Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

Barriers and requirements in the off-line emergency medical protocols implementation in Iranian Pre-hospital system: A qualitative study

Thu Aug 18 12:39:33 2022

(2021) Barriers and requirements in the off-line emergency medical protocols implementation in Iranian Pre-hospital system: A qualitative study. Journal of Education and Health Promotion. p. 312. ISSN 2277-9531 (Print) 2277-9531 (Linking)

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Official URL: https://www.ncbi.nlm.nih.gov/pubmed/34667812

Abstract

BACKGROUND: To avoid making decisions based on the unproven opinions of emergency medical technicians (EMTs), many emergency medical service (EMS) systems rely on emergency medical protocols. As protocol-based on-scene decision-making is influenced by many challenges, identifying these challenges can result in providing appropriate conditions for EMTs' decision-making. Therefore, this study aimed to identify the barriers and requirements in the off-line emergency medical protocols implementation m in the prehospital emergency medical system. MATERIALS AND METHODS: To conduct this study, qualitative content analysis using 10 field observations, 22 interviews, and 2 rounds of focus group discussions was applied. The duration of interviews lasted from October 2019 to January 2020. The Graneheim and Lundman approach was used to analyze the data. RESULTS: Seven categories (15 subcategories) including education and awareness (professional training and education and community-based education); attitudes (professional attitude and community attitude); interactions and coordination (interpersonal interactions, organizational interferences, and community's interactions); rules and instructions (instructions and supportive rules); control system (monitoring and evaluation and motivational system); accessibility (recourses and communication); and organization (structure and process) were obtained as the obstacles and challenges in the offline emergency medical protocol implementation in the prehospital system. CONCLUSIONS: There are many challenges in implementing offline emergency medical protocols in the prehospital emergency system. To achieve the effectiveness and efficiency of offline prehospital emergency protocols, it is necessary to facilitate these challenges and improve the EMTs' knowledge, attitude, and performance through cooperative and skill-based education. The findings of this study can be useful for EMS systems from national to local levels.

Item Type: Article
Creators:
CreatorsEmail
Safi-Keykaleh, M.UNSPECIFIED
Khorasani-Zavareh, D.UNSPECIFIED
Ghomian, Z.UNSPECIFIED
Nateghinia, S.UNSPECIFIED
Safarpour, H.UNSPECIFIED
Mohammadi, R.UNSPECIFIED
Keywords: Decision-making emergency medical services emergency medical technician offline protocol prehospital emergency
Divisions:
Page Range: p. 312
Journal or Publication Title: Journal of Education and Health Promotion
Journal Index: Pubmed
Volume: 10
Identification Number: https://doi.org/10.4103/jehp.jehp₁₅₆₆₂₀
ISSN: 2277-9531 (Print) 2277-9531 (Linking)
Depositing User: مهندس مهدی شریفی
URI: http://eprints.medilam.ac.ir/id/eprint/3765

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