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:: Volume 8, Issue 3 (Volume8, Issue 3, Autumn 2019) ::
J Qual Res Health Sci 2019, 8(3): 221-232 Back to browse issues page
The Challenges of Pre-Hospital Emergency Personnel in Sistan Area: A Qualitative Study
Mohammad Mohammadi , Mohammadreza Firouzkouhi * , Abdolghani Abdollahimohammad, Maryam Shivanpour
Associate Professor, Department of Med Sur, Faculty of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran
Abstract:   (306 Views)
Introduction: Pre-hospital emergency (EMS) is actually a community-based system that responds to the needs of the injured or patients with emergency and acute illness, outside health care centers until they are transferred to a health facility. Therefore, this study aimed to explore the challenges that pre-hospital emergency personnel face with.
Method: This qualitative study was conducted using thematic analysis. Using purposive sampling, 12 pre-hospital emergency personnel in Zabol were included in this study. Data were collected through semi-structured interviews. Braun and Clarke method was used to analyze the data.
Results: The results extracted from the experiences of pre-hospital emergency personnel included four themes: emergencies as expectations of challenges, new challenges for old and new equipment, challenges of personnel conflict with needs and frequency of roles.
Conclusion: According to the results, pre-hospital emergency personnel on mission work face with many problems. In order to improve the quality of services, pre-hospital emergency requires a reform of the organizational structure, reform of administrative rules and regulations, revision of educational programs, provision of the necessary facilities and equipment, employment of human resources needed, revision of the personnel monitoring and evaluation system, as well as providing welfare facilities for personnel.
Keywords: Pre-hospital emergency, Experiences, Challenges, Qualitative research
Full-Text [PDF 1006 kb]   (153 Downloads)    
Type of Study: Applicable | Subject: Special
Received: 2019/12/30 | Accepted: 2019/12/30 | Published: 2019/12/30
References
1. eFoo CP, Ahghari M, MacDonald RD. Use of geographic information systems to determine new helipad locations and improve timely response while mitigating risk of helicopter emergency medical services operations. Prehosp Emerg Care 2010; 14(4): 461-8. [DOI:10.3109/10903127.2010.493983] [PMID]
2. Mohammadi M, Firouzkouhi M, Abdollahimohammad A. Experiences of pre-hospital emergency personals in road traffic injuries of south- east of Iran: Qualitative research. Prensa Med Argent 2018; 104(5): 2-6. [DOI:10.4172/0032-745X.1000310]
3. Khorasan Newspaper. Fight to the death on the road in Sistan-Baluchestan. [cited 2018 Oct 11] Available from: https://www. khorasannews.com/Newspaper/PagePDF/77994. [In Persian].
4. Suryanto, Plummer V, Boyle M. EMS systems in lower-middle income countries: A literature review. Prehosp Disaster Med 2017; 32(1): 64-70. [DOI:10.1017/S1049023X1600114X] [PMID]
5. Boyle S. United Kingdom (England): Health system review. Health Syst Transit 2011; 13(1): 1-483.
6. National EMS Management Association (NEMSMA). Position statement: definition of EMS. [cited 2018 Apr 7] Available from: https://cdn.ymaws.com/www.nemsma.org/resource/resmgr/position_statements_papers/nemsma_ems_definitions_posit.pdf.
7. Heydari H, Kamran A, Zali ME, Novinmehr N, Safari M. Customers' satisfaction about prehospital emergency medical services in Lorestan, Iran. Electron Physician 2017; 9(3): 3974-9. [DOI:10.19082/3974] [PMID] [PMCID]
8. Vafaeinasab MR, Fatehpanah A, Jahangiri K, Namdari M. An evaluating on performance of pre-hospital emergency stations in Yazd, based on essential time for attending at patient's bedside (Year-2013). Toloo-e-behdasht 2017; 15(5): 122-31. [In Persian].
9. Aringhieri R, Bruni ME, Khodaparasti S, Van Essen JT. Emergency medical services and beyond: Addressing new challenges through a wide literature review. Computers & Operations Research 2017; 78: 349-68. [DOI:10.1016/j.cor.2016.09.016]
10. Bohström D, Carlström E, Sjöström N. Managing stress in prehospital care: Strategies used by ambulance nurses. Int Emerg Nurs 2017; 32: 28-33. [DOI:10.1016/j.ienj.2016.08.004] [PMID]
11. Motie MR, Kalani MR, Samadi A, Es-haghi H, Ghobadi P. Prevalence of job stressors in male pre-hospital emergency technicians. Journal of Fundamentals of Mental Health 2010; 12(45): 420-9. [In Persian].
12. Bhatti JA, Waseem H, Razzak JA, Shiekh NU, Khoso AK, Salmi LR. Availability and quality of prehospital care on Pakistani interurban roads. Ann Adv Automot Med 2013; 57: 257-64.
13. Moshtagh Eshgh Z, Aghaeinezhad AA, Peyman A, Amirkhani A, Taghinejad F, Sheikhi AA. The relationship between occupational stresses with job burnout in pre-hospital emergency staff. Jorjani Biomedicine Journal 2014; 2(2): 41-33. [In Persian].
