Psychological distress Management in Iranian emergency prehospital providers: A Qualitative study

نویسندگان

1 Research Center of Addiction and Behavioral Sciences, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

2 Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran

3 Research Center for Addiction and Risky Behaviors (ReCARB), Pychiatric Department, Iran University of Medical Siences, Tehran, Iran

4 Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

5 School of Public Health, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran

6 Department of Disaster and Emergency Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

7 School of Public Health, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran

8 PhD in Military Psychology, Psychology Department of Hajar Hospital

doi
چکیده

INTRODUCTION: Emergency prehospital providers (EPHP) who are constantly providing medicalcare in threatening conditions are more at risk of displaying psychological distress presentations indisaster situations. Problem‑solving strategies are essential for effective and efficient managementof event position. Therefore, the present study aimed to explore psychological distress promotionin Iranian EPHP.MATERIALS AND METHODS: A qualitative content analysis study was conducted based on 24semi‑structured interviews. A purposeful sampling method was applied until reaching data saturation.Interviews were transcribed verbatim, and then, data condensing, labeling, coding, and definingcategories were performed by the qualitative content analysis recommended by the Landman andGraneheim approach.RESULTS: Based on the experience of study participants, two main themes with six categoriesdeveloped. The main themes included emotion‑based management and problem‑based managementwhen confronting with incidence scene.CONCLUSION: The main problems of EPHP in confronting with incidence and disasters scenesare psychological distress which some rescuers have emotional reactions while some others whoare more resilience and experience manage this problem in the form of problem‑based approach.It is recommended these practical strategies to be taught to less experienced rescuers for avoidingemotional‑based reactions and better management of disaster scene.