Qualitative development and content validation of the “SPART” model; a focused ethnography study of observable diagnostic and therapeutic activities in the emergency medical services care process

Abstract Background Clinical reasoning is a crucial task within the Emergency Medical Services (EMS) care process. Both contextual and cognitive factors make the task susceptible to errors. Understanding the EMS care process’ structure could help identify and address issues that interfere with clini...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Bert Dercksen, Michel M. R. F. Struys, Fokie Cnossen, Wolter Paans
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	SPART Emergency medical services EMS care process Paramedic process Ambulances Special situations and conditions RC952-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/6f4d487266e042e3bbd9c16db64b6d4b
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:6f4d487266e042e3bbd9c16db64b6d4b
record_format	dspace
spelling	oai:doaj.org-article:6f4d487266e042e3bbd9c16db64b6d4b2021-11-14T12:15:57ZQualitative development and content validation of the “SPART” model; a focused ethnography study of observable diagnostic and therapeutic activities in the emergency medical services care process10.1186/s12873-021-00526-z1471-227Xhttps://doaj.org/article/6f4d487266e042e3bbd9c16db64b6d4b2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12873-021-00526-zhttps://doaj.org/toc/1471-227XAbstract Background Clinical reasoning is a crucial task within the Emergency Medical Services (EMS) care process. Both contextual and cognitive factors make the task susceptible to errors. Understanding the EMS care process’ structure could help identify and address issues that interfere with clinical reasoning. The EMS care process is complex and only basically described. In this research, we aimed to define the different phases of the process and develop an overarching model that can help detect and correct potential error sources, improve clinical reasoning and optimize patient care. Methods We conducted a focused ethnography study utilizing non-participant video observations of real-life EMS deployments combined with thematic analysis of peer interviews. After an initial qualitative analysis of 7 video observations, we formulated a tentative conceptual model of the EMS care process. To test and refine this model, we carried out a qualitative, thematic analysis of 28 video-recorded cases. We validated the resulting model by evaluating its recognizability with a peer content analysis utilizing semi-structured interviews. Results Based on real-life observations, we were able to define and validate a model covering the distinct phases of an EMS deployment. We have introduced the acronym “SPART” to describe ten different phases: Start, Situation, Prologue, Presentation, Anamnesis, Assessment, Reasoning, Resolution, Treatment, and Transfer. Conclusions The “SPART” model describes the EMS care process and helps to understand it. We expect it to facilitate identifying and addressing factors that influence both the care process and the clinical reasoning task embedded in this process.Bert DercksenMichel M. R. F. StruysFokie CnossenWolter PaansBMCarticleSPARTEmergency medical servicesEMS care processParamedic processAmbulancesSpecial situations and conditionsRC952-1245Medical emergencies. Critical care. Intensive care. First aidRC86-88.9ENBMC Emergency Medicine, Vol 21, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	SPART Emergency medical services EMS care process Paramedic process Ambulances Special situations and conditions RC952-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	SPART Emergency medical services EMS care process Paramedic process Ambulances Special situations and conditions RC952-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Bert Dercksen Michel M. R. F. Struys Fokie Cnossen Wolter Paans Qualitative development and content validation of the “SPART” model; a focused ethnography study of observable diagnostic and therapeutic activities in the emergency medical services care process
description	Abstract Background Clinical reasoning is a crucial task within the Emergency Medical Services (EMS) care process. Both contextual and cognitive factors make the task susceptible to errors. Understanding the EMS care process’ structure could help identify and address issues that interfere with clinical reasoning. The EMS care process is complex and only basically described. In this research, we aimed to define the different phases of the process and develop an overarching model that can help detect and correct potential error sources, improve clinical reasoning and optimize patient care. Methods We conducted a focused ethnography study utilizing non-participant video observations of real-life EMS deployments combined with thematic analysis of peer interviews. After an initial qualitative analysis of 7 video observations, we formulated a tentative conceptual model of the EMS care process. To test and refine this model, we carried out a qualitative, thematic analysis of 28 video-recorded cases. We validated the resulting model by evaluating its recognizability with a peer content analysis utilizing semi-structured interviews. Results Based on real-life observations, we were able to define and validate a model covering the distinct phases of an EMS deployment. We have introduced the acronym “SPART” to describe ten different phases: Start, Situation, Prologue, Presentation, Anamnesis, Assessment, Reasoning, Resolution, Treatment, and Transfer. Conclusions The “SPART” model describes the EMS care process and helps to understand it. We expect it to facilitate identifying and addressing factors that influence both the care process and the clinical reasoning task embedded in this process.
format	article
author	Bert Dercksen Michel M. R. F. Struys Fokie Cnossen Wolter Paans
author_facet	Bert Dercksen Michel M. R. F. Struys Fokie Cnossen Wolter Paans
author_sort	Bert Dercksen
title	Qualitative development and content validation of the “SPART” model; a focused ethnography study of observable diagnostic and therapeutic activities in the emergency medical services care process
title_short	Qualitative development and content validation of the “SPART” model; a focused ethnography study of observable diagnostic and therapeutic activities in the emergency medical services care process
title_full	Qualitative development and content validation of the “SPART” model; a focused ethnography study of observable diagnostic and therapeutic activities in the emergency medical services care process
title_fullStr	Qualitative development and content validation of the “SPART” model; a focused ethnography study of observable diagnostic and therapeutic activities in the emergency medical services care process
title_full_unstemmed	Qualitative development and content validation of the “SPART” model; a focused ethnography study of observable diagnostic and therapeutic activities in the emergency medical services care process
title_sort	qualitative development and content validation of the “spart” model; a focused ethnography study of observable diagnostic and therapeutic activities in the emergency medical services care process
publisher	BMC
publishDate	2021
url	https://doaj.org/article/6f4d487266e042e3bbd9c16db64b6d4b
work_keys_str_mv	AT bertdercksen qualitativedevelopmentandcontentvalidationofthespartmodelafocusedethnographystudyofobservablediagnosticandtherapeuticactivitiesintheemergencymedicalservicescareprocess AT michelmrfstruys qualitativedevelopmentandcontentvalidationofthespartmodelafocusedethnographystudyofobservablediagnosticandtherapeuticactivitiesintheemergencymedicalservicescareprocess AT fokiecnossen qualitativedevelopmentandcontentvalidationofthespartmodelafocusedethnographystudyofobservablediagnosticandtherapeuticactivitiesintheemergencymedicalservicescareprocess AT wolterpaans qualitativedevelopmentandcontentvalidationofthespartmodelafocusedethnographystudyofobservablediagnosticandtherapeuticactivitiesintheemergencymedicalservicescareprocess
_version_	1718429352048197632

Qualitative development and content validation of the “SPART” model; a focused ethnography study of observable diagnostic and therapeutic activities in the emergency medical services care process

Ejemplares similares