Development and Psychometric Evaluation of Traffic-Related Prehospital Mortality Prevention Questionnaire

Authors

  • Abbasali Dehghani Tafti Department of Health Education and Promotion, Associate Professor, School of Public Health, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran.
  • Adel Eftekhari Meybod School of Nursing, Shahid Sadougi University of Medical Sciences, Yazd, Iran.
  • Davoud Khorasani-Zavareh Worlplace Health Promotion Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Hossein Falahzadeh Department of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
  • Khadijeh Nasiriani Department of Nursing, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
  • Majid Hajimaghsoudi Trauma Research Center, Shahid Rahnemoon Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Abstract:

Background: Given that a significant part of deaths due to traffic accidents are preventable in the prehospital phase, so it seems necessary to have an instrument to identify and measure the factors affecting it. This study aimed to develop and psychometrically assess an instrument for measuring preventable prehospital mortality due to traffic accidents. Methods: The study is a mixed qualitative-quantitative study including systematic review, interviews, Delphi and psychometrics. In the systematic review phase, using database searches and in the qualitative phase, the factors affecting preventable mortality were extracted through interviews with 24 experts(Fire-fighting organization, Traffic police, the Red Crescent, Emergency Medical Services, emergency medicine, hospital emergency nurses and traffic accident victims) in Ministry of Health, Treatment and Medical Education and Yazd Province, 2020. Classification of codes was done with MAXQDA10 Software. The results were collected in the format of the primary instrument and Delphi study (3 rounds) was conducted in by experts. Finally, the reduction of the items and the psychometrics of the instrument, including the determination of face and content validity, and then the determination of the reliability using Cronbach's alpha were performed. Results: Developed instrument enjoys acceptable validity and reliability to be used in measuring preventable traffic-related prehospital mortalities. The final instrument for measuring preventable prehospital mortality was developed with 5 dimensions including: "scene and casualty assessment, coordination and communication, time management, training-performance, and support." Conclusion: Using this instrument; preventable deaths can be detected, the present challenges can be identified, and the preventable deaths may be diminished.

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Journal title

volume 13  issue 4

pages  8- 8

publication date 2023-06

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