Volume 20, Issue 1 (4-2023)
J Res Dev Nurs Midw 2023, 20(1): 40-44 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Hassankhani H, Haririan H, E Porter J, Oshni Alvandi A. “Paramedics are only a driver,” The lived experience of Iranian paramedics from patient handover: A qualitative study. J Res Dev Nurs Midw 2023; 20 (1) :40-44
URL: http://nmj.goums.ac.ir/article-1-1455-en.html
URL: http://nmj.goums.ac.ir/article-1-1455-en.html
1- School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
2- School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran , houman.haririan@gmail.com
3- School of Nursing, Midwifery and Healthcare, Federation University Australia, Australia
4- Faculty of Information Technology, Monash University, Australia.
2- School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran , houman.haririan@gmail.com
3- School of Nursing, Midwifery and Healthcare, Federation University Australia, Australia
4- Faculty of Information Technology, Monash University, Australia.
Abstract: (645 Views)
Background: Patient handover in the emergency department (ED) is a 2-way communication process between the paramedics and in-hospital emergency personnel, which can result in miscommunication and delivery challenges. This study aimed to explore the lived experience of paramedics on patient handover to the ED.
Methods: Over a period of 5 months, an interpretative phenomenological analysis (IPA) was used to explore the lived experiences of 15 paramedics in Tabriz, Iran. Semi-structured interviews were conducted in the emergency medical stations using the Smith approach for data collection and analysis. The researcher used 4 criteria to ensure rigor, including credibility, dependability, confirmability, and transferability, according to Lincoln and Guba.
Results: Three main themes emerged from the data analysis, including “the hole of hope,” “the boring issues,” and “paramedics are only a driver.” A further 11 sub-themes emerged under the main themes.
Conclusion: The highlighted issues that need to be considered during the process are the presence of staff in front of the ED's door to welcome the patient, removal of structural defects and defective hospital equipment, the presence of medical supplies in emergency triage to prevent the paramedics from stumbling, and listening to paramedics by physicians and nurses to obtain the patients’ history.
Methods: Over a period of 5 months, an interpretative phenomenological analysis (IPA) was used to explore the lived experiences of 15 paramedics in Tabriz, Iran. Semi-structured interviews were conducted in the emergency medical stations using the Smith approach for data collection and analysis. The researcher used 4 criteria to ensure rigor, including credibility, dependability, confirmability, and transferability, according to Lincoln and Guba.
Results: Three main themes emerged from the data analysis, including “the hole of hope,” “the boring issues,” and “paramedics are only a driver.” A further 11 sub-themes emerged under the main themes.
Conclusion: The highlighted issues that need to be considered during the process are the presence of staff in front of the ED's door to welcome the patient, removal of structural defects and defective hospital equipment, the presence of medical supplies in emergency triage to prevent the paramedics from stumbling, and listening to paramedics by physicians and nurses to obtain the patients’ history.
Type of Study: Original Article |
Subject:
Nursing
References
1. Sanjuan-Quiles Á, del Pilar Hernández-Ramón M, Juliá-Sanchis R, García-Aracil N, Castejón-de la Encina ME, Perpiñá-Galvañ J. Handover of patients from prehospital emergency services to emergency departments: a qualitative analysis based on experiences of nurses. J Nurs Care Qual. 2019;34(2):169-74. [View at Publisher] [DOI] [PMID] [Google Scholar]
2. Marmor GO, Li MY. Improving emergency department medical clinical handover: Barriers at the bedside. Emerg Med Australas. 2017;29(3):297-302. [View at Publisher] [DOI] [PMID] [Google Scholar]
3. Salehi S, Zarea K, Mohammadi AA. Patient Handover Process Problems between Emergency Medical Service Personnel and Emergency Department Nurses. Iran J Emerg Med. 2016;4(1):27-34. [View at Publisher] [DOI] [Google scholar]
