Dataset Information

The experience of pre-hospital emergency personnel in breaking death news: a phenomenological study.

ABSTRACT:

Background

Today, breaking the death of patients to their families has become one of the challenges for medical staff. Considering the lack of study in the pre-hospital emergency, the present study aimed to explore the experience of pre-hospital emergency personnel regarding the breaking death news to families.

Method

In this qualitative study with a descriptive phenomenological method, data were collected by purposeful sampling method through in-depth interviews with thirteen pre-hospital emergency personnel in Kermanshah and Kurdistan provinces. After recording and writing the interviews, the data were managed by MAQUDA-10 software and analyzed using the Collaizi approach.

Results

Of 13 participants, five from Kermanshah, eight from Kurdistan, and 12 (92%) were married. The mean age and work experience were 34.38 and 10.38 years, respectively. Five main extracted themes were 1) perceived stress, 2) challenge factors of breaking death news, 3) unnecessary actions, 4) death breaking precautions, and 5) BDN requirements. They were covered fifteen sub-themes.

Conclusion

In this study, emergency medical employees were always faced with stress and challenges to announce the patient's death to families, including the stress of violence against employees. Hereof, personnel had to take unnecessary care actions such as slow resuscitation to transfer the patient to the hospital.

SUBMITTER: Safari R

PROVIDER: S-EPMC9130693 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature

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Publications

The experience of pre-hospital emergency personnel in breaking death news: a phenomenological study.

Safari Reza R Khashmin Mohammad Mehdi MM Abdi Alireza A

BMC nursing 20220525 1

<h4>Background</h4>Today, breaking the death of patients to their families has become one of the challenges for medical staff. Considering the lack of study in the pre-hospital emergency, the present study aimed to explore the experience of pre-hospital emergency personnel regarding the breaking death news to families.<h4>Method</h4>In this qualitative study with a descriptive phenomenological method, data were collected by purposeful sampling method through in-depth interviews with thirteen pre ...[more]

PMID: 35614483

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Project description:BackgroundMoral intelligence is a significant and influential factor in the delivery of principled and high-quality care. This is because moral intelligence is the ability to recognize and be sensitive to moral issues, which contributes to the organization of appropriate behavior in the face of moral issues. This is particularly pertinent given that pre-hospital emergency medical services personnel (prehospital EMS personnel) frequently encounter stressful and tension-filled situations. Thus, intelligent reasoning and ethical conduct at the scene of an incident are of paramount importance. Also, there is no special tool available for measuring the moral intelligence of prehospital EMS personnel. Hence, there is a necessity for the design and psychometric evaluation of a specialized instrument to assess the moral intelligence of prehospital EMS personnel with a sequential exploratory approach. Accordingly, the present study was conceptualized and implemented with the objective of designing and psychometrically evaluating an instrument for measuring the moral intelligence of prehospital EMS personnel.MethodsThis study employed a mixed-methods design with a sequential exploratory approach. The research was executed in two distinct phases. In the first phase, a conventional content analysis method was utilized to explore narratives expressed by 34 prehospital EMS personnel. It was in the second phase where the psychometric properties including face validity, content validity, construct validity and reliability were measured. A total of 210 prehospital EMS personnel participated for exploratory and confirmatory factor analysis. Kaiser-Meyer-Olkin, Bartlett's tests, Cronbach's alpha coefficient, as well as test-retest were used for data analysis.ResultsThe moral intelligence of prehospital EMS personnel was conceptualized as emotional stability coupled with intelligent reasoning, oriented towards the provision of ethical care and moral courage in patient advocacy. In the exploratory factor analysis (EFA) phase, the questionnaire was distilled into three dimensions: "Emotional stability combined with intelligent reasoning" (11 items), "Ethical care" (12 items), and "Ethical courage" (7 items), accounting for 74.38% of the observed variance. Confirmatory validity also confirmed the structure of the tool obtained from the previous step. The instrument's reliability, as assessed by Cronbach's alpha coefficient, was reported at 0.95 for the entire scale.ConclusionThe Moral Intelligence Scale for prehospital EMS personnel demonstrated acceptable psychometric properties. Consequently, healthcare administrators may employ this instrument to assess moral intelligence in prehospital EMS personnel. Furthermore, when deemed necessary, they can identify and implement the most appropriate strategies, including educational interventions, to enhance moral intelligence among prehospital EMS personnel. Thus, it is suggested that future studies explore the psychometric properties of this tool with a larger sample size and in different cultures.

Dataset Information

The experience of pre-hospital emergency personnel in breaking death news: a phenomenological study.

Background

Method

Results

Conclusion

Publications

The experience of pre-hospital emergency personnel in breaking death news: a phenomenological study.

Similar Datasets

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