“灾难状态”应对措施有不利之处吗？医院突发事件指挥小组组长对恐怖袭击引发的重大事件的经验：一项定性研究。
Does the "state of disaster" response have a downside? Hospital incident command group leaders' experiences of a terrorist-induced major incident: a qualitative study.
作者信息
Murphy Jason P, Hörberg Anna, Rn Monica Rådestad, Kurland Lisa, Jirwe Maria
机构信息
Department of Diagnostics and Intervention, Umeå University, Umeå, Sweden.
Department of Clinical Science and Education, Karolinska Institutet, Stockholm, Sweden.
出版信息
BMC Emerg Med. 2025 Feb 4;25(1):21. doi: 10.1186/s12873-025-01173-4.
AIM
This study explores HICGs' experience of disaster response during a terrorist-induced major incident major incident.
DESIGN
A qualitative descriptive design with individual semi-structured interviews was used.
METHODS
This was a qualitative study based on seven individual interviews. Participants were members of hospital incident command groups during a terror attack. The interviews were transcribed verbatim and analyzed using deductive content analysis. The SRQR checklist was used to report the findings.
RESULTS
The data created from the interviews identified barriers and facilitators for hospital response as well as aligned with previously established categories: Expectations, prior experience, and uncertainty affect hospital incident command group response during a Major Incident and three categories, (I) Gaining situational awareness (containing two subcategories), (II) Transitioning to management (containing three subcategories) and (III) Experiences of hospital incident command group response (containing two subcategories). In addition, the results suggest that an exaggerated response may have led to unanticipated adverse events.
CLINICAL TRIAL NUMBER
Not applicable.
目的
本研究探讨医院 incident command groups（HICGs，可能是医院应急指挥小组之类的特定名称，原文未明确全称）在恐怖袭击引发的重大事件中的灾难应对经验。
设计
采用定性描述性设计，进行个体半结构化访谈。
方法
这是一项基于七次个体访谈的定性研究。参与者为恐怖袭击期间医院应急指挥小组的成员。访谈逐字记录，并采用演绎性内容分析法进行分析。研究结果采用 SRQR 清单进行报告。
结果
访谈得出的数据确定了医院应对的障碍和促进因素，并且与先前确定的类别相符：期望、既往经验和不确定性会影响重大事件期间医院应急指挥小组的应对，以及三个类别，（I）了解态势感知（包含两个子类别），（II）过渡到管理（包含三个子类别）和（III）医院应急指挥小组应对的经验（包含两个子类别）。此外，结果表明过度反应可能导致意外的不良事件。
临床试验编号
不适用。
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