“Paramedics are only a driver,” The lived experience of Iranian paramedics from patient handover: A qualitative study

Background: Patient handover in the emergency department (ED) is a 2-way communication process between the paramedics and in-hospital emergency personnel, which can result in miscommunication and delivery challenges. This study aimed to explore the lived experience of paramedics on patient handover...

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Main Authors: Hadi Hassankhani, Hamidreza Haririan, Joanne E Porter, Abraham Oshni Alvandi
Format: Article
Language:English
Published: Golestan University of Medical Sciences 2023-04-01
Series:Journal of Research Development in Nursing and Midwifery
Subjects:
Online Access:http://nmj.goums.ac.ir/article-1-1455-en.pdf
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author Hadi Hassankhani
Hamidreza Haririan
Joanne E Porter
Abraham Oshni Alvandi
author_facet Hadi Hassankhani
Hamidreza Haririan
Joanne E Porter
Abraham Oshni Alvandi
author_sort Hadi Hassankhani
collection DOAJ
description Background: Patient handover in the emergency department (ED) is a 2-way communication process between the paramedics and in-hospital emergency personnel, which can result in miscommunication and delivery challenges. This study aimed to explore the lived experience of paramedics on patient handover to the ED. Methods: Over a period of 5 months, an interpretative phenomenological analysis (IPA) was used to explore the lived experiences of 15 paramedics in Tabriz, Iran. Semi-structured interviews were conducted in the emergency medical stations using the Smith approach for data collection and analysis. The researcher used 4 criteria to ensure rigor, including credibility, dependability, confirmability, and transferability, according to Lincoln and Guba. Results: Three main themes emerged from the data analysis, including “the hole of hope,” “the boring issues,” and “paramedics are only a driver.” A further 11 sub-themes emerged under the main themes. Conclusion: The highlighted issues that need to be considered during the process are the presence of staff in front of the ED's door to welcome the patient, removal of structural defects and defective hospital equipment, the presence of medical supplies in emergency triage to prevent the paramedics from stumbling, and listening to paramedics by physicians and nurses to obtain the patients’ history.
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spelling doaj.art-452a86c8bec94463867ab5fa89016a742023-09-30T09:22:42ZengGolestan University of Medical SciencesJournal of Research Development in Nursing and Midwifery2588-30382023-04-012014044“Paramedics are only a driver,” The lived experience of Iranian paramedics from patient handover: A qualitative studyHadi Hassankhani0Hamidreza Haririan1Joanne E Porter2Abraham Oshni Alvandi3 School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran School of Nursing, Midwifery and Healthcare, Federation University Australia, Australia Faculty of Information Technology, Monash University, Australia. Background: Patient handover in the emergency department (ED) is a 2-way communication process between the paramedics and in-hospital emergency personnel, which can result in miscommunication and delivery challenges. This study aimed to explore the lived experience of paramedics on patient handover to the ED. Methods: Over a period of 5 months, an interpretative phenomenological analysis (IPA) was used to explore the lived experiences of 15 paramedics in Tabriz, Iran. Semi-structured interviews were conducted in the emergency medical stations using the Smith approach for data collection and analysis. The researcher used 4 criteria to ensure rigor, including credibility, dependability, confirmability, and transferability, according to Lincoln and Guba. Results: Three main themes emerged from the data analysis, including “the hole of hope,” “the boring issues,” and “paramedics are only a driver.” A further 11 sub-themes emerged under the main themes. Conclusion: The highlighted issues that need to be considered during the process are the presence of staff in front of the ED's door to welcome the patient, removal of structural defects and defective hospital equipment, the presence of medical supplies in emergency triage to prevent the paramedics from stumbling, and listening to paramedics by physicians and nurses to obtain the patients’ history.http://nmj.goums.ac.ir/article-1-1455-en.pdfpatient handoffparamedicsemergency servicehospitalqualitative research
spellingShingle Hadi Hassankhani
Hamidreza Haririan
Joanne E Porter
Abraham Oshni Alvandi
“Paramedics are only a driver,” The lived experience of Iranian paramedics from patient handover: A qualitative study
Journal of Research Development in Nursing and Midwifery
patient handoff
paramedics
emergency service
hospital
qualitative research
title “Paramedics are only a driver,” The lived experience of Iranian paramedics from patient handover: A qualitative study
title_full “Paramedics are only a driver,” The lived experience of Iranian paramedics from patient handover: A qualitative study
title_fullStr “Paramedics are only a driver,” The lived experience of Iranian paramedics from patient handover: A qualitative study
title_full_unstemmed “Paramedics are only a driver,” The lived experience of Iranian paramedics from patient handover: A qualitative study
title_short “Paramedics are only a driver,” The lived experience of Iranian paramedics from patient handover: A qualitative study
title_sort paramedics are only a driver the lived experience of iranian paramedics from patient handover a qualitative study
topic patient handoff
paramedics
emergency service
hospital
qualitative research
url http://nmj.goums.ac.ir/article-1-1455-en.pdf
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AT joanneeporter paramedicsareonlyadriverthelivedexperienceofiranianparamedicsfrompatienthandoveraqualitativestudy
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