14. Khamisa N, Peltzer K, Ilic D, Oldenburg B. Effect of personal and work stress on burnout, job satisfaction and general health of hospital nurses in South Africa. Health Sa Gesondheid 2017; 22(1): 252-8. [DOI:10.1016/j.hsag.2016.10.001]
15. Piri F, Firouzkouhi M, Abdollahimohammad A, Mirzaiepour M. Exploring pemphigus challenges based on the patient experiences: A descriptive phenomenological research. Presna Med Argent 2018; 104(1): 2-5.
16. Pouladi S, Anoosheh M, Kazemnejad A, Zareiyan A. Factors limiting families in elderly care: A thematic analysis. Journal of Qualitative Research in Health Sciences 2013; 2(2): 146-57. [In Persian].
17. Firouzkouhi M, Zargham-Boroujeni A, Abdollahimohammad A. Thematic analysis of management behaviors of civilian nurses in Iran-Iraq War 1980-1988: A historical research. Iran J Nurs Midwifery Res 2018; 23(4): 267-71. [DOI:10.4103/ijnmr.IJNMR_111_17] [PMID] [PMCID]
18. Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology 2006; 3(2): 77-101. [DOI:10.1191/1478088706qp063oa]
19. Cypress BS. Rigor or reliability and validity in qualitative research: Perspectives, strategies, reconceptualization, and recommendations. Dimens Crit Care Nurs 2017; 36(4): 253-63. [DOI:10.1097/DCC.0000000000000253] [PMID]
20. Barzideh M, Choobineh AR, Tabatabaee HR. Job stress dimensions and their relationship to musculoskeletal disorders in Iranian nurses. Work 2014; 47(4): 423-9. [DOI:10.3233/WOR-121585] [PMID]
21. Baqir M, Ejaz K. Role of pre hospital care and ambulance services in Karachi. J Pak Med Assoc 2011; 61(12): 1167-69.
22. Gibbons JP, Breathnach O, Quinlan JF. Emergency aeromedical services in Ireland: A retrospective study for "MEDEVAC112". Ir J Med Sci 2017; 186(1): 33-9. [DOI:10.1007/s11845-016-1403-0] [PMID]
23. Hosseini SM, Maleki M, Gorji HA, Khorasani-Zavareh D, Roudbari M. Challenges to use response time standard in assessing emergency medical services in Iran: A systematic review. Archives of Trauma Research 2017; 6(4): 55-62. [DOI:10.4103/atr.atr_29_17]
24. Grogan S, Conner M, Norman P, Willits D, Porter I. Validation of a questionnaire measuring patient satisfaction with general practitioner services. Qual Health Care 2009; 9(4): 210-5. [DOI:10.1136/qhc.9.4.210] [PMID] [PMCID]
25. Haghparast-Bidgoli H, Hasselberg M, Khankeh H, Khorasani-Zavareh D, Johansson E. Barriers and facilitators to provide effective pre-hospital trauma care for road traffic injury victims in Iran: A grounded theory approach. BMC Emerg Med 2010; 10: 20. [DOI:10.1186/1471-227X-10-20] [PMID] [PMCID]
26. Fullerton JN, Price CL, Silvey NE, Brace SJ, Perkins GD. Is the modified early warning score (mews) superior to clinician judgement in detecting critical illness in the pre-hospital environment? Resuscitation 2012; 83(5): 557-62. [DOI:10.1016/j.resuscitation.2012.01.004] [PMID]
27. Abolghasem Gorji H, Ghorbanian A, Shahidi Sadeghi N. Relationship between pre-hospital services to patients with acute myocardial infarction and their hospital length of stay in Hazrate Rasool hospital: 2009. Journal of Health Administration 2013; 50(15): 7-17. [In Persian].
28. Ebrahimian A, Khalesi N, Tourdeh M, Dargahi H. Attention and related factors in Tehran night shift prehospital emergency personnel. Health in Emergencies and Disasters Quarterly 2015; 1(1): 25-9.
29. Bernaldo-De-Quirós M, Piccini AT, Gómez MM, Cerdeira JC. Psychological consequences of aggression in pre-hospital emergency care: Cross sectional survey. Int J Nurs Stud 2015; 52(1): 260-70. [DOI:10.1016/j.ijnurstu.2014.05.011] [PMID]
30. Mackenzie R. Brief history of pre-hospital emergency medicine. Emergency Medicine Journal 2018; 35(3): 146-8. [DOI:10.1136/emermed-2017-207310] [PMID]
31. Khorasani-Zavareh D, Mohammadi R, Bohm K. Factors influencing pre-hospital care time intervals in Iran: A qualitative study. J Inj Violence Res 2018; 10(2): 83-90. [DOI:10.5249/jivr.v10i2.953]
32. Portera JE, Cant RP, Cooperd SJ. Rating teams' non-technical skills in the emergency department: A qualitative study of nurses' experienc
33. Int Emerg Nurs 2018; 38: 15-20.
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Mohammadi M, Firouzkouhi M, Abdollahimohammad A, Shivanpour M. The Challenges of Pre-Hospital Emergency Personnel in Sistan Area: A Qualitative Study. J Qual Res Health Sci. 2019; 8 (3) :221-232
URL: http://jqr.kmu.ac.ir/article-1-1265-en.html


Volume 8, Issue 3 (Volume8, Issue 3, Autumn 2019) Back to browse issues page
مجله تحقیقات کیفی در علوم سلامت Journal of Qualitative Research in Health Sciences
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