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烧伤任务中医护人员的复原力提升:伊朗背景下的一项定性研究

Resiliency Improvements in Medical Emergency Staff in Burn Missions: A Qualitative Study in an Iranian Context.

作者信息

Froutan Razieh, Khankeh Hamid Reza, Fallahi Masoud, Ahmadi Fazlollah, Norouzi Kian

机构信息

University of Social Welfare and Rehabilitation Sciences, Tehran, IR Iran.

Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran.

出版信息

Iran Red Crescent Med J. 2015 Jul 23;17(7):e22495. doi: 10.5812/ircmj.22495v2. eCollection 2015 Jul.

Abstract

BACKGROUND

Medical emergency staff complete understanding of the nature of resiliency in burn events is a prerequisite for improving the quality of clinical service delivery in pre-hospital burn events.

OBJECTIVES

The present study aimed to describe resiliency in view of medical emergency staff in burn events.

MATERIALS AND METHODS

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 was collected using semi-structured interviews and field observations. Afterwards, data was analyzed by face content analysis.

RESULTS

By analyzing 456 primary codes, four main concepts including: 1) scene safety/security, 2) effective clinical decision making, 3) self-efficacy and 4) religious support were extracted through content analysis from experiences of pre-hospital emergency personnel during burn care.

CONCLUSIONS

Different factors affect resiliency improvements in medical emergency staff and consequently the quality of pre-hospital burn care. This study showed that various factors such as scene security/safety, effective decision making, self-efficacy and religious support are effective in the improvement of resiliency and the quality of pre-hospital emergency care.

摘要

背景

医疗急救人员全面了解烧伤事件中的复原力本质是提高院前烧伤事件临床服务质量的前提。

目的

本研究旨在描述医疗急救人员在烧伤事件中的复原力情况。

材料与方法

本定性研究采用内容分析法进行。共有18名伊朗急救护理人员参与了研究。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数据进行分析。

结果

通过分析456个原始编码,通过对院前急救人员在烧伤护理过程中的经历进行内容分析,提取出四个主要概念,包括:1)现场安全,2)有效的临床决策,3)自我效能感和4)宗教支持。

结论

不同因素影响医疗急救人员复原力的提升,进而影响院前烧伤护理质量。本研究表明,诸如现场安全、有效决策、自我效能感和宗教支持等各种因素对提升复原力和院前急救护理质量有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b8d/4583767/cf2232d91f3d/ircmj-17-07-22495-i001.jpg

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