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1

Mack, Carolyn Denise. "Recruiting Strategies for Increasing the Number of Emergency Medical Technician Personnel." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7164.

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Demand for the emergency medical technician (EMT) is 2 times greater than that of all other occupations. Sustainability of ambulance services (AS) personnel is dependent upon the recruitment of EMTs into the industry. The purpose of this multiple case study was the exploration of the recruiting strategies that AS administrators used to increase the number of EMTs. Herzberg's 2-€factor theory of motivation was the conceptual framework for this study. The data collection instrument included semistructured interviews with 6 AS company executives in southeastern New Mexico and southwestern Texas. Secondary data and document from each state's emergency medical services personnel and websites related to EMTs were reviewed. Data were analyzed using thematic analysis alignment between the recruiting strategies and the conceptual framework. Two key themes emerged: AS administrators have minimal data-€driven recruitment tracking mechanisms and recruiting strategies for EMTs must align with the motivational aspects of growth, advancement, recognition, and responsibility in the AS business to entice people into the industry. The implications of this study for social change include the potential for AS executives to identify recruiting strategies they might use to increase the recruitment of EMTs to meet patient and community needs for medical transport while reducing the demand for EMTs nationwide.
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Crowe, Remle P. "An Assessment of Burnout among Nationally-Certified Emergency Medical Services Professionals." The Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1452245440.

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Sekimoto, Miho. "The impact of basic emergency medical technician with defibrillation system on survival after out-of-hospital cardiac arrest in Japan." Kyoto University, 2003. http://hdl.handle.net/2433/148704.

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Brooks, Jason Lee. "Managing Post-Traumatic Stress Disorder in Emergency Personnel: A Qualitative Case Study." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7604.

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The material in current emergency medical services (EMS) curricula is insufficient to prepare prehospital emergency medical care personnel recognize the signs and symptoms of post-traumatic stress disorder (PTSD) within their workforce. Prehospital emergency textbooks focus on treating patients affected with PTSD, but there is very little included about how EMS professionals may also be affected. Moreover, supervisors and managers of EMS agencies receive very little education on workforce PTSD in their personnel. The purpose of this study was to understand the educational preparation of EMS supervisors in order to develop a PTSD-awareness course. The research question investigated the educational preparation that EMS supervisors receive. The conceptual framework of the study was Conti-O’Hare’s wounded healer theory. EMS professionals are wounded healers from frequent critical incident exposure. A qualitative approach featuring a case study design was used. The study included 9 participants. A focus group was used that consisted of three paramedics and three emergency medical technicians (EMTs). Separate interviews were conducted with three EMS supervisors. Data gained from the focus group and individual interviews were analyzed through coding with the goal of investigating the education received by EMS supervisors on PTSD. The themes that emerged were EMS supervisors do not receive enough education on workforce PTSD and a course specifically targeted on this subject is needed. Positive social change may be achieved through this study by enabling EMS managers to help paramedics and EMTs cope with a critical incident (CI) improving prehospital healthcare.
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Roshage, Jonas. "Ambulanssjuksköterskans erfarenheter av att vårda patient med psykisk störning : En kvalitativ studie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-175060.

