Document Type : Original Article
Authors
1 Zabol Pre-hospital Emergency Center, Zabol University of Medical Sciences, Zabol, Iran
2 Department of Medical Surgical, Faculty of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran
3 Amiralmomenin Ali Hospital, Intencive care Unit, Zabol University of Medical Sciences, Zabol, Iran
Abstract
Objective: Pre-hospital emergency staff are involved in the front line of care for COVID-19 patients and face many challenges. The aim of this study was to explore the challenges of prehospital emergency staff in the COVID-19 pandemic.
Methods: This qualitative research was conducted with a descriptive phenomenological approach. Purposeful sampling was applied and data collection was done through semi-structured interviews. Participants consisted of 16 pre-hospital emergency staff. Data analysis was performed using the Colaizzi approach.
Results: Data analysis revealed five main themes including safety against COVID-19, knowledge deficit, fear and worry, challenges of transporting patients to the hospital, and selflessness.
Conclusion: Pre-hospital emergency staff face many problems in personal, professional, equipment and cultural fields in the COVID-19 epidemic. In this regard, special attention from health systems is mandatory.
Keywords
Main Subjects
syndrome-related coronavirus: classifying 2019-nCoV and naming it SARS-CoV-2. Nat Microbiol 2020; 5(4): 536-44.
doi: 10.1038/s41564-020-0695-z.
2. Adhikari SP, Meng S, Wu YJ, Mao YP, Ye RX, Wang QZ, et al. Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping
review. Infect Dis Poverty 2020; 9(1): 29. doi: 10.1186/
s40249-020-00646-x.
3. Mehmood A, Rowther AA, Kobusingye O, Hyder AA. Assessment of pre-hospital emergency medical services in
low-income settings using a health systems approach. Int J Emerg Med 2018; 11(1): 53. doi: 10.1186/s12245-018-0207-6.
4. Suryanto, Plummer V, Boyle M. EMS systems in lower-middle income countries: a literature review. Prehosp Disaster Med 2017; 32(1): 64-70. doi: 10.1017/s1049023x1600114x.
5. Boyle S. United Kingdom (England): health system review. Health Syst Transit 2011; 13(1): 1-483.
6. Reimer AP. Prehospital and transport nursing: the next 50 years. J Emerg Nurs 2020; 46(1): 8-11. doi: 10.1016/j.
jen.2019.11.008.
7. Heydari H, Kamran A, Zali ME, Novinmehr N, Safari M. Customers’ satisfaction about prehospital emergency
medical services in Lorestan, Iran. Electron Physician 2017; 9(3): 3974-9. doi: 10.19082/3974.
8. Bohström D, Carlström E, Sjöström N. Managing stress in prehospital care: strategies used by ambulance nurses. Int
Emerg Nurs 2017; 32: 28-33. doi: 10.1016/j.ienj.2016.08.004.
9. Mohammadi M, Firouzkouhi M, Abdollahimohammad A. Experiences of pre-hospital emergency personals in road
traffic injuries of south-east of Iran: qualitative research. Prensa Med Argent 2018; 104(5): 1-6. doi: 10.41720032-
745X.1000310.
10. Piri F, Firouzkouhi M, Abdollahimohammad A, Mirzaiepour M. Exploring pemphigus challenges based on the patient experiences: a descriptive phenomenological research. Presna Med Argent 2018; 104(1): 2-5.
11. Larkin M, Shaw R, Flowers P. Multiperspectival designs and processes in interpretative phenomenological analysis
research. Qual Res Psychol 2019; 16(2): 182-98. doi:10.1080/14780887.2018.1540655.
12. Northall T, Chang E, Hatcher D, Nicholls D. The application and tailoring of Colaizzi’s phenomenological approach in a hospital setting. Nurse Res 2020; 28(2): 20-5. doi: 10.7748/nr.2020.e1700.
13. Johnson JL, Adkins D, Chauvin S. A review of the quality indicators of rigor in qualitative research. Am J Pharm Educ 2020; 84(1): 7120. doi: 10.5688/ajpe7120.
14. Khankeh HR, Khorasani-Zavareh D, Johanson E, Mohammadi R, Ahmadi F, Mohammadi R. Disaster healthrelated
challenges and requirements: a grounded theory study in Iran. Prehosp Disaster Med 2011; 26(3): 151-8. doi:
10.1017/s1049023x11006200.
