Research Article

Anaphylaxis Preparedness among Preschool Staff before and after an Educational Intervention

Table 2

Staff characteristics, perceived barriers to epinephrine administration, and preintervention assessment.

Characteristic, barrier, or assessmentOverall
( = 171)
Director
( = 11)
Teacher
( =91)
Assistant
( = 33)
Other
( = 26)
Unspecified
( = 10)

Staff characteristic, number (%)
 Currently caring for a child with severe allergies15/168 (9)4 (36)6 (7)3 (9)2 (8)0 (0)
 Previous EAI administration6/170 (4)1 (9)4 (4)0 (0)1 (4)0 (0)
 Prior EAI training120 (71)9 (82)73 (80)17 (52)16 (62)5/9 (56)
 Prior anaphylaxis recognition training98/171 (57)9 (82)58 (64)13 (39)12 (46)6 (60)
 Desire for more anaphylaxis education151/168 (90)10 (91)84 (92)29/32 (91)24 (92)4/8 (50)

Perceived barriers to epinephrine administration, number (%)Overall
( = 132)
Director
( = 10)
Teacher
( = 73)
Assistant
( = 23)
Other
( = 19)
Unspecified
( = 7)

Uncertainty about anaphylaxis recognition91 (69)8 (80)51 (70)14 (61)16 (84)2 (29)
Uncertainty about EAI use71 (54)8 (80)38 (52)13 (57)10 (53)2 (29)
Uncertainty about EAI location15 (11)1 (10)10 (14)2 (9)1 (5)1 (14)
Not allowed to administer EAI17 (13)0 (0)14 (19)1 (4)1 (5)1 (14)
Other 12 (9)1 (10)7 (10)1 (4)1 (5)2 (29)
Preintervention staff assessment, mean (SD)
 Anaphylaxis recognition comfort level ( = 166)5.1 (2.4)4.4 (2.8)5.2 (2.0)5.0 (2.3)4.8 (3.1)6.5 (2.7)
 EAI administration comfort level ( = 169)5.4 (2.8)5.3 (3.2)5.7 (2.4)4.9 (2.8)5.0 (3.4)4.7 (3.0)
 Number of correctly sequenced steps for EAI
  administration ( = 161)
2.0 (2.1)1.0 (2.2)2.3 (2.1)1.6 (2.2)1.6 (2.0)2.0 (2.2)

EAI: epinephrine autoinjector.