Document Detail

Evaluating paramedic comfort with field pronouncement: development and validation of an outcome measure.
MedLine Citation:
PMID:  12782524     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: Interventions designed to improve cardiac resuscitation and the quality of field pronouncement need to consider outcomes on paramedic providers. The authors developed and evaluated the reliability and validity of a survey instrument measuring paramedic comfort with field pronouncement. METHODS: A mail survey of 120 paramedics (EMT-Ps) was performed using the Modified Dillman survey methodology. Questions were sorted for analysis into subgroups assessing psychological comfort and technical skills. Sixty-five respondents were retested within two weeks. RESULTS: The overall response rate was 96% (115). Respondents had an average age of 36 years (SD +/- 5), with 5.2 years (SD +/- 3.8) of out-of-hospital experience as an EMT-P, and were involved in a median of ten field pronouncements annually (range = 2-60). The face and content validity of the survey instrument was consistent with a content matrix derived by a focus group. The Cronbach's alpha for the survey instrument was 0.91. The retest response rate was 76% (46). The test-retest reliability coefficient was 0.84. CONCLUSIONS: This survey is a valid and reliable instrument for measuring the paramedic psychological comfort with field pronouncement. The high response rate and intrareliability support its generalizability. This outcome measure may be helpful in evaluating the psychological impact of changes to emergency medical services (EMS) policy with respect to termination of resuscitation promoted by the National Association of EMS Physicians.
Laurie J Morrison; Matthew C Cheung; Donald A Redelmeier
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Validation Studies    
Journal Detail:
Title:  Academic emergency medicine : official journal of the Society for Academic Emergency Medicine     Volume:  10     ISSN:  1069-6563     ISO Abbreviation:  Acad Emerg Med     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-06-03     Completed Date:  2003-09-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9418450     Medline TA:  Acad Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  633-7     Citation Subset:  IM    
Department of Emergency Services, Sunnybrook and Women's Health Sciences Center, Division of Emergency Medicine, Department of Medicine, University of Toronto, Ontario, Canada.
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MeSH Terms
Attitude of Health Personnel
Clinical Competence / statistics & numerical data
Education, Professional / statistics & numerical data
Emergency Medical Technicians / psychology*,  statistics & numerical data
Health Knowledge, Attitudes, Practice
Ontario / epidemiology
Outcome Assessment (Health Care) / methods*,  standards
Professional-Patient Relations
Reproducibility of Results
Stress, Psychological / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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