15. Hosseinikia SH, Zarei S, Najafi Kalyani M, Tahamtan S. A cross-sectional multicenter study of workplace violence
against prehospital emergency medical technicians. Emerg Med Int 2018; 2018: 7835676. doi: 10.1155/2018/7835676.
16. Ahmadi M, Fayazi S, Poormansouri S. Associated factors with safety principles precaution of working with chemotherapeutic agents among Ahvaz University of Medical Sciences nursing staff. Iran Occup Health 2015;
12(2): 101-12.[Persian].
17. Howard N, Woodward A, Patel D, Shafi A, Oddy L, ter Veen A, et al. Perspectives on reproductive healthcare delivered through a basic package of health services in Afghanistan: a qualitative study. BMC Health Serv Res 2014; 14: 359. doi:10.1186/1472-6963-14-359.].
18. Stefaniuk T. Training in shaping employee information security awareness. Entrepreneurship and Sustainability
Issues 2020; 7(3): 1832-46. doi: 10.9770/jesi.2020.7.3(26).
19. Powell-Jackson T, King JJC, Makungu C, Spieker N, Woodd S, Risha P, et al. Infection prevention and control compliance in Tanzanian outpatient facilities: a cross-sectional study with implications for the control of COVID-19. Lancet Glob Health 2020; 8(6): e780-e9. doi: 10.1016/s2214-109x(20)30222-9.
20. Gordon RM. Psychodynamic distance training and treatment: the China American Psychoanalytic Alliance
research. Psychoanal Inq 2020; 40(1): 56-63. doi:10.1080/07351690.2020.1700742.
21. Zheng W. Mental health and a novel coronavirus (2019-nCoV) in China. J Affect Disord 2020; 269: 201-2. doi:
10.1016/j.jad.2020.03.041.
22. Davis JS, Graygo J, Augenstein J, Schulman CI. Prehospital information for optimal patient care. Am Surg 2013; 79(4): 441-3. doi: 10.1177/000313481307900438.
23. Iranmanesh S, Tirgari B, Sheikh Bardsiri H. Post-traumatic stress disorder among paramedic and hospital emergency
personnel in south-east Iran. World J Emerg Med 2013; 4(1): 26-31. doi: 10.5847/wjem.j.issn.1920-8642.2013.01.005.
24. U.S. Centers for Disease Control and Prevention. 2020. Interim guidance for emergency medical services (EMS)
systems and 911 public safety answering points (PSAPs) for COVID-19 in the United States. Atlanta, GA. Available
from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-for-ems. Accessed February 25, 2020.
25. U.S. Department of Health and Human Services Hospital Preparedness Program. 2016. 2017–2022 Health care
preparedness and response capabilities. Washington,DC. Available from: https://www.phe.gov/Preparedness/planning/hpp/reports/Documents/2017-2022-healthcarepr-capablities.pdf. Accessed February 25, 2020.
26. Wax RS, Christian MD. Practical recommendations for critical care and anesthesiology teams caring for novel
coronavirus (2019-nCoV) patients. Can J Anaesth 2020;67(5): 568-76. doi: 10.1007/s12630-020-01591-x.
27. Ebrahimian A, Khalesi N, Mohamadi G, Tordeh M, Naghipour M. Transportation management in pre-hospital
emergency whit physiological early warning scores. J Health Adm 2012; 15(49): 7-13. [Persian].
28. Torabi M, Borhani F, Abbaszadeh A, Atashzadeh-Shoorideh F. Experiences of pre-hospital emergency medical personnel in ethical decision-making: a qualitative study. BMC Med Ethics 2018; 19(1): 95. doi:10.1186/s12910-018-0334-x.
29. Raee Z, Abedi H, Shahriari M. Nurses’ commitment to respecting patient dignity. J Educ Health Promot 2017; 6:
16. doi: 10.4103/2277-9531.204743.
30. Ebrahimian A, Seyedin H, Jamshidi-Orak R, Masoumi G. Exploring factors affecting emergency medical services
staffs’ decision about transporting medical patients to medical facilities. Emerg Med Int 2014; 2014: 215329. doi:
10.1155/2014/215329.
)