Barriers of Pre-Hospital Services in Road Traffic Injuries in Tehran: The Viewpoint of Service Providers.

Autor:	Alinia S; Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Khankeh H; Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Maddah SS; Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Negarandeh R; Nursing & Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Jazyk:	angličtina
Zdroj:	International journal of community based nursing and midwifery [Int J Community Based Nurs Midwifery] 2015 Oct; Vol. 3 (4), pp. 272-82.
Abstrakt:	Background: Iran is one of the countries with considerable road traffic injuries. Pre-hospital interventions have an important role in preventing mortalities and disabilities caused by traffic accidents. The present study aimed to explore the barriers of pre-hospital care in traffic injuries in Tehran, Iran. Methods: A qualitative content analysis approach was conducted based on 21 semi-structured interviews with 18 participants. A purposeful sampling method was applied until reaching data saturation. Interviews were transcribed verbatim, and then data condensing, labeling, coding and defining categories were performed by qualitative content analysis. Results: Four main barriers including 4 main categories and 13 subcategories emerged; they included Barriers related to people, Barriers related to metropolitan infrastructure, Barriers related to the profession and Barriers related to managerial issues. Conclusion: Based on the findings of this study, pre-hospital service barriers in traffic accidents have many dimensions including cultural, structural and managerial domains. Policy makers in health system can use these findings to promote the quality of pre-hospital services, especially in the field of traffic injuries.
Databáze:	MEDLINE
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