Faculty of Medicine, University of Helsinki, 00014, Helsinki, Finland.
Faculty of Social Sciences, University of Helsinki, 00014, Helsinki, Finland.
BMC Emerg Med. 2022 Nov 11;22(1):178. doi: 10.1186/s12873-022-00738-x.
The work environment in prehospital emergency medical care setting is dynamic and complex and includes many stressors. However, little is known about the perceived human factors from the perspective of paramedics. In this study, we investigated, from the perspective of paramedics, what are the human factors, and how are they linked to prehospital emergency medical care?
Data were collected through semi-structured interviews (n = 15) with Finnish paramedics. The material was analyzed using inductive content analysis.
Three main categories of human factors were identified. The first main category consisted of factors related to work which were divided into two generic categories: "Challenging organizational work environment" and "Changing external work environment." The second main category comprised factors related to paramedics themselves and were divided into three generic categories: "Issues linked to personality," "Personal experiences", and "Factors resulting from personal features." The third main category described that paramedics have difficulties in understanding and describing human factors.
This study revealed numerous factors that can affect paramedics' work in the EMS setting. Increased knowledge about human factors in the EMS setting provides organizations with the opportunity to develop procedures that can support paramedics' cognitive and physical work. Human factors in different situations can be addressed to improve occupational and patient safety.
院前急救医疗环境的工作环境是动态且复杂的，包括许多压力源。然而，人们对护理人员的感知人为因素知之甚少。在这项研究中，我们从护理人员的角度调查了什么是人为因素，以及它们如何与院前急救医疗相关。
通过对芬兰护理人员的半结构化访谈（n=15）收集数据。使用归纳内容分析对材料进行分析。
确定了三个主要的人为因素类别。第一个主要类别包括与工作相关的因素，分为两个通用类别：“具有挑战性的组织工作环境”和“不断变化的外部工作环境”。第二个主要类别包括与护理人员自身相关的因素，分为三个通用类别：“与个性相关的问题”、“个人经历”和“个人特征导致的因素”。第三个主要类别描述了护理人员在理解和描述人为因素方面存在困难。
本研究揭示了许多可能影响护理人员在 EMS 环境中工作的因素。增加对 EMS 环境中人为因素的了解，为组织提供了机会，以制定可以支持护理人员认知和身体工作的程序。可以解决不同情况下的人为因素，以提高职业和患者安全。
