Factors affecting emergency medical dispatchers' decision-making: a qualitative study

Journal of Multidisciplinary Healthcare
Seyyed Mohammad Reza HosseiniMasoud Roudbari

Abstract

Prehospital emergency medical service dispatchers should make prompt and appropriate decisions to save the life of victims. The complexity of timely and reasonable decision-making in life-threatening conditions has driven researchers to investigate varying aspects of the emergency medical dispatch (EMD) process. The purpose of this study was to explore the contributors to appropriate and prompt decision-making among dispatchers. A qualitative study through thematic analysis was designed. Data were collected using observation and semistructured interviews with 16 authorities and dispatchers in seven EMDs across Iran. The study found "responsiveness" as the main category contributing to improved decision-making in EMD. The components introduced in this study for dispatchers' responsiveness consisted of two categories. The first was "personal values" including faith and belief, eagerness to help, service excellence, altruism, respect, and impartiality in clinical judgment. The second was "professional attitudes" resulting from education and experience, including the recognition of emergency as a threat to health, sensitivity in triage, response to all requests for help, care for early warnings, commitment to organizational goals a...Continue Reading

Citations

Aug 26, 2020·Prehospital and Disaster Medicine·Mohammed F AlshehriLee A Wallis
Oct 18, 2020·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Francisco Martín-RodríguezAntonio Dueñas-Laita

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