119구급대원의 정신질환자에 대한 처치부담감 및 대응역량
Perceived burden of emergency care and response competency of 119 paramedics toward patients with mental illness
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Purpose: This study aimed to provide foundational data to improve the quality of emergency medical services for patients with mental illness treated by 119 paramedics. It sought to identify their perceived burden of emergency care and response competency, as well as to examine challenges and areas for improvement. Methods: The study included 300 EMT-Paramedics and nurses working as 119 emergency medical service (EMS) providers at city and provincial headquarters B and D. All participants understood the study’s purpose and voluntarily consented to participate. Statistical analyses were conducted using IBM SPSS Statistics 28.0, including frequency, percentage, mean, standard deviation, t-test, one-way ANOVA, Tukey’s post hoc test, and Pearson’s correlation coefficient. Results: The correlation analysis between response competency and burden of emergency care revealed a statistically significant negative relationship (r = −.218, p < .001), indicating that the higher the participants’ response competency in caring for patients with mental illness, the lower their perceived burden of emergency care. Additionally, the burden of treating patients with mental illness differed significantly according to gender and qualification/license, with female EMT-Paramedics reporting the highest burden of emergency care (M = 3.51 ± 0.46). Conclusion: As the ability of 119 paramedics to respond effectively to patients with mental illness increases, their burden of emergency care decreases. Therefore, systematic training programs that consider various prehospital scenarios should be developed. These programs should incorporate simulation-based education focusing on effective communication, recognition of risk factors and warning signs, and utilization of external resources.
Abstract
Purpose: This study aimed to provide foundational data to improve the quality of emergency medical services for patients with mental illness treated by 119 paramedics. It sought to identify their perceived burden of emergency care and response competency, as well as to examine challenges and areas for improvement. Methods: The study included 300 EMT-Paramedics and nurses working as 119 emergency medical service (EMS) providers at city and provincial headquarters B and D. All participants understood the study’s purpose and voluntarily consented to participate. Statistical analyses were conducted using IBM SPSS Statistics 28.0, including frequency, percentage, mean, standard deviation, t-test, one-way ANOVA, Tukey’s post hoc test, and Pearson’s correlation coefficient. Results: The correlation analysis between response competency and burden of emergency care revealed a statistically significant negative relationship (r = −.218, p < .001), indicating that the higher the participants’ response competency in caring for patients with mental illness, the lower their perceived burden of emergency care. Additionally, the burden of treating patients with mental illness differed significantly according to gender and qualification/license, with female EMT-Paramedics reporting the highest burden of emergency care (M = 3.51 ± 0.46). Conclusion: As the ability of 119 paramedics to respond effectively to patients with mental illness increases, their burden of emergency care decreases. Therefore, systematic training programs that consider various prehospital scenarios should be developed. These programs should incorporate simulation-based education focusing on effective communication, recognition of risk factors and warning signs, and utilization of external resources.