Nejadshafiee Mahdiye, Bahaadinbeigy Kambiz, Kazemi Majid, Nekoei-Moghadam Mahmood
Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
J Educ Health Promot. 2020 Aug 31;9:204. doi: 10.4103/jehp.jehp_8_20. eCollection 2020.
Unusual impacts of disasters on normal living conditions pose challenges to the health system. Nurses who take care of disaster victims may face situations that make decision-making difficult; hereon, the use of new technologies can be a useful solution. The study aimed to identify the telenursing care during incidents and disasters.
The study was conducted at a medical science university in Iran from 2018 to 2019. This was a semi-structured interview-based qualitative study using content analysis. Eighteen nurses, nursing teachers, and emergency medical technicians were included in the study. Data analysis was performed using inductive content analysis and coding with MAXQDA (2010) software. The Lincoln and Guba (1985) trustworthiness criteria were used for the reliability and validity of the data.
Telenursing in critical and supportive care was the main theme identified from data analysis. This theme included six main categories: (1) management of trauma, (2) technical skills, (3) care and decision-making in stressful situations, (4) management of patients with special needs, (5) life-saving intervention, and (6) psychological and emotional supports.
Telenursing in disasters is the turning point of the care management of victims. In order to achieve this goal, nurses should acquire the relevant knowledge, skills, and abilities.
灾害对正常生活条件产生的异常影响给卫生系统带来了挑战。照顾灾难受害者的护士可能会面临难以做出决策的情况；在此情况下，新技术的应用可能是一个有用的解决方案。本研究旨在确定事件和灾害期间的远程护理服务。
该研究于2018年至2019年在伊朗的一所医科大学进行。这是一项基于半结构化访谈的定性研究，采用内容分析法。18名护士、护理教师和急救医疗技术人员参与了该研究。使用归纳内容分析法和MAXQDA（2010）软件进行编码来分析数据。采用林肯和古巴（1985）的可信度标准来确保数据的可靠性和有效性。
数据分析确定的主要主题是危急和支持性护理中的远程护理。该主题包括六个主要类别：（1）创伤管理，（2）技术技能，（3）压力情况下的护理和决策，（4）特殊需求患者的管理，（5）救生干预，以及（6）心理和情感支持。
灾害中的远程护理是受害者护理管理的转折点。为实现这一目标，护士应掌握相关的知识、技能和能力。
