Assessing and exploring the competency of prehospital emergency medical service personnel in Klang Valley, Malaysia: a mixed method approach

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL
M. S. Nurumal, A. Sukonthasarn, S. Wangsrikhun, Chawapornpan Chanpransit
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引用次数: 7

Abstract

The notion of competency in pre-hospital emergency medical service (EMS) personnel is mainly focused on the professional proficiency that he/she has to provide intervention outside of hospital setting. Consequently, the effectiveness of pre-hospital EMS performance very much depends upon the capability of the personnel at the scene and as well during transport to the definitive care center. The aim of this study is to appraise and explore the competency of pre-hospital care staff and provide strategies for improvement. Methods: A mixed method approach combining the qualitative and quantitative study design. Of 134 staffs only 111(82.84%) returned the questionnaire. Nine semi-structured interviews and two focus group discussions were performed. The main informants were nurses/assistant medical officers, nurse/assistant medical officer administrators, and emergency physicians. Results: From the quantitative finding on the competency of staff handling pre-hospital EMS, all had the essential knowledge and skills. However, most of them reported not having good knowledge and skills for invasive procedures (31%-61%), include giving medications (61%-66%). The qualitative information provided insight about the issues and strategies for the personnel in regards to competency. All the relevant qualitative data were merged into 5 categories relating issues and 5 categories to strategies that could affect the competency of the personnel. Conclusion: Pre-hospital EMS systems need to consider that the competency of pre-hospital EMS personnel has to come along with the responsible attitude of the staff itself, the support of medical direction, clear protocol for guiding them whenever needed, and continuous professional-development courses require them to maintain their professional proficiency.
马来西亚巴生谷院前急救人员能力评估与探索:一种混合方法
院前急救医疗服务(EMS)人员的能力概念主要集中在他/她在医院环境之外提供干预的专业能力上。因此,院前EMS性能的有效性在很大程度上取决于现场人员以及运送到最终护理中心期间人员的能力。本研究的目的是评估和探索院前护理人员的能力,并提供改进策略。方法:采用定性与定量相结合的混合方法进行研究设计。在134名员工中,只有111人(82.84%)返回了问卷。进行了九次半结构化访谈和两次焦点小组讨论。主要举报人是护士/助理医务官、护士/助理医疗官行政人员和急诊医生。结果:通过对院前EMS工作人员胜任能力的定量调查,发现他们都具备基本的知识和技能。然而,他们中的大多数人报告说,他们不具备良好的侵入性手术知识和技能(31%-61%),包括给药(61%-66%)。定性信息提供了有关人员能力方面的问题和战略的见解。所有相关的定性数据被合并为5类与问题有关的数据和5类与可能影响人员能力的战略有关的数据。结论:院前EMS系统需要考虑,院前EMS人员的能力必须与工作人员自身的负责任态度、医疗指导的支持、在需要时指导他们的明确协议以及持续的专业发展课程相结合,要求他们保持专业熟练度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Medical Journal Malaysia
International Medical Journal Malaysia Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
73
期刊介绍: International Medical Journal Malaysia (IMJM) is the official journal of the Kulliyyah (Faculty) of Medicine, International Islamic University Malaysia. It serves primarily as a forum for education and intellectual discourse for health professionals namely in clinical medicine but covers diverse issues relating to medical ethics, professionalism as well as medical developments and research in basic medical sciences. It also serves the unique purpose of highlighting issues and research pertaining to the Muslim world. Contributions to the IMJM reflect its international and multidisciplinary readership and include current thinking across a range of specialties, ethnicities and societies.
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