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Psykiska störningar är tillstånd som kan drabba alla oss människor. Krav om kompetens på hälso- och sjukvården har ställts för att kunna erbjuda patienter med psykisk störning ett effektivt omhändertagande. Syftet med detta examensarbete är att beskriva ambulanssjuksköterskans erfarenheter av att vårda patienter med psykiska störningar. Metoden är av deskriptiv kvalitativ design och semi-strukturerade intervjuer utgör grunden för den kvalitativa innehållsanalysen med manifest utgångspunkt som genomförts. Resultatet omfattar tre huvudkategorier såsom följer, ’svåra möten skapar rädsla och frustration och försvårar interaktion’, ’svårt bedöma tillstånd och lämpliga åtgärder’ och ’vård byggd med autonomi, erfarenhet och uppfinningsrikedom’. Slutsatsen är att interaktionen mellan patienter och sjuksköterskor byggs av omvårdnadsevidens, att det i sjuksköterskornas bedömningar av tillstånd saknas evidens och att den vård som oftast ges strävas att utgöras av evidensbaserad vård men att det saknas direkta sätt att komma i kontakt med en sådan specialistsjukvård. Det har därmed visats att det finns områden att förbättra och utveckla för att kunna erbjuda patienter med psykisk störning ett effektivt omhändertagande.<br>Psychiatric disorders are conditions which may afflict every one of us humans. Requirements of competence have been set for the healthcare service to be able to offer an effective emergency care to patients with psychiatric disorder. The aim is to describe the ambulance nurse’s experience by caring for patients with psychiatric disorders. The method is of a descriptive qualitative design and semi-structured interviews constitute the material for the qualitative content analysis, which has been carried out with a manifest basis. The result consist of three main categories as follows, ‘difficult encounters create fear and frustration and complicates interaction’, ‘difficult assessing conditions and appropriate measurements’ and ‘care build with autonomy, experience and inventiveness’. The conclusion is how the interaction between patients and nurses is built by evidence-based nursing, how it is in nurses’ assessments of conditions to be a lack of evidence and how the care most often provided is being strived to constitute of evidence-based healthcare while how it is lacking direct ways to come in contact with such a specialised healthcare. Thus has it been shown that it exist areas for amelioration and evolvement to be able to offer an effective emergency care for patients with a psychiatric disorder.
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YEH, Wen-Bin, and 葉文彬. "Evaluation of Low Back Pain among Emergency Medical Technician." Thesis, 2011. http://ndltd.ncl.edu.tw/handle/91986513474559989367.

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碩士<br>高雄醫學大學<br>職業安全衛生研究所<br>99<br>ABSTRACT Occupational back injuries are a major health problem in developed countries for workers who are required to have repeated forceful movement and heavy lifting. Emergency Medical Technician (EMT) is an occupational group at risk of back pain problems. There are many studies examined factors related to back pain among other health professionals, especially of nurses and hospital workers, but few studies have focus on factors related to back pain among EMT. The aims of this dissertation were to: 1) Describe the work-life and demographic factors of EMT; 2) describe the occupational stress, occupational satisfaction and social supports of EMT; 3) Identify the subsets of factors associated with back pain. In order to complete the above objectives, a non-experimental, correlational design was used in this study. This study utilized a sample of 428 male firefighters completed the Minnesota Satisfaction Questionnaire (MSQ) and Chinese version of Job Content Questionnaire (C-JCQ). A questionnaire was sent to a total of 540 EMT of Kaohsiung City, and 428 EMT (response rate 79.3%) completed the questionnaire, and two-third (65.2%) of EMT reported back pain. From the analysis of intrinsic job satisfaction utilizing MSQ, the most important factor for intrinsic satisfaction in these EMT is busy at work. The most important factor for extrinsic satisfaction in these EMT is inadequate work promotion. From C-JCQ, the difference between “skill discretion” and “decision authority” is significantly different as analyzed by paired t-test (t=13.72, p&amp;lt;0.001) From C-JCQ the difference between “skill discretion” and “decision authority” is significantly different as analyzed by paired t-test (t=13.72, p&amp;lt;0.001). The average score for each question of the dimension “psychological demand” is 2.88+0.48, which shows the psychological strain is high. According to the Karasek’s model of “demand-control”, high psychological demand belongs to high job strains work, Stepwise logistic regression shows that the set of factors related to back pain included years of work from 5-10 years, automatic electrical defibrillator use, manually lifting the patient, and decision authority (R2 =0.2630, p=0.023). No statistically significance with supervisor support, age, level of education and EMT levels.
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Cheng, Wen-Pin, and 鄭文萍. "Exploring the satisfaction on the service quality of the Emergency Medical Technician among emergency nurses." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/ee582m.

