Pre-hospital emergency care personnel’s challenges in providing care in mass casualty incidents: A qualitative study

IF 1.8 4区医学 Q2 NURSING International Emergency Nursing Pub Date : 2024-09-28 DOI:10.1016/j.ienj.2024.101522

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Abstract

Background

In incidents with mass casualties, pre-hospital emergency medical services personnel (prehospital EMS personnel) face challenges that can impact their management of the scene and, by extension, their professional performance. The present study investigated the challenges faced by prehospital EMS personnel in mass casualty incidents in the south of Iran.

Methods

This is a qualitative-descriptive study. The subjects were selected via purposeful sampling. Accordingly, 23 prehospital EMS personnel were interviewed in 23 semi-structured, individual, in-depth interviews. Graneheim and Lundman’s method was used to collect the data.

Results

Three themes and eight subthemes emerged from the qualitative data analysis. The three main themes were challenges related to professional capabilities, challenges related to organizational management inefficiency, and challenges related to lack of effective inter-organizational coordination and cooperation in crisis management.

Conclusion

The challenges faced by prehospital EMS personnel in mass casualty incidents encompasses challenges related to professional capabilities, challenges related to organizational management inefficiency, and challenges related to lack of effective inter-organizational coordination and cooperation in crisis management. The results of this study can be used by senior medical emergency services managers to identify the challenges of pre-hospital emergency care personnel in mass casualty incidents and take the necessary measures to eliminate them to improve the quality of pre-hospital care in mass casualty incidents.

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院前急救人员在大规模伤亡事件中提供护理时面临的挑战：定性研究。

背景：在大规模伤亡事件中，院前急救人员（EMS）面临的挑战会影响他们对现场的管理，进而影响他们的专业表现。本研究调查了伊朗南部院前急救人员在大规模伤亡事件中面临的挑战：这是一项定性描述研究。研究对象通过有目的的抽样选出。因此，对 23 名院前急救人员进行了 23 次半结构化、个别、深入访谈。研究采用 Graneheim 和 Lundman 的方法收集数据：定性数据分析得出了三个主题和八个次主题。三大主题分别是与专业能力相关的挑战、与组织管理效率低下相关的挑战以及与危机管理中缺乏有效的组织间协调与合作相关的挑战：院前急救人员在大规模伤亡事件中面临的挑战包括与专业能力有关的挑战、与组织管理效率低下有关的挑战以及与危机管理中缺乏有效的组织间协调与合作有关的挑战。本研究的结果可供高级医疗急救服务管理人员用于识别院前急救人员在大规模伤亡事件中面临的挑战，并采取必要措施消除这些挑战，以提高大规模伤亡事件中的院前急救质量。

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.