The challenges of children's safety in pre-hospital emergencies: a qualitative study

Abstract

Objective: Exploring the challenges experienced by the pre-hospital emergency personnel to prevent the secondary injuries and provide more effective services to children can be helpful. This study aims to explain the safety challenges of children in the pre-hospital emergencies. Method: This qualitative study, which was conducted with the content analysis approach, was a semi-structured, and in-depth data collection process with the field notes for pre-hospital emergency personnel in Dezful city in 2022. Sampling was done in a targeted and available manner. The sampling process continued until the data saturation was reached. The trustworthiness of data was improved by reviewing and revising the data, experience and expertise of the interviewer, review of research participants and researchers. The research data, including interview texts and field notes, were divided into the semantic units, and then summarized by compression, and then abstracted in the order of subclasses, main classes, and finally themes. ResultsQualitative data analysis of interviews and notes led to the extraction of eight themes, which expressed the nature of children's safety challenges in the pre-hospital emergency: the lack of pre-hospital equipment for children, physical and mental characteristics of children, the lack of safety of vehicles for children, the lack of clinical skills of personnel for children, anxiety and non-cooperation of parents, operational and legal problems, the lack of attention to professional responsibility and high work pressure in children's missions. Conclusion: This study’s results showed that identifying children's safety challenges for pre-hospital emergency personnel can help better understand the care needs of this age group and help managers plan in order to reduce children's safety challenges in the pre-hospital missions.

1. Eriksson C, Schoonover A, Harrod T, Meckler G, Hansen M, Yanez D, et al. Retrospective chart review and survey to identify adverse safety events in the emergency medical services care of children with out-of-hospital cardiac arrest in the USA: a study protocol. BMJ Open. 2020;10(10):e039215.
2. Oulasvirta J, Harve-Rytsälä H, Lääperi M, Kuisma M, Salmi H. Why do infants need out-of-hospital emergency medical services? a retrospective, population-based study. Scand J Trauma Resusc Emerg Med. 2021;29(1):13.
3. Fidacaro GA, Jr., Jones CW, Drago LA. Pediatric transport practices among prehospital providers. Pediatr Emerg Care. 2020;36(11):e632-e5.
4. Ely M, Edgerton EA, Telford R, Page K, Hemingway C, Vernon D, et al. Assessing infrastructure to care for pediatric patients in the prehospital setting. Pediatr Emerg Care. 2020;36(6):e324-e31.
5. Guise JM, Meckler G, O'Brien K, Curry M, Engle P, Dickinson C, et al. Patient safety perceptions in pediatric out-of-hospital emergency care: children's safety initiative. J Pediatr. 2015;167(5):1143-8.e1.
6. Owusu-Ansah S, Moore B, Shah MI, Gross T, Brown K, Gausche-Hill M, et al. Pediatric readiness in emergency medical services systems. Pediatrics. 2020;145(1):e20193308.
7. Hewes HA, Genovesi AL, Codden R, Ely M, Ludwig L, Macias CG, et al. Ready for children part II: Increasing pediatric care coordination and psychomotor skills evaluation in the prehospital setting. Prehosp Emerg Care. 2021:1-10.
8. Duby R, Hansen M, Meckler G, Skarica B, Lambert W, Guise JM. Safety Events events in high risk prehospital neonatal Calls. Prehosp Emerg Care. 2018;22(1):34-40.
9. : Miorin JD, Dal Pai D, Ciconet RM, Lima MADS, Gerhardt LM, Indruczaki NS. Transfer of pre-hospital care and its potential risks for patient safety. Texto Contexto Enferm. 2020;29: e20190073. [Portuguese].
10. Swinton P, Corfield AR, Moultrie C, Percival D, Proctor J, Sinclair N, et al. Impact of drug and equipment preparation on pre-hospital emergency anaesthesia (PHEA) procedural time, error rate and cognitive load. Scand J Trauma Resusc Emerg Med. 2018;26(1):82.
11. 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).
12. Mosca CG, Stein C, Lawrence H. South African pre-hospital emergency care personnel's lived experiences of managing paediatric emergencies: a qualitative research design utilising one-on-one interviews. Health SA.. 2021;26:1558.
13. Dehghan-Nayeri N, Nouri-Sari H, Bahramnezhad F, Hajibabaee F, Senmar M. Barriers and facilitators to cardiopulmonary resuscitation within pre-hospital emergency medical services: a qualitative study. BMC Emerg Med. 2021;21(1):120.
14. Seid T, Ramaiah R, Grabinsky A. Pre-hospital care of pediatric patients with trauma. Int J Crit Illn Inj Sci. 2012;2(3):114-20.
15. Ali¹ AAHAR, Elhassan AA. A scientific study to determine the level of traffic safety application in Khartoum State-Sudan. American Journal of Sciences and Engineering Research. 2022; 5(1):123-36.
16. Elhalik M, El-Atawi K, Mahfouz R. Assessment of mother’s knowledge on importance and need for child car afety seat in UAE. J Pediatr Neonatal Care. 2018;8:226-30.
17. Rowland M, Adefuye A. Factors that influence human e rror and patient safety in the pre-hospital emergency are setting: erspectives of South African emergency care practitioners. Health SA. 2022;27:1798.
18. Jepsen K, Rooth K, Lindström V. Parents' experiences of the caring encounter in the ambulance service-a qualitative study. J Clin Nurs. 2019;28(19-20):3660-8.
19. Safi-Keykaleh M, Khorasani-Zavareh D, Ghomian Z, Nateghinia S, Safarpour H, Mohammadi R. Barriers and requirements in the off-line emergency medical protocols implementation in Iranian pre-hospital system: a qualitative study. J Educ Health Promot. 2021;10:312.
20. Krüger AJ, Skogvoll E, Castrén M, Kurola J, Lossius HM. Scandinavian pre-hospital physician-manned emergency medical services--same concept across borders? Resuscitation. 2010;81(4):427-33.
21. McGrath SK, Whitty SJ. Accountability and responsibility defined. International Journal of Managing Projects in Business. 2018;11(3):687-707.
22. Dahlawi S, Menezes RG, Khan MA, Waris A, Saifullah, Naseer MM. Medical negligence in healthcare organizations and its impact on patient safety and public health: a bibliometric study. F1000Research. 2021;10:174.
23. Hagiwara MA, Magnusson C, Herlitz J, Seffel E, Axelsson C, Munters M, et al. Adverse events in prehospital emergency care: a trigger tool study. BMC Emerg Med. 2019;19(1):14.
24. Abbaspour S, Tajik R, Atif K, Eshghi H, Teimori G, Ghodrati-Torbati A, et al. Prevalence and correlates of mental health status among pre-hospital healthcare staff. Clin Pract Epidemiol Ment Health. 2020;16:17.
Files
IssueVol 8 No 3 (2024): Summer (July) QRcode
SectionOriginal article
DOI 10.18502/fem.v8i3.16330
Keywords
Challenge Children Emergencies Emergency Medical Services Safety

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Aghababaeian H, Imani A, Masoudiyekta L, Radmanmehr M, Farahmandnia B. The challenges of children’s safety in pre-hospital emergencies: a qualitative study. Front Emerg Med. 2024;8(3):e23.

Downloads

Download data is not yet available.