Showing 5 results for Challenge
Seyed Hossein Hosseini, Nasir Amanat, Vahid Ghanbari, Maryam Nakhaee, Masoumeh Abbasabadi, Mehdi Najafi, Hamid Reza Khankeh, Fatemeh Pashaei Sabet,
Volume 2, Issue 2 (1-2017)
Abstract
Background: The role of society and people in disaster risk management is prominent. However, using this potential and increasing the people’s role have always been a challenge. The purpose of this study was to find community-based management challenges in disaster risk reduction.
Materials and Methods: Participants and Methods: This study was conducted with the qualitative approach and in the form of content analysis. Participants were selected purposefully and by snowball sampling out of 17 professors and managers in the field of incidents and disasters. Data were recorded and collected through semi-structured interviews. The records were transcribed and then analyzed.
Results: Results included 2 main themes of egocentrism and management helplessness (failure) and 5 main categories, including inadequate attention to the nature of the risk reduction process, inadequate community resilience, ignoring social capital, inadequate planning and training, and incorrect organization, as well as 13 subcategories.
Conclusion: Firstly, managers should accept the community as a major hub of the process to harness the power of community. Secondly, using capable and trained managers familiar with the concepts, literature, and challenges in the field of disasters increase participation of people in disaster risk management.
Fatemeh Cheraghi, Mohammad Reza Yousefzadeh Chosari, Mehdi Beyrami Jam, Ali Afshari,
Volume 5, Issue 1 (10-2019)
Abstract
Background: Because of the complexity, stressfulness, and the threatening nature of the working environment of prehospital Emergency Medical Technicians (EMTs), they encounter many ethical challenges during making decisions and providing quick and accurate care to patients. The present study aimed to investigate the ethical challenges among prehospital EMTs.
Materials and Methods: To review all published studies, we searched SID, Medlib, Iran Medex, Magiran, Web of Science, Medline, Google Scholar, CINAHL, PubMed, Ovid, and Scopus databases from 2000-18. The keywords were “ethical challenges”, “emergency medical technicians”, and “prehospital emergency”.
Results: According to the evaluation of the studies, the ethical challenge regarding prehospital emergencies included decision over dispatching an ambulance to the scene, cardiopulmonary resuscitation, triage in crisis and disaster, irrational interventions of the patient or patient’s family, intervention in accordance with patient’s informed consent, and safe driving.
Conclusion: Considering the unique conditions of prehospital caring, identifying, and discovering the ethical conflicts in this field of the health care system and providing the appropriate solution are very important.
Yosouf Akbari Shahrestanaki, Hamidreza Khankeh, Gholamreza Masoumi, Mohammadali Hosseini,
Volume 5, Issue 4 (7-2020)
Abstract
Background: Rising trend of emergencies and disasters in the world has caused a lot of damage to the health care facility infrastructures. This has led the health needs of the affected population to be the first and most requirement in emergencies and disasters. In most countries for the timely and appropriate response to the health needs of the affected areas, structured and organized teams are formed. Given the frequent occurrence of events in Iran and the adverse effects of emergencies and disasters on the community health, this study aimed to investigate the obstacles and challenges associated with the organization and preparation of Iran’s Emergencies and Disasters Medical Response Teams (EDMRT).
Materials and Methods: In this study, a qualitative approach with a content analysis method was used to explore and extract the obstacles and challenges of the medical response teams in the field of organization and preparation. Data collection was done through 18 in-depth, unstructured, and semi-structured interviews with 16 experts and experienced people who were purposefully selected. Besides the interview, field visits and related reports were used to confirm or reject the findings. Data analysis was done by the qualitative approach recommended by Graneheim.
Results: The obstacles and challenges associated with the organization and preparation of teams were obtained under 1 theme, 2 categories, and 10 subcategories. The main theme was “team management”. The categories included unorganized groups and frangible readiness. Concepts of the team; unknown structure, lack of effective leadership/command, poor supervision of proctor organization, membership; complex process, heterogeneous composition are the sub-categories related to the first category. And concepts of local level; disable to establishment a team; disaster medicine, unfamiliar concept; lack of air care team; dependence versus self-sufficiency; non-systematically support; and inappropriate location of deployment are the sub-categories of the second category
Conclusion: The results of the study show that the current structures for medical response in emergencies and disasters have numerous challenges in terms of organization and preparedness. This defect harms the performance and effectiveness of medical response teams and an obstacle to the overall policy of reducing damages in disasters. The present study illustrates the need to review and refine the organization and preparedness processes associated with the current structure of medical response teams in emergencies and disasters. Of course, it is recommended that a more comprehensive study be conducted to identify and address the other areas of influence in these teams, such as legal considerations, health and safety, and related security issues.
Parisa Mahdevar, Mona Sharififard, Elham Maraghi, Elham Jahanifard, Shahla Bigdeli,
Volume 8, Issue 1 (9-2022)
Abstract
Background: Natural disasters, such as floods provide the basis for spreading vector-borne diseases by creating environmental changes. This study aims to investigate the common vector-borne diseases during floods in Khuzestan Province, Iran, in 2019 and the strategies and challenges to control them.
Materials and Methods: This research is applied objectively and it is a descriptive survey in terms of collecting data using a qualitative method. The statistical population in the qualitative section included 15 experts from health centers in Khuzestan Province with a history of presence in flooded areas who were purposively selected using the snowball technique. The data collection tool was a semi-structured interview.
Results: Qualitative data were categorized into 5 categories of common arthropods, common vector-borne diseases, vector control strategies and challenges, and organs involved in vector control programs during floods. The most common arthropods were lice, mites, mosquitoes, flies, and scorpions. The most prevalent vector-borne diseases during the flood were scabies, pediculosis, mosquito bites, and scorpions. The critical challenge was the lack of national vector control guideline in disaster condition.
Conclusion: Considering the history of floods and health problems caused by these natural disasters, it is necessary to recognize the common vector-borne diseases, develop national guidelines, and provide solutions to deal with them.
Payam Ememi, Ameneh Marzban, Mina Moafi,
Volume 9, Issue 1 (9-2023)
Abstract
The coronavirus disease 2019 (COVID-19) pandemic affected all social, economic, and religious strata of life. An epidemic may result in the death of many people, which is more severe in the case of highly contagious diseases such as COVID-19 [1]. Corpse management of the disease victims includes a series of activities, from searching, finding, and organizing corpses to their storage, identification, documenting, and eventual delivery to their families for proper burial based on regional beliefs. Handling dead bodies is one of the most challenging aspects of the primary disaster response phase [2].
