Froutan Razieh, Khankeh Hamid Reza, Fallahi Masoud, Ahmadi Fazlollah, Norouzi Kian
University of Social Welfare & Rehabilitation Sciences, Tehran, Iran.
University of Social Welfare & Rehabilitation Sciences, Tehran, Iran; Department of Clinical Science and Education, Karolinska Institutet, Stockholm, Sweden.
Burns. 2014 Dec;40(8):1805-12. doi: 10.1016/j.burns.2014.04.010. Epub 2014 Jun 4.
A thorough understanding of experiences related to pre-hospital emergency care of burns is a prerequisite of skill promotion for medical personnel. The aim of the present study was to evaluate the experiences of pre-hospital emergency personnel during burn accidents.
The present qualitative study was performed using a content analysis method. In total, 18 Iranian emergency care personnel participated in the study. A purposeful sampling method was applied until reaching data saturation. Data were collected using semi-structured interviews and field observations. Afterwards, the gathered data were analyzed through face content analysis.
By analyzing 498 primary codes, four main categories; the nature of burn care, tension at the accident scene, gradual job 'burnout', and insufficient information, were extracted from the experiences of pre-hospital emergency personnel during burn care. These categories each included several sub-categories, which were classified according to their significant characteristics.
This study showed that different factors affect the quality of pre-hospital clinical services for burns. Authorities and health system administrators should consider the physical and psychological health of their staff, and assign policies to improve the quality of pre-hospital medical care. According to the present results, it is recommended that the process of pre-hospital emergency care for burns be investigated further.
全面了解与烧伤院前急救相关的经验是提升医务人员技能的前提条件。本研究旨在评估烧伤事故期间院前急救人员的经验。
本定性研究采用内容分析法进行。共有18名伊朗急救人员参与了该研究。采用目的抽样法，直至达到数据饱和。通过半结构化访谈和实地观察收集数据。之后，通过表面内容分析法对收集到的数据进行分析。
通过分析498个原始编码，从院前急救人员在烧伤护理期间的经验中提取了四个主要类别：烧伤护理的性质、事故现场的紧张情绪、逐渐出现的职业倦怠以及信息不足。这些类别各自包含几个子类别，并根据其显著特征进行了分类。
本研究表明，不同因素会影响烧伤院前临床服务的质量。当局和卫生系统管理人员应考虑其工作人员的身心健康，并制定政策以提高院前医疗护理质量。根据目前的结果，建议进一步调查烧伤院前急救过程。
