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

Autor: Bijani M; Department of Medical Surgical Nursing, School of Nursing, Fasa University of Medical Sciences, Fasa, Iran. Electronic address: bizhani_mostafa@yahoo.com., Javad Moradian M; Department of Health in Disasters and Emergencies, Health Human Resources Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran., Najafi H; Department of Medical Surgical Nursing, School of Nursing, Fasa University of Medical Sciences, Fasa, Iran., Arbon P; Faculty of Health Sciences, Flinders University, Adelaide, Australia. Electronic address: paul.arbon@flinders.edu.au., Abedi S; Department of Emergency Medical Services, Fasa University of Medical Sciences, Fasa, Iran.
Jazyk: angličtina
Zdroj: International emergency nursing [Int Emerg Nurs] 2024 Dec; Vol. 77, pp. 101522. Date of Electronic Publication: 2024 Sep 28.
DOI: 10.1016/j.ienj.2024.101522
Abstrakt: 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.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024. Published by Elsevier Ltd.)
Databáze: MEDLINE
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