Online training improves paramedics’ knowledge of autonomic dysreflexia management guidelines
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Authors
Martin Ginis, Kathleen A.
Tomasone, Jennifer
Welsford, Michelle
Ethans, Karen
Sinden, Adrienne
Longeway, Mike
Krassioukov, Andrei
Date
2017
Type
journal article
Language
en
Keyword
Automatic dysreflexia , spinal cord injury , tetraplegia , Clinical practice guidelines , knowledge translation
Alternative Title
Abstract
Study Design: Single-group pre-test/post-test with 3- and 6-month follow-ups.
Objective: To test the effects of the “ABCs of AD” educational module on immediate and longer-term changes in paramedics’ knowledge and beliefs about using the autonomic dysreflexia (AD) clinical practice guidelines (CPGs).
Setting: Canada
Methods: 119 paramedics completed an AD knowledge test and measures of attitudes, perceived control, self-efficacy, social pressure from patients and health care professionals, and intentions to use the AD-CPGs before and 1-week, 3-months and 6-months after viewing “ABCs of AD”.
Results: There were significant improvements in AD knowledge, attitudes, and social pressure from patients to use the AD-CPGs from baseline to 1-week, 3-months and 6-months post-viewing (all p<0.001). Self-efficacy and intentions increased 1-week post-viewing (p<.001) but returned to baseline levels at 3- and 6-months (p>0.05). There was no change in perceived control or social pressure from health care professionals. AD knowledge and beliefs explained 50-61% of the variance in intentions to use the AD-CPGs. Attitudes, social pressure from patients, and perceived behavioural control were significant unique predictors of intentions at all time-points (p<0.05); AD knowledge was a significant predictor at 6-months only (p=0.048). No other predictors were significant.
Conclusions: “ABCs of AD” has immediate and sustained effects on paramedics’ knowledge of, attitudes toward, and perceived pressure from patients to use the AD-CPGs. Updates to paramedic patient care guidelines and standards are needed to increase ABCs OF AD 3 paramedics’ perceived control and self-efficacy to implement the guidelines, and their intentions to use the AD-CPGs.
Description
The final publication is available at Elsevier via https://doi.org/10.1038/sc.2016.116 © 2016. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/.
Citation
Martin Ginis, K. A., Tomasone J. R., Welsford, M., Ethans, K., Sinden, A. R., Longeway, M., & Krassioukov, A. (2017). Online training improves paramedics’ knowledge of autonomic dysreflexia management guidelines. Spinal Cord, 55(2):216-222. doi: 10.1038/sc.2016.116
Publisher
Springer Nature