Community-Oriented Nursing Midwifery Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Disaster and Emergency Medical Management Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Disaster Med Public Health Prep. 2022 Jun 7;17:e217. doi: 10.1017/dmp.2022.141.
With the outbreak of coronavirus disease 2019 (COVID-19), the workload of the Iran's health-care system along with the Pre-hospital Emergency Service (PHES) increased significantly so that Iranian fledgling emergency system had never experienced such a crisis. With regard to the importance of the function of PHES as the front-line staff of Iran's health system and its role in controlling the recent epidemic crisis, this study was conducted to identify the challenges of PHES function in the face of COVID-19 pandemic.
The study was conducted with qualitative approach through content analysis in 2021. Semi-structured interviews were used to collect data. Sampling was purposive and continued until data saturation. After 24 interviews, the data were saturated. The extracted codes were thoroughly prepared as a data pool. After encoding all available data, the related codes were categorized into a single theme. After extracting the themes, a network of themes, related to the research topic, was drawn, and then, the relationship between the themes was analyzed.
Data analysis undertaken for the qualitative study resulted in the identification of 4 main themes included: challenges related to facilities and equipment, living with uncertainty, professional and organizational capabilities, and burnout.
PHES personnel have an important and key role in providing care to patients during COVID-19 epidemic period. Individual and systemic challenges were among the most important issues in the experiences of these personnel. These challenges require organizational planning and special attention of health policy-makers to maintain the staff's physical and mental health during the pandemic and the possible crises ahead.
随着 2019 年冠状病毒病（COVID-19）的爆发，伊朗医疗保健系统的工作量以及院前急救服务（PHES）大幅增加，以至于伊朗新兴的急救系统从未经历过这样的危机。鉴于 PHES 作为伊朗卫生系统第一线工作人员的功能重要性及其在控制最近的疫情危机方面的作用，本研究旨在确定 PHES 在 COVID-19 大流行面前的功能面临的挑战。
本研究于 2021 年采用定性方法通过内容分析进行。使用半结构式访谈收集数据。抽样是有目的的，持续到数据饱和为止。进行了 24 次访谈后，数据达到饱和。提取的代码被彻底准备作为一个数据池。对所有可用数据进行编码后，将相关代码分类为一个主题。提取主题后，绘制了一个主题网络，与研究主题相关，然后分析主题之间的关系。
定性研究的数据分析确定了 4 个主要主题，包括：与设施和设备相关的挑战、不确定性的存在、专业和组织能力、以及倦怠。
PHES 人员在 COVID-19 流行期间为患者提供护理方面发挥着重要而关键的作用。个人和系统挑战是这些人员经验中最重要的问题之一。这些挑战需要组织规划和卫生政策制定者的特别关注，以在大流行期间和未来可能的危机中维护工作人员的身心健康。
