barriers of pre-hospital services in road traffic injuries in tehran: the viewpoint of service providers

Authors

shahrokh alinia department of nursing, university of social welfare and rehabilitation sciences, tehran, iran;

hamidreza khankeh department of nursing, university of social welfare and rehabilitation sciences, tehran, iran;

sadat seyed bagher maddah department of nursing, university of social welfare and rehabilitation sciences, tehran, iran;

reza negarandeh nursing and midwifery care research center, school of nursing and midwifery, tehran university of medical sciences, tehran, iran

abstract

background: iran is one of the countries with considerable road traffic injuries.  pre-hospital interventions have an important role in preventing mortalities and disabilities caused by traffic accidents.the present study aimed to explore the barriers of pre-hospital care in traffic injuries in tehran, iran. methods: a qualitative content analysis approach was conducted based on 21 semi-structured interviews with 18 participants.  a purposeful sampling method was applied until reaching data saturation.  interviews were transcribed verbatim, and then data condensing, labeling, coding and defining categories were performed by qualitative content analysis. results: four main barriers including 4 main categories and 13 subcategories emerged; they included barriers related to people, barriers related to metropolitan infrastructure,barriers related to the profession and barriers related to managerial issues. conclusion: based on the findings of this study, pre-hospital service barriers in traffic accidents have many dimensions including cultural, structural and managerial domains. policy makers in health system can use these findings to promote the quality of pre-hospital services, especially in the field of traffic injuries.

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Journal title:
international journal of community based nursing and midwifery

جلد ۳، شماره ۴، صفحات ۲۷۲-۰

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