Year of Publication

2020

Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Morgan Chojnacki

Clinical Mentor

Dr. Jaime Pittenger Kirtley

Committee Member

Dr. Leslie Scott

Abstract

Background: Motor vehicle crashes are the leading cause of death in children. Car safety seats (CSS), when used properly, have been proven to reduce injuries and deaths in children during motor vehicle accidents. The leading cause of car seat misuse is parental lack of knowledge about proper car seat use and best practice recommendations. Studies have shown that pediatric primary care providers have variable knowledge of the most updated car safety seat recommendations and are not consistently educating parents about child passenger safety during well child checks.

Objective: To evaluate UK pediatric residents' self-reported knowledge, confidence, and anticipatory guidance beliefs regarding child passenger safety (CPS) before and after a virtual CPS educational intervention

Methods: Using a pre- and post-test design, this single site quasi-experimental study included: (1) Pre-intervention electronic survey (2) Audio-visual PowerPoint educational intervention via Zoom (3) Post-intervention electronic survey. Convenience sampling was used among medical residents in the UK Pediatric Residency Program (n=69) for eligible participants. Descriptive statistics and odds ratios were generated to determine statistical significance.

Results: Of the 69 eligible participants, 22 participants (n=22) completed the pre-test in its entirety, resulting in a 32% response rate. Fourteen of the 22 eligible participants who completed the pre-test and educational intervention completed the post-test survey, resulting in a 64% response rate. There was a negative correlation between frequency of CPS discussion and the age of the child. CPS discussion in children under the age of two occurred more frequently than CPS discussion in children 4-12 years of age (p pp

Conclusion: Providing child passenger safety education to pediatric primary care providers improves provider knowledge of AAP CPS guidelines and increases their confidence to discuss these recommendations with parents during well child checks.

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