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The Bricolage Mode of Emergency Medical Teams in China: Deficient and in Urgent Need of Transformation-A Qualitative Study

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Specialty Public Health
Date 2024 Mar 4
PMID 38435298
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Abstract

Introduction: Emergency medical rescue plays a vital role in alleviating the harm of all kinds of emergencies to people's physical and mental health and life safety. The current emergency medical teams (EMTs) formation model is not unified. We focused on the disadvantages of the bricolage mode of China EMTs and put forward empirical-based countermeasures to improve the emergency management ability of EMTs.

Methods: From March to September 2022, 23 leaders of EMTs in North China (Tianjin) were selected by objective sampling method to conduct one-to-half structured in-depth interviews. Nvivo12.0 software was used for three-level coding. The disadvantages of the bricolage model of EMT were analyzed.

Results: Based on the three-level coding, 150 initial concepts, 36 sub-coding, 17 main coding, six categories, and two core categories were sorted out. Management structure, internal stability, and support are recognized as the crucial elements armed with the EMTs.

Discussion: The bricolage EMTs have disadvantages such as a chaotic management structure, weak internal stability, and inadequate support. It is necessary to construct full-time EMTs that incorporate a standardized personnel admission mechanism, full-time training and exercise mechanism, diversified incentive mechanism, and multi-agent cooperation mechanism, etc.

Citing Articles

The emergency medical teams initiative in the WHO African region: a review of the development and progress over the past 7 years.

Balde T, Oyugi B, Mbasha J, Kamara R, Martinez-Monterrey L, Relan P Front Public Health. 2024; 12:1387034.

PMID: 38983265 PMC: 11231368. DOI: 10.3389/fpubh.2024.1387034.

References
1.
Abbaszadeh A, Borhani F, Ajri-Khamesloo F, Afshar P, Tabatabaeifar S, Ajri-Khameslou M . Explaining the process of dealing with nursing errors in the emergency department: A grounded theory study. Int Emerg Nurs. 2021; 59:101066. DOI: 10.1016/j.ienj.2021.101066. View

2.
Cha M, Choa M, Kim S, Cho J, Choi D, Cho M . Changes to the Korean Disaster Medical Assistance System After Numerous Multi-casualty Incidents in 2014 and 2015. Disaster Med Public Health Prep. 2017; 11(5):526-530. DOI: 10.1017/dmp.2016.202. View

3.
Na S, Ko R, Ko M, Koh A, Chung C, Suh G . Risk Factors for Early Medical Emergency Team Reactivation in Hospitalized Patients. Crit Care Med. 2020; 48(11):e1029-e1037. DOI: 10.1097/CCM.0000000000004571. View

4.
Li Y, Turale S, Stone T, Petrini M . A grounded theory study of 'turning into a strong nurse': Earthquake experiences and perspectives on disaster nursing education. Nurse Educ Today. 2015; 35(9):e43-9. DOI: 10.1016/j.nedt.2015.05.020. View

5.
Yang J, Yang Z, Lv Q, Liu H, Ding H, Yu M . Medical Rescue of China International Search & Rescue Team (CISAR) in Nepal Earthquake. Disaster Med Public Health Prep. 2016; 12(4):536-538. DOI: 10.1017/dmp.2016.16. View