul: Kyoyookbook, 2005. 138-40.
  24. Song SH. Development and application of acls training program using a high-fidelity patient simulator for clinical nurses. Unpublished doctoral dissertation, Yonsei University 2018, Seoul, Korea.
  25. Ewha womans university. 21st century Educational methods and educational technology. Seoul: Kyoyookbook. 2005. 159-62.
  26. Kwak YS, Kang HS, Nam KS, Baek JM, Bang SY. Get class consulting now. 1st ed. Seoul: Wonmisa, 2007. 162-3.