Facilitators and barriers to collaboration between pre-hospital emergency and emergency department in traffic accidents: a qualitative study

BMC Emergency Medicine

Research

Reza Khani Jazani¹  Majid Najafi Kalyani²  Hasan Jamshidi³  Ali Khani Jeihooni⁴  Shahram Alamdari⁵  Ahmad Alibabaei⁶ 

[1] Department of Health in Disaster and Emergencies, School of Health, Safety and Environment, Shahid Beheshti University of Medical Sciences, Tehran, Iran;Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;Department of Nursing, School of Nursing, Fasa University of Medical Sciences, Fasa, Iran;Nutrition Research Center, Department of Public Health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran;Research Institute for Endocrine Sciences, Obesity Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran;School of Health, Safety and Environment, Shahid Beheshti University of Medical Sciences, Tehran, Iran;

关键词: Pre-hospital emergency;    Emergency department;    Collaboration;    Traffic Incident;    Qualitative research;   

DOI  :  10.1186/s12873-023-00828-4

 received in 2022-09-01, accepted in 2023-05-22,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundDeath caused by traffic accidents is one of the major problems of health systems in low- and middle-income countries. Rapid handover of the traffic accident victims and proper collaboration between the pre-hospital and emergency departments (EDs) play a critical role in improving the treatment process and decreasing the number of accidental deaths. Considering the importance of the collaboration between pre-hospital and emergency departments, this study was designed to investigate the facilitators and barriers of collaboration between pre-hospital and emergency departments in traffic accidents.MethodThis research is a qualitative study using content analysis. In order to collect data, semi-structured interviews were used. Seventeen subjects (including pre-hospital and emergency department personnel, emergency medicine specialists, and hospital managers) were selected through purposive sampling and were interviewed. After transcribing and reviewing interviews, data analysis was performed with the qualitative content analysis approach.ResultsThe participants consisted of 17 individuals (15 persons in pre-hospital and emergency departments with at least three years of work experience, one emergency medicine specialist and one hospital manager) who were selected by purposive sampling. The interviews were analyzed and three main categories and seven sub-categories were extracted. The main categories included “individual capabilities”, “development of mutual understanding”, and “infrastructures and processes”.DiscussionProper and practical planning and policymaking to strengthen facilitators and eliminate barriers to collaborate between pre-hospital and emergency departments are key points in promoting collaboration between these two important sectors of health system and reducing the traffic accident casualties in Iran.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 2