Assessing and exploring the competency of prehospital emergency medical service personnel in Klang Valley, Malaysia: a mixed method approach
Introduction: The notion of competency in pre-hospital emergency medical service (EMS) personnel is mainly focused on the professional proficiency that he/she has to provide intervention outside of hospital setting. Consequently, the effectiveness of pre-hospital EMS performance very much depends...
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Faculty of Medicine, International Islamic University Malaysia
2014
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| Online Access: | http://irep.iium.edu.my/41497/ http://irep.iium.edu.my/41497/ http://irep.iium.edu.my/41497/1/Pages_from_IMJM_Vol_13_No_2_pg07-20.pdf http://irep.iium.edu.my/41497/4/41497_Assessing%20and%20exploring_SCOPUS.pdf |
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iium-414972017-08-24T02:02:10Z http://irep.iium.edu.my/41497/ Assessing and exploring the competency of prehospital emergency medical service personnel in Klang Valley, Malaysia: a mixed method approach Nurumal, Mohd. Said Sukonthasarn, Apichard Wangsrikhun, Suparat Chanpransit, Chawapornpan RT Nursing Introduction: The notion of competency in pre-hospital emergency medical service (EMS) personnel is mainly focused on the professional proficiency that he/she has to provide intervention outside of hospital setting. Consequently, the effectiveness of pre-hospital EMS performance very much depends upon the capability of the personnel at the scene and as well during transport to the definitive care center. The aim of this study is to appraise and explore the competency of pre-hospital care staff and provide strategies for improvement. Methods: A mixed method approach combining the qualitative and quantitative study design. Of 134 staffs only 111(82.84%) returned the questionnaire. Nine semi-structured interviews and two focus group discussions were performed. The main informants were nurses/assistant medical officers, nurse/assistant medical officer administrators, and emergency physicians. Results: From the quantitative finding on the competency of staff handling pre-hospital EMS, all had the essential knowledge and skills. However, most of them reported not having good knowledge and skills for invasive procedures (31%-61%), include giving medications (61%-66%). The qualitative information provided insight about the issues and strategies for the personnel in regards to competency. All the relevant qualitative data were merged into 5 categories relating issues and 5 categories to strategies that could affect the competency of the personnel. Conclusion: Pre-hospital EMS systems need to consider that the competency of pre-hospital EMS personnel has to come along with the responsible attitude of the staff itself, the support of medical direction, clear protocol for guiding them whenever needed, and continuous professional-development courses require them to maintain their professional proficiency. KEYWORDS: Emergency medical service, competency, nurse and assistant medical officer, mixed method research Faculty of Medicine, International Islamic University Malaysia 2014 Article PeerReviewed application/pdf en http://irep.iium.edu.my/41497/1/Pages_from_IMJM_Vol_13_No_2_pg07-20.pdf application/pdf en http://irep.iium.edu.my/41497/4/41497_Assessing%20and%20exploring_SCOPUS.pdf Nurumal, Mohd. Said and Sukonthasarn, Apichard and Wangsrikhun, Suparat and Chanpransit, Chawapornpan (2014) Assessing and exploring the competency of prehospital emergency medical service personnel in Klang Valley, Malaysia: a mixed method approach. International Medical Journal Malaysia, 13 (2). pp. 7-20. ISSN 1823-4631 http://iiumedic.net/imjm/v1/download/Volume%2013%20No%202/Pages%20from%20IMJM%20Vol%2013%20No%202%20pg07-20.pdf |
| repository_type |
Digital Repository |
| institution_category |
Local University |
| institution |
International Islamic University Malaysia |
| building |
IIUM Repository |
| collection |
Online Access |
| language |
English English |
| topic |
RT Nursing |
| spellingShingle |
RT Nursing Nurumal, Mohd. Said Sukonthasarn, Apichard Wangsrikhun, Suparat Chanpransit, Chawapornpan Assessing and exploring the competency of prehospital emergency medical service personnel in Klang Valley, Malaysia: a mixed method approach |
| description |
Introduction: The notion of competency in pre-hospital emergency medical service (EMS) personnel is mainly
focused on the professional proficiency that he/she has to provide intervention outside of hospital setting.
Consequently, the effectiveness of pre-hospital EMS performance very much depends upon the capability of
the personnel at the scene and as well during transport to the definitive care center. The aim of this study is
to appraise and explore the competency of pre-hospital care staff and provide strategies for improvement.
Methods: A mixed method approach combining the qualitative and quantitative study design. Of 134 staffs
only 111(82.84%) returned the questionnaire. Nine semi-structured interviews and two focus group discussions
were performed. The main informants were nurses/assistant medical officers, nurse/assistant medical officer
administrators, and emergency physicians. Results: From the quantitative finding on the competency of staff
handling pre-hospital EMS, all had the essential knowledge and skills. However, most of them reported not
having good knowledge and skills for invasive procedures (31%-61%), include giving medications (61%-66%).
The qualitative information provided insight about the issues and strategies for the personnel in regards to
competency. All the relevant qualitative data were merged into 5 categories relating issues and 5 categories to
strategies that could affect the competency of the personnel. Conclusion: Pre-hospital EMS systems need to
consider that the competency of pre-hospital EMS personnel has to come along with the responsible attitude
of the staff itself, the support of medical direction, clear protocol for guiding them whenever needed, and
continuous professional-development courses require them to maintain their professional proficiency.
KEYWORDS: Emergency medical service, competency, nurse and assistant medical officer, mixed method research |
| format |
Article |
| author |
Nurumal, Mohd. Said Sukonthasarn, Apichard Wangsrikhun, Suparat Chanpransit, Chawapornpan |
| author_facet |
Nurumal, Mohd. Said Sukonthasarn, Apichard Wangsrikhun, Suparat Chanpransit, Chawapornpan |
| author_sort |
Nurumal, Mohd. Said |
| title |
Assessing and exploring the competency of prehospital emergency medical service personnel in Klang Valley, Malaysia: a mixed method approach |
| title_short |
Assessing and exploring the competency of prehospital emergency medical service personnel in Klang Valley, Malaysia: a mixed method approach |
| title_full |
Assessing and exploring the competency of prehospital emergency medical service personnel in Klang Valley, Malaysia: a mixed method approach |
| title_fullStr |
Assessing and exploring the competency of prehospital emergency medical service personnel in Klang Valley, Malaysia: a mixed method approach |
| title_full_unstemmed |
Assessing and exploring the competency of prehospital emergency medical service personnel in Klang Valley, Malaysia: a mixed method approach |
| title_sort |
assessing and exploring the competency of prehospital emergency medical service personnel in klang valley, malaysia: a mixed method approach |
| publisher |
Faculty of Medicine, International Islamic University Malaysia |
| publishDate |
2014 |
| url |
http://irep.iium.edu.my/41497/ http://irep.iium.edu.my/41497/ http://irep.iium.edu.my/41497/1/Pages_from_IMJM_Vol_13_No_2_pg07-20.pdf http://irep.iium.edu.my/41497/4/41497_Assessing%20and%20exploring_SCOPUS.pdf |
| first_indexed |
2023-09-18T20:59:25Z |
| last_indexed |
2023-09-18T20:59:25Z |
| _version_ |
1777410523063648256 |