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探索摩托车救护车工作人员在院前急救医疗服务中的经历与挑战:一项定性研究。

Exploring the experiences and challenges of motorcycle ambulance personnel in pre-hospital emergency healthcare services: A qualitative study.

作者信息

Yurt Esra, Gümüşsoy Süreyya

机构信息

Department of Disaster Medicine, İzmir Kavram Vocational School, Konak, İzmir, Turkey.

Atatürk Health Care Vocational School, Ege University, Bornova, Izmir, Turkey.

出版信息

Work. 2025 Feb;80(2):691-700. doi: 10.3233/WOR-240113. Epub 2025 Apr 2.

DOI:10.3233/WOR-240113
PMID:39240612
Abstract

BACKROUNDMotorcycle ambulances are particularly useful in navigating narrow and congested areas during premium hours due to their ability to provide rapid access to patients in pre-hospital emergency healthcare services (PHEHS), possessing suitable and necessary advanced life support accessories, and their speed, flexibility, and ease of maneuverability.OBJECTIVEThis study aims to examine the experiences and challenges encountered by motorcycle ambulance workers in PHEHS.METHODSThis study adopts a qualitative research methodology, specifically employing a phenomenological approach within the framework of a case study. The research sample consists of 19 paramedics and Emergency Medical Technicians (EMTs) working on motorcycle ambulances. Purposeful sampling method, specifically the snowball sampling technique, was employed in selecting the sample. Research data were collected through in-depth interviews conducted using a semi-structured interview form, from August 2022 to February 2023. The interviews were transcribed, coded, and thematically analyzed using the MAXQDA program.RESULTSParticipants shared their experiences and the problems they encountered while performing their duties across four themes: purpose of motorcycle ambulances, most frequently assigned cases, challenges encountered, and the importance of teamwork.CONCLUSIONSIt is crucial to ensure personnel safety by forming the motorcycle ambulance team from selected individuals, subjecting the selected personnel to the same standard and comprehensive advanced driving and technical training, regulating working hours, increasing the number of personnel, and fostering teamwork. Further efforts are needed to improve the working conditions of motorcycle ambulance services.

摘要

背景

由于具备在院前紧急医疗服务(PHEHS)中快速接近患者的能力、拥有合适且必要的高级生命支持设备以及速度快、灵活性高和操作简便等特点,摩托车救护车在高峰时段穿梭于狭窄拥堵区域时特别有用。

目的

本研究旨在探讨摩托车救护车工作人员在院前紧急医疗服务中所经历的经验和面临的挑战。

方法

本研究采用定性研究方法,具体而言,在案例研究框架内采用现象学方法。研究样本包括19名在摩托车救护车上工作的护理人员和急救医疗技术员(EMT)。采用目的抽样方法,特别是雪球抽样技术来选择样本。研究数据通过2022年8月至2023年2月期间使用半结构化访谈形式进行的深入访谈收集。访谈内容进行了转录、编码,并使用MAXQDA程序进行了主题分析。

结果

参与者围绕四个主题分享了他们在履行职责时的经验和遇到的问题

摩托车救护车的用途、最常分配的病例、遇到的挑战以及团队合作的重要性。

结论

通过从选定人员中组建摩托车救护车团队,让选定人员接受相同标准且全面的高级驾驶和技术培训,规范工作时间,增加人员数量以及培养团队合作来确保人员安全至关重要。还需要进一步努力改善摩托车救护车服务的工作条件。

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