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碩士<br>樹德科技大學<br>會展管理與貿易行銷碩士學位學程<br>106<br>Background and purpose: The study mainly explored emergency nurses satisfaction on the pre-hospital emergency service quality of Emergency Medical Technicians. Usually Emergency Medical Technician is the first responder of an emergency medical event, the quality of pre-hospital emergency medical care has accordingly become rather crucial. Therefore, the study aims at improving the quality of the future emergency medical service by focusing on emergency nurses initial assessment of the performance of Emergency Medical Technician. Method: Sampling by analyzing the situation between emergency nurses of Kaohsiung regional or higher class Medical Institutions and Emergency Medical Technicians of fire departments. 202 samples have been acquired and used to implement the analysis. Statistics software SPSS 20 was adopted to perform reliability analysis, descriptive statistics, analysis of variance (ANOVA); post-hoc comparison analysis (LSD) was applied to explain the influences between every variance. Result: The result has shown that “ER seniority” of emergency nurses gave the highest rating to Emergency Medical Technicians on the overall satisfaction and professional attitude. Emergency nurses with different “ER seniority” provide different rating of overall satisfaction and professional attitude to Emergency Medical Technicians, and new emergency nurses with less than one year or emergency nurses with more than five-year experiences gave the highest rates. “Professional ability” of emergency nurses also had an impact on the professional attitude performed by Emergency Medical Technician, and particularly the new emergency nurses with less than one year experience gave the highest rating. In terms of the “Medical institution” of emergency nurses, E-DA Cancer Hospital gave the highest rates in regard to professional skills of Emergency Medical Technician and overall satisfaction. Conclusion: Upgrading the consistency of pre-hospital and post-hospital emergency medical service will ensure the rights of the ones who call for help. Having more practical training and enhancing the essential ability will enable the Emergency Medical Technician to provide the patients better service quality from accident scene to emergency room.
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CHUANG, WEI-NENG, and 莊惟能. "The Studies Of Middle-level Emergency Medical Technician Continuing Education Training Survey." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/78890004316507142733.

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碩士<br>東南科技大學<br>營建與空間設計系營建科技與防災碩士班<br>104<br>New Taipei City, an area of vast population of nearly 4 million topped the highest in the country, the type of natural disaster yuan, currently about 2,200 firefighting manpower over the past decade, the average annual duty emergency care about the magnitude of growth of 8%, to date, new North municipal fire Department emergency medical attendance every year the number has reached more than 160,000 to no breathing and heartbeat (OHCA,Out-of-Hospital-Cardiac-Arrest) prehospital the number of 2,700 or more, are more than 15% survival rate, but in terms of emergency medical system, with respect to the level of advanced countries, there is still a great distance. The new North Municipal Fire Department currently disposed middle-level Emergency Medical Technician 1589, Emergency Medical Technician Paramedic 424, which perform rescue tasks were middle-level Emergency Medical Technician for the bulk, so in order to be able to implement the people's lives and property maintenance, for middle level Emergency Medical Technician continuing education and training, how to maintain and effectively enhance the relevant medical knowledge, skills and enthusiasm becomes very important, this study focuses on how to improve the middle-level Emergency Medical Technician continuing education and training performance in the limited continuing education training hours per year which, how to enhance the middle-level Emergency Medical Technician skills and the enthusiasm of helping others and serving others, to improve and maintain high-quality emergency medical system. As a better Continuing Education Training Mode and improve the quality of teaching, we will separate this mode into Annual Fire Safety Training and Continuing Education Training. Except for the job duties, if we can simplify and keep the service and other non-fire work down, it could make firefighters accept the education training with sufficient training time, better spiritual and physical strength. Accordingly, we can efficiently enhance firefighters’ emergency medical services skills. Keywords: middle-level Emergency Medical Technician, continuing education and training
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WeiShan-Chiang and 蔣偉善. "Evaluation of the Training Effectiveness in Emergency Medical Technician of the Army." Thesis, 2004. http://ndltd.ncl.edu.tw/handle/42152294321187727665.

