The Role of Demographic Factors and Skills of Pre-hospital Staff in the Handling and Movement of Patients from Trauma Scenes to Emergency Wards

  • سال انتشار: 1403
  • محل انتشار: مجله مراقبت مبتنی بر شواهد، دوره: 14، شماره: 2
  • کد COI اختصاصی: JR_EBCJ-14-2_004
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 60
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نویسندگان

Ebrahim Ariamoghaddam

Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Mahbobeh Abdolrahimi

Assistant professor, Medical-Surgical Nursing Department, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Maryam Jamesahar

Department of Medical-Surgical, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Hamidreza Behnam Vashani

Lecturer, Department of Pediatrics Nursing, Nursing and Midwifery Care Research, Mashhad University of Medical Sciences, Mashhad, Iran

چکیده

Background: Handling, transferring, and handing off trauma patients impose risks on patients and transfer teams. Therefore, pre-hospital staffs require a high skill to perform these processes simultaneously in critical situations.Aim: The present study was performed with aim to examine the role of demographic factors and skills of pre-hospital staff in the handling and movement of trauma patients to hospitals.Method: This cross-sectional study was performed by the proportional stratified random sampling method on ۱۵۱ pre-hospital emergency staff. For data collection, in addition to a demographic information questionnaire, the researcher completed a valid and reliable checklist based on ۳۰۰ hours of direct observation for assessing staff skills. The data were analyzed by SPSS software (version ۲۰) using descriptive and inferential statistics. p< ۰.۰۵ was considered statistically significant.Results: The mean score of staff skills was ۷۷.۸۰±۷.۸۴. The lowest scores were related to the stage of “transfer to hospital” (۷۲.۰۴±۸.۴۱) and the dimension of “using body mechanics” (۶۷.۵۷±۱۰.۴۲). There was an inverse correlation between staff body mass index and the mean score of staff skills (r= -۰.۱۹, p< ۰.۰۵). Besides, the staff’s skill mean score was correlated with patients’ age (r=۰.۱۸) and weight (r=۰.۱۶) (p< ۰.۰۵).Implications for Practice: Retraining courses covering driving, managing pediatric patients, healthy diet and exercise, proper use of equipment, and body mechanics should be implemented for pre-hospital staff. Also, authorities should take measures to control infection and improve patient handoff.

کلیدواژه ها

Emergency Responders, Patient Handoff, Patient safety, Patient Transfer

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