4. Bergs J, Lambrechts F, Mulleneers I, Lenaerts K, Hauquier C, Proesmans G, et al. A tailored intervention to improving the quality of intrahospital nursing handover. Int Emerg Nurs. 2018;36:7-15. [View at Publisher] [DOI] [PMID] [Google scholar]
5. Fahim Yegane SA, Shahrami A, Hatamabadi HR, Hosseini-Zijoud S-M. Clinical Information Transfer between EMS Staff and Emergency Medicine Assistants during Handover of Trauma Patients. Prehosp Disaster Med. 2017;32(5):541-7. [View at Publisher] [DOI] [PMID] [Google scholar]
6. Bost N, Crilly J, Patterson E, Chaboyer W. Clinical handover of patients arriving by ambulance to a hospital emergency department: A qualitative study. Int Emerg Nurs. 2012;20(3):133-41. [View at Publisher] [DOI] [PMID] [Google scholar]
7. Kakemam E, Hajizadeh A, Azarmi M, Zahedi H, Gholizadeh M, Roh YS. Nurses' perception of teamwork and its relationship with the occurrence and reporting of adverse events: A questionnaire survey in teaching hospitals. J Nurs Manag. 2021;29(5):1189-98. [View at Publisher] [DOI] [PMID] [Google scholar]
8. Barzegar A, Ghadipasha M, Forouzesh M, Valiyari S, Khademi A. Epidemiologic study of traffic crash mortality among motorcycle users in Iran. Chin J Traumatol. 2020;23(4):219-23. [View at Publisher] [DOI] [PMID] [Google scholar]
9. Jamshidi H, Jazani RK, Alibabaei A, Alamdari S, Kalyani MN. Challenges of Cooperation between the Pre-hospital and In-hospital Emergency services in the handover of victims of road traffic accidents: A Qualitative Study. Invest Educ Enferm. 2019;37(1):70-9. [View at Publisher] [DOI] [PMID] [Google scholar]
10. Smith JA, Fieldsend M. Interpretative phenomenological analysis. Washington DC: American Psychological Association; 2021. p:147-66. [View at Publisher] [DOI] [Google scholar]
11. Polit D, Beck C. Essentials of nursing research: Appraising evidence for nursing practice. 9th ed. Philadelphia: Lippincott Williams & Wilkins; 2020. [View at Publisher] [Google scholar]
12. Prestes JM, Klein AS, Kruel AJ, Martins AM, Ribeiro CR, Anschau F. Welcoming protocol in the maximum restriction of the emergency department of a tertiary hospital in Brazil. Archives of Nursing Practice and Care. 2020;6(1):035-41. [View at Publisher] [DOI] [Google scholar]
13. Najafi Ghezeljeh T, Keyvanloo Shahrestanaki S, Mohammadbeigi T, Haghani S. Patient Safety Competency in Emergency Nurses in Educational-Medical Centers of Iran University of Medical Sciences. Iran J Nurs. 2022;34(134):60-73. [View at Publisher] [DOI] [Google scholar]
14. Khorgami Z, Gougol AH, Soroush A. Causes of deceptive non-admission to the emergency department: personnel's point of view. IJMEHM. 2012;5(3):81-90. [View at Publisher] [DOI] [PMID] [Google scholar]
15. Fazel N, Yazdi Moghadam H, Elhani F, Pejhan A, Koshan M, Ghasemi MR, et al. The Nursing Experiences Regarding to Clinical Education in Emergency Department: A Qualitative Content Analysis in 2012. Journal of Sabzevar University of Medical Sciences. 2017;24(2):97-106. [View at Publisher] [Google scholar]
16. Mohammadi, M., Firouzkouhi, M., Abdollahimohammad, A., Shivanpour, M. The Challenges of Pre-Hospital Emergency Personnel in Sistan Area: A Qualitative Study. Journal of Qualitative Research in Health Sciences, 2019;8(3):221-32. [View at Publisher] [Google scholar]
17. Batt A, Poirier P, Bank J, Bolster J, Bowles R, Cameron C, et al. Developing the National Occupational Standard for Paramedics in Canadaupdate 2. Canadian Paramedicine. 2022;45:6-8. [View at Publisher] [Google scholar]
18. Williams B, Beovich B, Olaussen A. The definition of paramedicine: an international delphi study. J Multidiscip Healthc. 2021;14:3561-70. [View at Publisher] [DOI] [PMID] [Google scholar]
19. Bayrami R, Ebrahimipour H, Rezazadeh A. Challenges in Pre hospital emergency medical service in Mashhad: A qualitative study. JHOSP. 2017;16(2):82-90. [View at Publisher] [Google scholar]
20. De Lange S, van Eeden I, Heyns T. Patient handover in the emergency department: 'How' is as important as 'what'. Int Emerg Nurs. 2018;36:46-50. [View at Publisher] [DOI] [PMID] [Google scholar]
21. Dúason S, Gunnarsson B, Svavarsdóttir MH. Patient handover between ambulance crew and healthcare professionals in Icelandic emergency departments: a qualitative study. Scand J Trauma Resusc Emerg Med. 2021;29:21. [View at Publisher] [DOI] [PMID] [Google scholar]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