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碩士<br>國防醫學院<br>公共衛生學研究所<br>92<br>Since 1996, to obey the government’s policy, National Defense Medical Bureau appointed the sanitation duty branch in Army Logistics School to recruit Emergency Medical Technician (EMT). Until now, it has already trained more than 4,600 persons of EMT-Ⅱ and EMT-Ⅰ. It is about time to evaluate the performance and effectiveness of the training program. Accordingly, purpose of this study was to explore factors of training effects of the Army of EMT-Ⅱ and EMT-Ⅰ. This study employed Kirkpatrick''s Four Levels of Evaluation to assess the training effects of the EMT-Ⅱ and EMT-Ⅰ. The training effects were evaluated by satisfactory levels in training, the degree of the ability improvement, and the degree of practice gained from the training program. Study subjects comprised the EMT-II (203) and EMT-I (1744) and their supervisors (455). The response rates were 40.4% (82/203) for EMT-II, 40.5% (706/1744) for EMT-I, and 56.3% (256/455) for their supervisors after excluding the incomplete and invalid ones. One Way Analysis of Variance, Sheffe’s method, t-test, Pearson’s Product-Moment Correlation Analysis and multiple regression were used for data analyses. Main findings of this study were as follows: 1. The training effectiveness of the EMT might be predicted by willingness to learn, the supervisors’ supporting, and the practices of EMS (Emergency Medical Service) technique. 2. Satisfaction with the designing of training program might have effects on the personal improvement and job performance. 3. The personal improvement was associated with the job performance. 4. There were positive correlations among satisfaction with the designing of training program, personal improvement, and job performance. 5. The first three leading causes of taking the training program were promoting skill, being required for work, developing personal relationship. There were several suggestions proposed by this study based on above findings: 1. Enhancing the willingness to learn of army’s accepting EMS training, focusing on planning of training courses, and improving the satisfactory degree in their training courses can be better in improving abilities and application for EMT. 2. Promoting the knowledge and information of EMS, especially the supervisors will increase the performance of EMT. 3. Promoting the relationship between EMS department and Fire Agency in communication, coordination, and teaching resources.
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CHIN, LIN CHI, and 林己群. "An study of the medical staff satisfaction of the pre-hospital emergency medical treatment by emergency medical technician. A case of Kaohsiung city." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/ktu336.

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碩士<br>高苑科技大學<br>經營管理研究所<br>102<br>Providing high quality and sufficient pre-hospital emergency service for the people is an index of civilization of a country. In Taiwan, the emergency service demands are increasing year by year. How to measure the emergency service quality is an important issue. For emergency service quality, people and users which using the emergency service are the main subjects, medical staffs are very few in past researches. In this study, according to the opinions by medical staff which from emergency department, analyze the satisfaction of the pre-hospital emergency medical treatment. We select the medical staffs from emergency department which by moderately and severely hospital to be main subjects in Kaohsiung. The analysis of the emergency medical technician behavior is divides three parts: knowledge, skills, and attitudes. The experimental results show that the emergency medical technician behavior (include knowledge, skills, and attitudes) is valued by medical staffs that the age between twenty one to thirty and the seniority is under five years. Moreover, emergency medical technician behavior is effect the satisfaction of the pre-hospital emergency medical treatment According to the experimental results, if we want to improve the emergency service quality, it must plan the professional training in the further education of emergency medical technician.
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Kuo, Shu-Yi, and 郭淑宜. "Emergency medical technician – Class 2 In-service education needs assessment in New Taipei City." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/98851660096634615292.

