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Barriers and facilitators to provide effective pre-hospital trauma care for road traffic injury victims in Iran: a grounded theory approach.

Haghparast-Bidgoli H, Hasselberg M, Khankeh H, Khorasani-Zavareh D, Johansson E - BMC Emerg Med (2010)

Bottom Line: A qualitative study design using a grounded theory approach was selected.The core category that emerged from the other categories was defined as "interaction and common understanding".Moreover, a conceptual model was developed based on the categories.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of Global Health, Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden. hassan.haghparast@ki.se

ABSTRACT

Background: Road traffic injuries are a major global public health problem. Improvements in pre-hospital trauma care can help minimize mortality and morbidity from road traffic injuries (RTIs) worldwide, particularly in low- and middle-income countries (LMICs) with a high rate of RTIs such as Iran. The current study aimed to explore pre-hospital trauma care process for RTI victims in Iran and to identify potential areas for improvements based on the experience and perception of pre-hospital trauma care professionals.

Methods: A qualitative study design using a grounded theory approach was selected. The data, collected via in-depth interviews with 15 pre-hospital trauma care professionals, were analyzed using the constant comparative method.

Results: Seven categories emerged to describe the factors that hinder or facilitate an effective pre-hospital trauma care process: (1) administration and organization, (2) staff qualifications and competences, (3) availability and distribution of resources, (4) communication and transportation, (5) involved organizations, (6) laypeople and (7) infrastructure. The core category that emerged from the other categories was defined as "interaction and common understanding". Moreover, a conceptual model was developed based on the categories.

Conclusions: Improving the interaction within the current pre-hospital trauma care system and building a common understanding of the role of the Emergency Medical Services (EMS) emerged as key issues in the development of an effective pre-hospital trauma care process.

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Model of factors affecting the Optimal Pre-hospital Trauma Care Process.
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Figure 2: Model of factors affecting the Optimal Pre-hospital Trauma Care Process.

Mentions: We generated a model grounded in our data which illustrates factors that can influence the pre-hospital trauma care process (Figure 2). In the model, the pre-hospital trauma care process is illustrated as an arrow and is divided into four main stages (inspired from available knowledge in the literature [12-15]): Early notification, early response (or dispatch), efficient on-scene care and safe and prompt transportation.


Barriers and facilitators to provide effective pre-hospital trauma care for road traffic injury victims in Iran: a grounded theory approach.

Haghparast-Bidgoli H, Hasselberg M, Khankeh H, Khorasani-Zavareh D, Johansson E - BMC Emerg Med (2010)

Model of factors affecting the Optimal Pre-hospital Trauma Care Process.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2992044&req=5

Figure 2: Model of factors affecting the Optimal Pre-hospital Trauma Care Process.
Mentions: We generated a model grounded in our data which illustrates factors that can influence the pre-hospital trauma care process (Figure 2). In the model, the pre-hospital trauma care process is illustrated as an arrow and is divided into four main stages (inspired from available knowledge in the literature [12-15]): Early notification, early response (or dispatch), efficient on-scene care and safe and prompt transportation.

Bottom Line: A qualitative study design using a grounded theory approach was selected.The core category that emerged from the other categories was defined as "interaction and common understanding".Moreover, a conceptual model was developed based on the categories.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of Global Health, Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden. hassan.haghparast@ki.se

ABSTRACT

Background: Road traffic injuries are a major global public health problem. Improvements in pre-hospital trauma care can help minimize mortality and morbidity from road traffic injuries (RTIs) worldwide, particularly in low- and middle-income countries (LMICs) with a high rate of RTIs such as Iran. The current study aimed to explore pre-hospital trauma care process for RTI victims in Iran and to identify potential areas for improvements based on the experience and perception of pre-hospital trauma care professionals.

Methods: A qualitative study design using a grounded theory approach was selected. The data, collected via in-depth interviews with 15 pre-hospital trauma care professionals, were analyzed using the constant comparative method.

Results: Seven categories emerged to describe the factors that hinder or facilitate an effective pre-hospital trauma care process: (1) administration and organization, (2) staff qualifications and competences, (3) availability and distribution of resources, (4) communication and transportation, (5) involved organizations, (6) laypeople and (7) infrastructure. The core category that emerged from the other categories was defined as "interaction and common understanding". Moreover, a conceptual model was developed based on the categories.

Conclusions: Improving the interaction within the current pre-hospital trauma care system and building a common understanding of the role of the Emergency Medical Services (EMS) emerged as key issues in the development of an effective pre-hospital trauma care process.

Show MeSH
Related in: MedlinePlus