Investigating the impact of crisis management training on clinical decision-making and management of stress factors in the personnel of emergency medical services: randomized controlled trial.

INTRODUCTION

Emergency medical workers face unique problems that are specific to their work environment because they play an effective role in happy and sad moments of life and death, accidents and disasters, and these people face a high level of tension. The purpose of this study is to investigate the impact of crisis management training on clinical decision-making and management of stress factors in the personnel of emergency medical services (EMS).

METHODS

In this randomized controlled trial with parallel groups study, 64 personnel of the emergency medical center of Shahrekord University of Medical Sciences were selected in two groups of 32 people, control and intervention in 2024. The training content included how to deal with the crisis and crisis management. 32 training sessions were held in two weeks. After the necessary training, the effectiveness of the training on the personnel in line with crisis management was checked through a questionnaire and its relationship with process improvement. Clinical decision-making was investigated. Demographic characteristics, nursing stressors of Gary Taft and Anderson and clinical decision-making questionnaire were used. The data was analyzed with spss23 software.

RESULTS

The average age of the study subjects in the intervention and control groups was 31.86 and 30.98 years. Before the intervention, there was no significant difference in the average of clinical decision making in the two groups (p > 0.05), but after the intervention, there was a statistically significant difference (p < 0.05). Also, in the intervention group, there was a significant difference in the decision-making score before and after the intervention (p < 0.05). In the two groups' intervention and control, the most common type of decision-making was analytical-intuitive decision-making (71.88 and 65.62%).

CONCLUSION

The results of the present study showed that crisis management training interventions can reduce job stress and tension in prehospital emergency personnel and improve their decision-making process.