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碩士<br>國立臺北護理健康大學<br>醫護教育研究所<br>100<br>The Emergency Medical Technician (E.M.T.) standing in the front of rescuing lives in Fire Departments (119) plays the key role in sequential medical care and prognosis for critical patients. Due to face the complicated scenarios and illness, the E.M.T.s always need in-service training to enhance their ability. This study aimed at the study of the need and relative influent factors for E.M.T. in-service training, such as E.M.T. personal background, training modulus, and contents of training course. Our research design adopted cross-sectional survey method, and used overall interviews toward all E.M.T.-2(Emergency Medical Technician – Class 2)who are the main force nowadys in New Taipei City Fire Department as our research basis, and then used the self-constructed structured questionnaire as the study tool. This questionnaire has already been well tested and verified by face, expertise content validity and internal consistency reliability test. Through descriptive statistics - t-test, one-way ANOVA, and Chi-square test to analyze the variation for E.M.T. personal background, training modulus and contents of training course. The study revealled four major findings: Firstly, we found that E.M.T.s regard the time arrangement as the most important part for training course, and the highest Demand for teaching methods are practical operations. Moreover, they prefer case study as their training practice and they like emergency department doctors to be their instructors, and the most requirements for contents of training course are evaluation and treatment for patients. Secondly, for training modulus, E.M.T.s who serve in the ALS (advanced life support) unit or those BLS (basic life support) units which serve frequency is over 300 times per month expressed a significantly higher need for practical operation in the teaching method and specialty doctors for instructors’ backgrounds. Thirdly, in the aspect of contents of training course, E.M.T.s who serve in the ALS unit or those BLS (basic life support) units which serve frequency is over 300 times per month expressed a significantly higher need for advanced directive med ical processes, the relevant laws, ALS skills and emotional management ... etc. Finally, we hope the study results could contribute an evidence-based foundation toward E.M.T. in-service training program, and maybe take it as a reference to improve the quality of the E.M.T. in-service education by fire departments in the future.
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翁展業. "Relationship of the job Stress, Sleep Quality and life Quality of Fire and Emergency Medical Technician." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/sy38q7.

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碩士<br>國立金門大學<br>運動與休閒學系<br>107<br>Purpose: Investigate the job stress, sleep quality and healthy living quality of Fire and Emergency Medical Technician in both urban areas and offshore islands. Method: The data at urban areas was mainly based on Taipei City Fire Department and at offshore islands was based on Kinmen County Fire Department, and people who had been emergency medical rescued are the subject of research. A total of 238 entity questionnaires were distributed in urban areas by means of paper-based questionnaires survey, 189 (79%) of the questionnaires were effectively collected, 45 substantive questionnaires were distributed in the offshore islands, and 45 (100%) questionnaires were effectively collected. The statistical analysis of one-way ANOVA, independent sample t-test, Scheffe's methed and Pearson product-moment correlation was determined to be α=.05. Result: 1. In terms of differences in job stress, sleep quality and life quality between urban areas and offshore islands, job stress in urban areas was significantly higher than in outlying islands (p < .05), sleep quality and life quality in outlying islands were significantly higher in urban areas (p < .05). 2. In terms of differences in job stress, sleep quality and life quality of Fire and Emergency Medical Technicians in different positions, job stress of squad leaders is significantly higher than average team members’ (p < .05), sleep quality and life quality of general members are significantly higher than squad leaders (p < .05). 3. In terms of correlations between job stress, sleep quality and life quality of Fire and Emergency Medical Technicians in urban areas and offshore islands. There is a significant negative correlation between the " job stress load" of job stress in urban areas and "physiological scales" of life quality. The remaining "work control" in job stress has a significant positive correlation with the "physiological scales," "mental scales," "social scales" and "environmental scales" in life quality. There is a significant positive correlation between "work control" in job stress and "physiological scales," "mental scales," "social scales” and "environmental scales“ in life quality. Both “subjective sleep quality" and life quality which involves "physiological scales ," "mental scales ," "social scales " and "environmental scales " show a negative correlation in urban areas and offshore islands. "Sleeping latency" in sleep quality and "physiological scales, " "mental scales" and "environmental scales" in life quality show a negative correlation. Conclusion: In general, in terms of physical workload of Emergency Medical Technicians, emergency rescue work in both urban areas and offshore islands is greater than average value. Moreover, physical workload in urban areas is greater than offshore islands. Regardless of urban areas or offshore islands, sleep quality of Fire and Emergency Medical Technicians is affected by job stress. By increasing physical activities and altering individual lifestyles, emergency workers have great improvements on sleep quality and life quality.
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LI, MIN-JYUN, and 李旻軍. "Training Effectiveness in Emergency Medical Technician-1 - A Case Study of Phoenix Volunteer in Nantou County Fire Department." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/whu673.

