Department of Medical Surgical Nursing, School of Nursing, Fasa University of Medical Sciences, Fasa, Iran.
Department of Health in Disasters and Emergencies, Health Human Resources Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Int Emerg Nurs. 2024 Dec;77:101522. doi: 10.1016/j.ienj.2024.101522. Epub 2024 Sep 28.
In incidents with mass casualties, pre-hospital emergency medical services personnel (prehospital EMS personnel) face challenges that can impact their management of the scene and, by extension, their professional performance. The present study investigated the challenges faced by prehospital EMS personnel in mass casualty incidents in the south of Iran.
This is a qualitative-descriptive study. The subjects were selected via purposeful sampling. Accordingly, 23 prehospital EMS personnel were interviewed in 23 semi-structured, individual, in-depth interviews. Graneheim and Lundman's method was used to collect the data.
Three themes and eight subthemes emerged from the qualitative data analysis. The three main themes were challenges related to professional capabilities, challenges related to organizational management inefficiency, and challenges related to lack of effective inter-organizational coordination and cooperation in crisis management.
The challenges faced by prehospital EMS personnel in mass casualty incidents encompasses challenges related to professional capabilities, challenges related to organizational management inefficiency, and challenges related to lack of effective inter-organizational coordination and cooperation in crisis management. The results of this study can be used by senior medical emergency services managers to identify the challenges of pre-hospital emergency care personnel in mass casualty incidents and take the necessary measures to eliminate them to improve the quality of pre-hospital care in mass casualty incidents.
在重大伤亡事件中，院前急救医疗服务人员（院前 EMS 人员）面临着各种挑战，这些挑战可能会影响他们对现场的管理，并进而影响他们的专业表现。本研究调查了伊朗南部重大伤亡事件中院前 EMS 人员所面临的挑战。
这是一项定性描述性研究。通过目的性抽样选择研究对象。因此，通过 23 次半结构化、个体、深入访谈对 23 名院前 EMS 人员进行了访谈。采用 Graneheim 和 Lundman 的方法收集数据。
从定性数据分析中得出了三个主题和八个子主题。三个主要主题是与专业能力相关的挑战、与组织管理效率低下相关的挑战以及与危机管理中缺乏有效的组织间协调与合作相关的挑战。
院前 EMS 人员在重大伤亡事件中面临的挑战包括与专业能力相关的挑战、与组织管理效率低下相关的挑战以及与危机管理中缺乏有效的组织间协调与合作相关的挑战。本研究的结果可被高级医疗急救服务管理人员用于识别重大伤亡事件中院前急救人员所面临的挑战，并采取必要措施加以消除，以提高重大伤亡事件中院前急救的质量。
