HEALTHCARE PROVIDERS’ FACTORS INFLUENCING TRAUMA CARE PREPAREDNESS IN ACCIDENT AND EMERGENCY DEPARTMENT OF SELECTED HOSPITALS IN KAKAMEGA COUNTY, KENYA
Keywords:Emergency department, Health care Providers, Preparedness, Trauma care
Purpose: The main objective of the study was to determine health care provider factor influencing trauma care preparedness among health care providers working in accident and emergency department of the selected hospitals.
Materials and Methods: This was a cross-sectional Analytic study. Census sampling was used to select General Practitioner hospitals. Systematic sampling technique was used to choose study participants from 11 selected hospitals. The study participants were 183 health care providers (Doctors, Clinical Officers and Nurses) working in the selected hospitals’ accident and emergency departments. Data was collected using structured questionnaires and observation checklists. Data was analyzed using statistical package for Social Science software version 22.0. Inferential statistics were used to test the strength of association.
Findings; Health care providers’ factors that influenced trauma care preparedness were; specific training on trauma care (p=0.002), attending Continuing medical education (p=0.0008) and duration when last update was received (p= 0.04).
Unique contributions to Theory, Practice and Policy: Trauma related training, trauma related continuing medical education and duration when last trauma update was received influence trauma. Health care providers working in accident and emergency department should undergo trauma related training and get frequent updates on trauma care.
Absaleem, M.A., Almoalwi, M.N., Siddiqui, A.F., Alsaleem, M.A., Alsamghan, A.S., Awadalla, N.J., &Mahfouz, A.A. (2020). Current Practices and Existing Gaps of Continuing Medical Education among resident Physicians in Abha City, Saudi Arabia. Int.j. Environ. Res.Public Health, 17,8483;
Ahmed, K., Wang, T. T., Ashrafian, H., Layer, G.T., Darzi, A., &Athanasiou, T. The effectiveness of continuing medical education for specialist recertification. Can Urol Assoc J, 20 13;Jul-Aug 7(7-8)286-272.
Balch, O. (2013). Road deaths, cancer and diabetes becoming Africa’s hidden epidemics. Global development.
Blankson, P.K., Amoako,J.K.A., &Asah-Opoku, (2019). Epidemiology of injuries presenting to the accident centre of Korie-Bu Teaching Hospital, Ghana. BMC Emerg med 19,39.
Centers for Disease Control & Prevention, (2017).National Center for Injury Prevention and Control. Web-based injury statistics Query and Reporting System WISQARS) Fatal Injury Data.
Cvetkovic V. M (2016). Marital stuatus of citizens and floods: Citizen preparedness for response to natural disasters. Vojno delo, 8.
Davis K.A., Fabian TC, &Cloffi WG (2017).The toll of death and disability in the united states- the “ neglected disease of Modern society, still neglected after 50 years,” JAMA surg;152(3):221-222.
Gatheka,G.K., Ngaruiya,C., Mwai,W., Kendagor, A., Owondo, S., Nyanjau, l., ... &Kibachio, J.(2018). Prevalence and predictors of injuries in Kenya; findings from the national STEPs survey.BMC Public Health 18,1222.
Goraya, M.A. (2018). Pakistan :Cultivating skills for enhanced trauma care. International committee of the Red Cross
Hadley, K.N., Wesson, K.A., Abudulgafor, S.M., Bachani, S. M., Akungali, D., Jalusu, N., Masasabu, J.W., &Adrian A, H. (2016). Trauma Systems in Kenya: A qualitative Analysis at the District Level
Holtz C, (2016) Global Health Care issue and Policies, Jones and Barlett Jan-Mar, 29(10:58-63.
Huho, J.M., Mushan, J.N., &Musyimi, P.K.,(2016) “Profiling disasters inKenya and their causes.” http://karuspace.karu.ac.ke/handle/20.500.12092//1885
Karpicke, J.D., (2016). “ A powerful way to improve learning and memory.” Psychological Science and Agenda/ June 2016,
Khanbhai, M., &Lutomia, M.B.L.(2012) Mortorcycle Accident injuries seen at Kakamega Provincial Hospital in Kenya. ISSN 2073-9990 East Cent. Afr.j.surg. March/ April, volume17(1)
Laytin, A.D., &Debebe, F. (2019). The burden of injury in low-income and middle-income countries: knowing what we know, recognizing what we don’t know, Emergency Medicine Journal, April.
Luchidio, M.T., Kahuthia, G.R., &Gatebe .E.(2013) Impact of training Bodaboda operators and safety status in Kakamega County, Kenya. International Journal of Advance Research,IJOAR .org Volume 1,issue 9, September.
Mock, C., LOrmand, J.D., Gooshen, J., Joshipura, M., & Peden, M. (2019).Guidelines for essential trauma care Geneva, World Health Organization.
Moran C.G., Lecky, F., Bouamra, O., Laurence, E.A., Woodford, M. (2008). Changing the system- major trauma patients and their outcomes in the NHS (England) 2008-17E Clinical Medicine, vol. 2-3,p13-21, August 6.
Muindi, L., (2018) Emergency courses offered at AIC Kijabe hospital.
Tsofa, B., Goodman, C., Gilson, L., &Molyneux, S. (2017) Devolution and its effects on health workforce and commodities management-early implementation experiences in Kilifi County, Kenya. Int J Equity Health, 16: 169.
Uthkarsh, P.S.,Gururaj, G., Reddy, S.S., &Rajanna, M.S. (2016). Assessment and avilability of Trauma care services in a Districtv Hospital of South India ; A field observational study. Bull Emerg Trauma. Apr; 4(2): 93-1
Webster,Merriam (2019.) internet. http://www.merim-webister.com.dictionary/trauma