Nursing and Midwifery School, Hamadan University of Medical Sciences, Hamadan, Iran.
Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
BMC Emerg Med. 2021 Mar 23;21(1):35. doi: 10.1186/s12873-021-00430-6.
Emergency medical services (EMS) providers are at continuous exposure to occupational stressors which negatively affect their health and professional practice. This study explored perceived occupational stressors among EMS providers.
This qualitative study was conducted from December 2019 to April 2020 using conventional content analysis. Sixteen EMS providers were purposively selected from EMS stations in Hamadan, Iran. Semi-structured interviews (with length of 45-60 min) were held for data collection. Data were analyzed through Graneheim and Lundman's conventional content analysis approach.
Data analysis resulted in the development of two themes, namely critical conditions of EMS provision, and personal and professional conflicts. The six categories of these two themes were complexity of patients' clinical conditions, interruption of EMS provision, health hazards, interpersonal problems, interprofessional interactions, and legal conflicts.
Besides the stress associated with emergency patient care, EMS providers face many different occupational stressors. EMS managers can use the findings of the present study to develop strategies for reducing occupational stress among EMS providers and thereby, improve their health and care quality.
急救医疗服务（EMS）提供者持续面临职业压力源，这对他们的健康和专业实践产生负面影响。本研究探讨了 EMS 提供者感知到的职业压力源。
本定性研究于 2019 年 12 月至 2020 年 4 月期间进行，采用常规内容分析法。从伊朗哈马丹的 EMS 站有目的地选择了 16 名 EMS 提供者。收集数据采用半结构式访谈（时长 45-60 分钟）。使用 Graneheim 和 Lundman 的常规内容分析方法对数据进行分析。
数据分析产生了两个主题，即 EMS 提供的关键条件和个人与专业冲突。这两个主题的六个类别为患者临床情况的复杂性、EMS 提供的中断、健康危害、人际问题、跨专业互动和法律冲突。
除了与紧急患者护理相关的压力外，EMS 提供者还面临许多不同的职业压力源。EMS 管理人员可以利用本研究的结果制定策略，以减轻 EMS 提供者的职业压力，从而改善他们的健康和护理质量。
