scholarly journals National study of Saudi Arabian emergency medical services professional profiles: an inferential analysis

2019 ◽  
Vol 16 ◽  
Author(s):  
Talal AlShammari ◽  
Paul Jennings ◽  
Brett Williams

IntroductionInternationally, emergency medical services (EMS) are an essential access point to the healthcare system. Building an understanding of the professional, educational and demographic profiles of an EMS workforce is important. The aim of this study is to statistically test the professional profiles of EMS providers against the Saudi ParamEdic Competency Scale (SPECS) model factors.MethodsHealthcare providers working for the Saudi Red Crescent Authority (SRCA) were surveyed using a cross-sectional study design with purposive sampling technique. The independent variables were tested against the five SPECS model factors of ‘Professionalism’, ‘Preparedness’, ‘Communication’, ‘Clinical’ and ‘Personal’.ResultsOf the 1260 surveys distributed, 909 surveys were returned (72.14% response rate). A total of 927 EMS healthcare professionals contributed to the study of whom 866 (93.4%) were male and 61 (6.6%) female. Of the participants, 552 (59.5%) were aged 29–39 years and 508 (54.8%) had 5–9 years’ experience. ConclusionThis is the first national study to explore and contextualise the diverse professional stakeholders in Saudi EMS. The study was able to employ the professional profiles of the participants in understanding the different perceptions of the SPECS model. We recommend that future research address the specific differences identified in the demographic, professional and educational aspects of this study.

2020 ◽  
Vol 9 (3) ◽  
pp. 245-255
Author(s):  
Talal AlShammari ◽  
Paul Jennings ◽  
Brett Williams

PurposeEmergency medical services (EMS) educational standards in Saudi Arabia have developed at an unprecedented rate, and the rapid pace of development has resulted in a considerable disparity of educational approaches. Therefore, an empirically based core competency framework should be developed. The aim was to utilize exploratory factor analysis (EFA) in the reduction and generation of a theoretical Saudi competency model.Design/methodology/approachA purposive sample was utilized in a national quantitative cross-sectional study design of Saudi Red Crescent Authority (SRCA) healthcare workers. The instrument comprised 41 core competency items rated on a Likert scale. EFA alpha factoring with oblique promax rotation was applied to the 41 items.FindingsA total of 450 EMS healthcare providers participated in the study, of whom 422 (93.8 per cent) were male and 28 (6.2 per cent) female. Of the participants, 230 (60 per cent) were aged 29–39 years and 244 (54.2 per cent) had 5–9 years of experience. An EFA of instrument items generated five factors: professionalism, preparedness, communication, clinical and personal with an eigenvalue > 1, representing 67.5 per cent of total variance. Only variables that had a loading value >0.40 were utilized in the factor solution.Originality/valueThe EFA model Saudi ParamEdic Competency Scale (SPECS) has been identified, with 27 core competency items and five overarching factors. The model has considerable similarities to other medical competency frameworks. However, some aspects are specifically unique to the Saudi EMS context. The SPECS model provides an academic blueprint that can be used by paramedic educational programs to ensure empirical alignment with the needs of the industry and community.


2019 ◽  
Vol 13 (4) ◽  
pp. 997
Author(s):  
Alexandre Lins Werneck ◽  
Carla Fernanda Batista Paula ◽  
Rita de Cássia Helu Mendonça Ribeiro

RESUMOObjetivo: estabelecer relações entre a humanização da assistência e o acolhimento e a triagem na classificação de risco pela enfermagem nos serviços médicos de emergência. Método: trata-se de um estudo quantitativo, analítico, transversal. Utilizou-se um questionário e entrevistaram-se 80 pacientes que estavam em consulta de enfermagem. Utilizaram-se a análise descritiva, médias, desvio padrão, mediana, mínimo e máximo, frequência e percentual. Apresentaram-se os resultados em forma de tabelas. Resultados: verificou-se que, dos 64 pacientes, a maioria era do sexo feminino, na faixa etária entre 21 a 40 anos e casada, e cinco pacientes esperaram mais que o tempo preconizado, sendo que a Ortopedia/Traumatologia foi a especialidade com maior número de pacientes atendidos. Conclusão: chegou-se à conclusão de que os usuários estão satisfeitos com a atuação da Enfermagem na humanização da assistência, no acolhimento e na triagem com classificação de risco, nos serviços médicos de emergência. Infere-se que as considerações sobre as implicações teóricas ou práticas dos resultados e a contribuição do estudo para o avanço do conhecimento científico são estabelecer relações entre a humanização da assistência e o acolhimento e a triagem com classificação de risco nos serviços médicos de emergência. Espera-se encontrar situações em que há falta de humanização e colocá-las em evidência, propondo mudanças. Descritores: Humanização da Assistência; Acolhimento; Triagem; Classificação; Risco; Enfermagem de Emergência.ABSTRACT Objective: to establish relations between the humanization of care and the reception and screening in risk classification by nursing in emergency medical services. Method: this is a quantitative, analytical, cross-sectional study. A questionnaire was used and 80 patients who were in nursing consultation were interviewed. Descriptive analysis, means, standard deviation, median, minimum and maximum, frequency and percentage were used. Results were presented in the form of tables. Results: it was verified that, of the 64 patients, the majority were female, between the ages of 21 and 40 years and married, and five patients waited longer than the recommended time, and Orthopedics/Traumatology was the specialty with greater number of patients attended. Conclusion: it was concluded that the users are satisfied with the Nursing performance in the humanization of care, in the reception and in the classification with risk classification, in emergency medical services. It is inferred that considerations about the theoretical or practical implications of the results and the contribution of the study to the advancement of scientific knowledge are to establish relations between the humanization of care and the reception and sorting with risk classification in emergency medical services. It is hoped to find situations in which there is a lack of humanization and to put them in evidence, proposing changes. Descriptors: Humanization of Care; Reception; Screening; Ranking; Risk; Emergency Nursing. RESUMEN Objetivo: establecer relaciones entre la humanización de la asistencia y la acogida y el tamizaje en la clasificación de riesgo por la enfermería en los servicios médicos de emergencia. Método: se trata de un estudio cuantitativo, analítico, transversal. Se utilizó un cuestionario y se entrevistaron a 80 pacientes que estaban en consulta de enfermería. Se utilizó el análisis descriptivo, promedios, desviación estándar, mediana, mínimo y máximo, frecuencia y porcentual. Se presentaron los resultados en forma de tablas. Resultados: se verificó que, de los 64 pacientes, la mayoría era del sexo femenino, en el grupo de edad entre 21 a 40 años y casada, y cinco pacientes esperaron más que el tiempo preconizado, siendo que la Ortopedia / Traumatología fue la especialidad con mayor el número de pacientes atendidos. Conclusión: se llegó a la conclusión de que los usuarios están satisfechos con la actuación de la Enfermería en la humanización de la asistencia, en la acogida y en el tamizaje con clasificación de riesgo, en los servicios médicos de emergencia. Se espera encontrar situaciones en que hay falta de humanización y ponerlas en evidencia, proponiendo cambios. Descriptores: Humanización de la Atención; Acogimiento; Triagem; Classificación; Risco; Enfermería de Urgencia.