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碩士<br>中州科技大學<br>機械與自動化工程系<br>107<br>For some areas facing increasing medical cases and lack of firefighters, the devotion of phoenix medical volunteers helps a lot for fire department. Not only do the phoenix medical volunteers greatly relieve the workload of emergency medical cases, they also improve the medical treatment qualities before arriving hospitals. However, because of the development of modern society, the public gradually arouse their awareness toward the medical treatment qualities. It can’t be effective to train volunteers just by past experience and their enthusiasm. As a result, by researching the phoenix medical volunteers’ training performances, we can explore emergency’s training methods nowadays and find out advantages and disadvantages to improve the medical treatment skills of emergency medical technician-1 in the first moments while they arrived. This study took phoenix medical volunteers in Nantou County as example. Questionnaires and literature reviews were used to explore the medical training performance. Main findings of this study are as follows: The findings showed only "the course of continuing educational training (review training)" and "elevating the volunteers’ enthusiasm" had significant relations. "The course of review training of new facilities" and "realizing the patient’s conditions" were significantly related. As a result, it’s inferred that the devotion of training resources(review training), the arrangements of training hours and the curriculum planning don’t meet the volunteers’ need, especially for the devotion of training resources (review training) and the arrangements of training hours. The findings also revealed that only "experienced instructors" and "elevating the volunteers’ enthusiasm" were significantly related. "Mode 4 (basic skills)" and "good for teamwork” were significantly related. As a result, it’s inferred that the devotion of training resources (regular training), the arrangements of training hours and the curriculum planning don’t meet the volunteers’ need, especially for the arrangements of training hours (regular training).
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WU, FENG-YUAN, and 吳鳳元. "A Study on the Volunteers' Participation Motivation and Job Satisfaction in the First Volunteer Emergency Medical Technician Department in Yilan County." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/xr5nmk.

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Liu, Ming-Jui, and 劉明叡. "The Discussion Of Emergency Medical Technician Training With Fire Bureau-The 4th Rescue Brigade of New Taipei City Government as an Example." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/40278304517568551255.

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碩士<br>東南科技大學<br>營建科技與防災研究所在職專班<br>101<br>The Discussion Of Emergency Medical Technician Training With Fire Bureau The 4th Rescue Brigade, New Taipei City Government as an Example Graduate Student:Ming-Jui Liu Thesis Advisor:Ruey-Syan Shih Abstract The key index of emergency care system in Taiwan is the survival rate of Out -of-hospital Cardiopulmonary Arrest. According to domestic and international studies, asphyxia lasting four to six minutes will result in brain death. Therefore, to activate “chain of survival” in the golden rescue period is critical in “out-of-hospital emergency care”, including early recognition and enable emergency care system, early CPR, early AED and early intervention of ALS. EMT who participates in the emergency care must be qualified in knowledge, technical as well as capability. To operate the related equipment quickly and effectively is the technical aspect and to be provided with the sufficient ability to determine the situation based on medical science on the instant and administrate properly is the capability aspect. To provide medical based thinking through official or unofficial training is the knowledge aspect. However, evaluating the quality of emergency care technique only by the survival rate of Out-of-Hospital Cardiopulmonary Arrest is considered insufficient. After all, to do right things is always more important than do more things. Therefore, regarding to the aspects described upon, an EMT must be equipped with the ability of determination, interpersonal interaction and technique to fit the eligibility of “out-of-hospital emergency care”. The area under Fire Bureau The 4th Rescue Brigade control range from ….to Pinglin is diverse in emergency care character because of rural-urban development divide and the special rescue including Water rescue、Hiker tracking and Car accident rescue in additional to common internal and surgical emergency care. This study, based on EMT training mode, EMT resources and Embulance、equipment planning of With Fire Bureau The 4th Rescue Brigade, New Taipei City Government, investigate the gap between EMT training and real-world practice, and also conduct a questionnaire survey within EMTs to analyze and determine which aspect of ability should be enhanced in emergency care practice through EMT training.
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PETRŮ, Michal. "Motivace výběru povolání zdravotnického záchranáře." Master's thesis, 2010. http://www.nusl.cz/ntk/nusl-53707.

