Rural Emergency Department Staffing and Participation in Emergency Certification and Training Programs

Autor/inn/en	Casey, Michelle M.; Wholey, Douglas; Moscovice, Ira S.
Titel	Rural Emergency Department Staffing and Participation in Emergency Certification and Training Programs
Quelle	In: Journal of Rural Health, 24 (2008) 3, S.253-262 (10 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-765X
DOI	10.1111/j.1748-0361.2008.00166.x
Schlagwörter	Health Personnel; Medical Education; Hospitals; Rural Areas; Physicians; Nurses; Certification; Training; Telephone Surveys; Continuing Education + Suchen Sie Ihr Suchwort? Medizinisches Personal; Medizinische Ausbildung; Krankengymnast; Krankenhaus; Rural area; Ländlicher Raum; Physician; Doctor; Arzt; Abschlusszeugnis; Zertifizierung; Ausbildung; Telephone interview; Telefoninterview; Weiterbildung
Abstract	Context: The practice of emergency medicine presents many challenges in rural areas. Purpose: We describe how rural hospitals nationally are staffing their Emergency Departments (EDs) and explore the participation of rural ED physicians and other health care professionals in selected certification and training programs that teach skills needed to provide high-quality emergency care. Methods: A national telephone survey of a random sample of rural hospitals with 100 or fewer beds was conducted in June to August 2006. Respondents included ED nurse managers and Directors of Nursing. A total of 408 hospitals responded (96% response rate). Findings: A majority of rural hospitals use more than one type of staffing to cover the ED. The type of staffing varies by time period and ED volume. On weekdays, about onethird of hospitals use physicians on their own medical staff; one third use contracted coverage; 18% use both; and 14% use physician assistants and/or nurse practitioners with a physician on-call. Hospitals are more likely to use a combination of medical staff and contracted coverage on evenings and weekends. Advanced Cardiac Life Support training is common, but Pediatric Advanced Life Support, Advanced Trauma Life Support, and training in working as a team are less common. More registered nurses working in rural EDs have taken the Trauma Nursing Core Course than the Emergency Nursing Pediatric Course. Conclusions: Rural ED staff would benefit from additional continuing education opportunities, particularly in terms of specialized skills to care for pediatric emergency patients and trauma patients and training in working effectively in teams. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10