Jafari-Oori Mehdi, Dehi Manigeh, Ebadi Abbas, Moradian Seyed Tayeb, Sadeghi Hajar, Jafari Mojtaba
Atherosclerosis Research Center, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Maragheh University of Medical Sciences, Maragheh, Iran.
Front Psychol. 2023 Dec 21;14:1230892. doi: 10.3389/fpsyg.2023.1230892. eCollection 2023.
Pre-hospital medical staff faced numerous challenges during the COVID-19 pandemic. However, these challenges specific to pre-hospital services have not been thoroughly explored in Iran. This qualitative study aimed to examine the essence of pre-hospital care during the COVID-19 pandemic.
This phenomenological study was conducted from June to August 2021 in Tehran, Iran. Semi-structured interviews were conducted with pre-hospital medical staff. Data analysis was performed using Colaizzi's approach, and rigor was ensured by adhering to the consolidated criteria for qualitative reporting research.
A total of 17 pre-hospital medical staff were interviewed, and five themes were extracted from the data: workload and resilience, damage, lack of control, under preparedness, and post-traumatic growth. These themes highlight the resilience demonstrated by pre-hospital medical staff, who faced an unprecedented crisis with limited preparedness and significant damage.
The findings of this study indicate that pre-hospital medical staff in Iran encountered challenges during the COVID-19 pandemic due to a lack of preparedness and substantial damage. Despite these adversities, the participants exhibited resilience and experienced post-traumatic growth. The study emphasizes the importance of proper planning and preparedness to enhance the resilience of emergency medical services during pandemics. Furthermore, the results underscore the need to address the challenges faced by pre-hospital medical staff and improve the quality of care provided to patients during crises such as the COVID-19 pandemic.
在新冠疫情期间，院前医疗人员面临诸多挑战。然而，伊朗尚未对这些院前服务特有的挑战进行深入探究。本定性研究旨在审视新冠疫情期间院前护理的本质。
这项现象学研究于2021年6月至8月在伊朗德黑兰开展。对院前医疗人员进行了半结构化访谈。采用柯莱齐的方法进行数据分析，并通过遵循定性报告研究的统一标准确保研究的严谨性。
共访谈了17名院前医疗人员，从数据中提取出五个主题：工作量与适应力、损害、缺乏控制、准备不足以及创伤后成长。这些主题凸显了院前医疗人员所展现出的适应力，他们在准备有限且遭受重大损害的情况下，面临着前所未有的危机。
本研究结果表明，伊朗的院前医疗人员在新冠疫情期间因准备不足和重大损害而遭遇挑战。尽管面临这些逆境，参与者仍展现出适应力并经历了创伤后成长。该研究强调了合理规划和准备对于增强大流行期间紧急医疗服务适应力的重要性。此外，研究结果凸显了应对院前医疗人员所面临挑战以及提高新冠疫情等危机期间为患者提供护理质量的必要性。
