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急救医疗服务人员所面临的与新冠病毒病相关挑战的管理:一项定性研究

Management of COVID-19-related challenges faced by EMS personnel: a qualitative study.

作者信息

Mohammadi Fateme, Tehranineshat Banafsheh, Bijani Mostafa, Khaleghi Ali Asghar

机构信息

Department of Nursing, Hamadan University of Medical Sciences, Chronic Diseases (Home Care) Research Center and Autism Spectrum Disorders Research Center, Hamadan, Iran.

Community-based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

BMC Emerg Med. 2021 Aug 14;21(1):95. doi: 10.1186/s12873-021-00489-1.

Abstract

BACKGROUND

As the first link in the chain of providing healthcare services in the frontline of the battle against COVID-19, emergency medical services (EMS) personnel are faced with various challenges, which affect their professional performance. The present study aimed to identify some strategies to manage the COVID-19-related challenges faced by the pre-hospital emergency care personnel in the south of Iran.

METHODS

In this qualitative descriptive study, 27 pre-hospital emergency care personnel who were selected through the purposeful sampling method. Data were collected through 27 semi-structured, in-depth, individual interviews. The collected data were then analyzed based on the Granheim and Lundman's method.

RESULTS

Analysis of the data resulted in the identification of 3 main themes and eight sub-themes. These three main themes were as follows: comprehensive and systematic planning, provision of medical equipment, and reduction of professional challenges.

CONCLUSION

The findings of the present study showed that, during the COVID-19 crisis, emergency medical services personnel should be provided with a comprehensive and systematic protocol to provide pre-hospital care and their performance should be assessed in terms of a set of scientific standards. Due to lack of equipment and work overload in the current crisis, emergency medical services personnel are faced with many psychological challenges, which adversely affect their quality of pre-hospital emergency care. Furthermore, emergency care senior managers should develop comprehensive protocols, provide more equipment, and eliminate professional challenges to pave the ground for improving the quality and safety of the healthcare services in pre-hospital emergency care during the current COVID-19 crisis.

摘要

背景

作为在抗击新冠疫情一线提供医疗服务链条的第一环,急救医疗服务(EMS)人员面临着各种挑战,这些挑战影响着他们的专业表现。本研究旨在确定一些策略,以应对伊朗南部院前急救人员所面临的与新冠疫情相关的挑战。

方法

在这项定性描述性研究中,通过目的抽样法选取了27名院前急救人员。通过27次半结构化、深入的个人访谈收集数据。然后根据格兰海姆和伦德曼的方法对收集到的数据进行分析。

结果

数据分析确定了3个主要主题和8个子主题。这三个主要主题如下:全面系统的规划、医疗设备的提供以及专业挑战的减少。

结论

本研究结果表明,在新冠疫情危机期间,应为急救医疗服务人员提供全面系统的预案以提供院前护理,并应根据一套科学标准对他们的表现进行评估。由于当前危机中设备短缺和工作负担过重,急救医疗服务人员面临许多心理挑战,这对他们的院前急救护理质量产生了不利影响。此外,急救护理高级管理人员应制定全面的预案,提供更多设备,并消除专业挑战,以便为在当前新冠疫情危机期间提高院前急救护理服务的质量和安全性奠定基础。

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