2021 ◽  
Vol 9 (E) ◽  
pp. 298-301
Author(s):  
Korakot Apiratwarakul ◽  
Kamonwon Ienghong ◽  
Takaaki Suzuki ◽  
Ismet Celebi ◽  
Vajarabhongsa Bhudhisawasdi ◽  
...  

BACKGROUND: Ambulance inspections make up part of the emergency medical services (EMS) to keep operations running smoothly as well as to maximize and maintain the safety of vehicles used for delivery of both staff and patients. The EMS of Srinagarind Hospital has been using an ambulance inspection report application since January 2020. Nevertheless, there has been no comparative study of the benefits associated with the use of this specification. AIM: The aim of this study was to compare the advantages of an ambulance inspection report application and paper checklist. METHODS: This cross-sectional study was conducted amid the EMS at a university hospital in Thailand. Data gathering was carried out by employing the Srinagarind Hospital database and ambulance inspection report application throughout January 1, 2019, and December 31, 2020. RESULTS: A total of 2350 ambulance inspections were recorded during the 2-year study period. Recognition times for ambulance inspections incorporating paper checklist and inspection with application were 35.5 ± 9.4 min and 1.02 ± 0.5 min, respectively (P < 0.001). Action times were 25.2 ± 5.1 min and 1.04 ± 0.2 min, respectively. Ambulance inspection compliance rate with the application was 95.3% and 70.1% with a paper checklist. CONCLUSION: Ambulance inspections carried out with an application can reduce recognition and action time, and increase ambulance inspection compliance rate.


2016 ◽  
Vol 67 (3) ◽  
pp. 341-348.e4 ◽  
Author(s):  
William J. Meurer ◽  
Deborah A. Levine ◽  
Kevin A. Kerber ◽  
Darin B. Zahuranec ◽  
James Burke ◽  
...  

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Ulrika Margareta Wallgren ◽  
Eric Larsson ◽  
Anna Su ◽  
Jennifer Short ◽  
Hans Järnbert-Pettersson ◽  
...  

Abstract Background Current sepsis screening tools are predominantly based on vital signs. However, patients with serious infections frequently present with normal vital signs and there has been an increased interest to include other variables such as symptoms in screening tools to detect sepsis. The majority of patients with sepsis arrive to the emergency department by emergency medical services. Our hypothesis was that the presentation of sepsis, including symptoms, may differ between patients arriving to the emergency department by emergency medical services and patients arriving by other means. This information is of interest to adapt future sepsis screening tools to the population in which they will be implemented. The aim of the current study was to compare the prevalence of keywords reflecting the clinical presentation of sepsis based on mode of arrival among septic patients presenting to the emergency department. Methods Retrospective cross-sectional study of 479 adult septic patients. Keywords reflecting sepsis presentation upon emergency department arrival were quantified and analyzed based on mode of arrival, i.e., by emergency medical services or by other means. We adjusted for multiple comparisons by applying Bonferroni-adjusted significance levels for all comparisons. Adjustments for age, gender, and sepsis severity were performed by stratification. All patients were admitted to the emergency department of Södersjukhuset, Stockholm, and discharged with an ICD-10 code compatible with sepsis between January 1, and December 31, 2013. Results “Abnormal breathing” (51.8% vs 20.5%, p value < 0.001), “abnormal circulation” (38.4% vs 21.3%, p value < 0.001), “acute altered mental status” (31.1% vs 13.1%, p value < 0.001), and “decreased mobility” (26.1% vs 10.7%, p value < 0.001) were more common among patients arriving by emergency medical services, while “pain” (71.3% vs 40.1%, p value < 0.001) and “risk factors for sepsis” (50.8% vs 30.8%, p value < 0.001) were more common among patients arriving by other means. Conclusions The distribution of most keywords related to sepsis presentation was similar irrespective of mode of arrival; however, some differences were present. This information may be useful in clinical decision tools or sepsis screening tools.


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