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The expression ``motivation`` describes the fact that the human psyche is affected by internal driving forces, both conscious and subconscious. Holland´s vocational personality typology presents six basic types, namely Realistic, Investigative, Artistic, Social, Enterprising and Conventional. This thesis is aimed at finding and evaluating motivation factors which influence prospective emergency medical technicians in their professional choice. To get the research data, the combination of quantitative and qualitative techniques was used. The research was conducted among emergency medical technician students at the college and university and, as a supportive research material, among Czech and Scottish Emergency Medical Service professionals. The students´ primary motivating factor influencing their vocational choice to become an emergency medical technician is their interest in this field, sometimes supported by a healthcare worker in the family. Over 80% respondents prefer working in the field which they study. An emergency medical technician belongs to the most popular positions while an emergency dispatcher to the less popular ones. The fact that women respondents like working positions connected with driving a car was a surprising discovery of the research. Corresponding to the recent professional literature, the most frequent career types among professionals and students are Realistic and Social types. This thesis can contribute to further research into this topic (working position preferences, career types). Component findings can be introduced into personnel and human resources management of the Emergency Medical Service, especially searching for Investigative and Conventional career types of workers and their subsequent engagement in pedagogical and administrative work. The research can also be helpful in other issues, e.g. how to make a position of an emergency dispatcher more popular.
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Bourdon, Emmanuelle. "La perception du rôle et les attitudes de cynisme et de désengagement chez le technicien ambulancier paramédic québécois dans le contexte des interventions non urgentes." Thèse, 2011. http://hdl.handle.net/1866/8525.

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Problématique : Le rôle des paramédics se transforme partout dans le monde. Les besoins des aînés et des malades chroniques entraînent une forte proportion d’interventions préhospitalières non urgentes. La confrontation entre la perception et l’expérience du rôle peut entraîner un conflit correspondant à un stress organisationnel modéré et chronique chez ces travailleurs. Pour y faire face, différentes stratégies d’adaptation peuvent être adoptées. Objectifs : Cette étude vise à dépeindre la réalité des interventions préhospitalières non urgentes des paramédics québécois et à explorer son influence sur leur perception du rôle et les manifestations de cynisme et de désengagement. Méthode : Les données qualitatives obtenues en entrevues semi-structurées ont été codifiées et analysées à partir d’un modèle adapté des théories en psychosociologie du travail et d’administration de la santé (n=13, 3 régions, intervenants de - de 3 à + de 20 ans de carrière). Résultats : Les paramédics reconnaissent vivre un conflit de rôle alors que la formation et la définition de leur pratique se rapportent exclusivement à l’urgence, au contraire de leur expérience. Ils manifestent des attitudes de cynisme et de désengagement affectant la qualité des services, précisant qu’il s’agit d’une réalité inhérente à leur expérience professionnelle intimement reliée à l’épuisement professionnel, plus qu’à un manque fondamental de professionnalisme. Conclusion : Les paramédics décrivent différents mécanismes à instaurer qui visent à reconnaître la dualité conflictuelle de leur pratique dont, la mise en valeur de leur aptitude clinique à intervenir en première ligne dans un cadre préhospitalier non urgent ainsi que l’ajustement et le rehaussement des programmes de formation.<br>Problem: The paramedic’s role has been steadily evolving internationally. Elderly and chronically ill user’s demands have lead to an increase in prehospital non urgent interventions. Confronting the conflict between the perceived role of a paramedic and the shifting reality toward non urgent care may result in a role conflict that manifests as chronic-moderate organizational stress. Mechanisms of coping related to this stress may be adopted. Objectives: The objectives of this study are to depict the Quebec paramedic’s experience related to non urgent interventions and explore their role perception and resulting attitudes of cynicism and disengagement. Method: Qualitative data from semi-structured interviews have been codified and analyzed based on a model adapted from the literature on works in socio-psychology and health administration theories. (n=13, 3 administrative regions, less than 3 years to more than 20 years of career) Results: Paramedics acknowledge experiencing role conflict as they explain the formation of their work and field of practice as being exclusively oriented toward emergency response, contrary to their pervasive work reality. They demonstrate cynicism and disengagement, and specify it as being inherent to the professional experience and intimately linked with burnout, affecting quality of care despite fundamental professional intentions. Conclusion: Paramedics described different professional coping mechanisms aimed at acknowledging the conflicting duality of their practice, amongst them, showcasing their clinical capability to play an active role in primary health care in the prehospital, non urgent setting and adjusting and enhancing the training programs.
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18

Ramos, Constança Davison Ribeiro Semião. "Análise do risco de lesão músculo-esquelética na movimentação de vítimas por Técnicos de Emergência Pré-Hospitalar que operam em ambulâncias de emergência médica." Master's thesis, 2019. http://hdl.handle.net/10400.5/18922.

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Os Técnicos de Emergência Pré-Hospitalar estão expostos a diversos fatores de risco ocupacionais e a conjunturas de realização da atividade exigentes, sendo frequentemente obrigados a atuar sob condições de pressão temporal e emocional, tornando esta profissão altamente desgastante. Este estudo foca-se na análise do risco de lesão músculo-esquelética na movimentação de vítimas por estes técnicos. A metodologia dividiu-se em duas partes: Um questionário, respondido por 51 técnicos que incluiu fatores sociodemográficos, hábitos e estilos de vida, determinantes da atividade, a versão média portuguesa do COPSOQ II, e uma versão portuguesa adaptada do Questionário Nórdico de Sintomatologia Músculo-Esquelética Auto-Referida; observações sistemáticas de 340 posturas em 20 técnicos e aplicação do método REBA a quatro tarefas (elevação da maca, descida da maca, colocação da cadeira na ambulância e transporte em escadas com cadeira). Os resultados do questionário revelaram que a prevalência de sintomatologia músculoesquelética foi mais elevada na região lombar, dorsal e ombros. Foram identificadas diferenças significativas, em pelo menos um segmento, em 19 das 32 escalas do COPSOQ II. Essas diferenças foram encontradas principalmente nos ombros, cervical e dorsal, revelando uma associação entre os sintomas músculo-esqueléticos e os fatores de risco psicossociais. Nos resultados do REBA, todas as tarefas tiveram um risco médio; a tarefa de transporte em escadas com cadeira-baixo, obteve o resultado mais crítico, com 43.6% das posturas analisadas a apresentar risco elevado. A Ergonomia pode ter um contributo decisivo neste contexto, não só através da prevenção dos riscos ocupacionais, principalmente do foro músculo-esquelético, mas também garantindo maior conforto e satisfação dos TEPH, como contributo para a produtividade.<br>Emergency Medical Technicians are exposed to a large diversity of situations and have constantly to adapt their actions to the circumstances that they face, making this profession highly demanding in several aspects. This cross-sectional study focuses on the analysis of the risk of musculoskeletal disorders in patient handling tasks. The study encompassed two phases: The first, based on a questionnaire, answered by 51 professionals, that comprised socio-demographic characteristics, variables related with lifestyle, sleep and activity, the Portuguese medium version of COPSOQ II and the Portuguese adapted version of standardized Nordic Musculoskeletal Questionnaire; and the second, systematic observations of 340 postures, among 20 technicians, with subsequent application of the REBA method to four tasks (lifting the stretcher, descending the stretcher, placement of the chair in the ambulance and transport of the chair on stairs). The prevalence of musculoskeletal symptoms was higher in the lower back, upper back and shoulders. Statistically significant differences were identified in at least one segment, in 19 of the 32 COPSOQ II scales. These differences were found mainly in shoulders, neck and upper back, revealing, in these cases, an association between musculoskeletal symptoms and psychosocial risk factors. According to the REBA results, all tasks had a medium risk associated; the task of transportation of the chair on stairs, in the low position, obtained the most critical result, with 43.6% of the analyzed postures presenting a high risk. Ergonomics can have a decisive contribution in this context not only through the prevention of occupational risks but also ensuring greater comfort and satisfaction of the EMT’s, without neglecting their productivity.
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