en بیین چالش های موثر بر ارائه خدمات با کیفیت از دیدگاه پرسنل اورژانس پیش بیمارستانی: تحلیل محتوای کیفی پزشكي اجتماعي Community Medicine پژوهشي Research <div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><u><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#2f5496">Background & Objectives:</span></span></span></u></b><b> </b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The pre-hospital emergency medical service (EMS), serving as the first line of care and treatment for patients and injured individuals, holds paramount importance in the healthcare system. Identifying the challenges and problems facing this system is crucial for its improvement. This study aimed to elucidate the challenges affecting the delivery of quality services from the perspective of pre-hospital EMS personnel in southern Iran.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><u><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#2f5496">Materials & Methods:</span></span></span></u></b> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">This qualitative descriptive study investigated the views of pre-hospital EMS personnel (N=23) selected through purposive sampling. Data were collected via semi-structured in-depth interviews and analyzed using conventional content analysis methods as described by Graneheim and Lundman.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><u><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#2f5496">Results:</span></span></span></u></b> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The analysis revealed three main themes: organizational challenges (encompassing lack of human resources, equipment shortages, and structural-administrative issues), human resources challenges (including individual characteristics of personnel and staff dissatisfaction), and cultural-social challenges (comprising cultural barriers and environmental-social obstacles). These themes were further divided into seven subthemes.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><u><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#2f5496">Conclusion:</span></span></span></u></b> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Organizational, human resources, and socio-cultural challenges emerged as the most significant factors affecting the delivery of quality services in Iran&#39;s pre-hospital EMS system. Policy-makers and administrators can leverage these findings to develop strategies aimed at addressing the challenges impacting the delivery of quality pre-hospital emergency services.<b><u><span style="color:#2f5496"></span></u></b></span></span></span></span></span><br> &nbsp;</div> Emergency Medical Services, Emergency Medical Services Personnel Challenges, Qualitative Research 263 273 http://jabs.fums.ac.ir/browse.php?a_code=A-10-40-9&slc_lang=en&sid=1 Saeed Hamidizadeh سعید حمیدی زاده hamidizadehs@yahoo.com 100319475328460029308 100319475328460029308 No Department of Nursing, Abadeh School of Nursing, Shiraz University of Medical Sciences, Shiraz, Iran گروه پرستاری، دانشکده پرستاری آباده، دانشگاه علوم پزشکی شیراز، شیراز، ایران Ali Zarei علی زارعی ( zarei.ali40@gmail.com 100319475328460029309 100319475328460029309 No Department of Nursing, Abadeh School of Nursing, Shiraz University of Medical Sciences, Shiraz, Iran گروه پرستاری، دانشکده پرستاری آباده، دانشگاه علوم پزشکی شیراز، شیراز، ایران Ali Mohammad Parviniannasab علی محمد پروینیان نسب ali_parviniyan@yahoo.com 100319475328460029310 100319475328460029310 No Department of Nursing, School of Nursing, Larestan University of Medical Sciences, Lar, Iran گروه پرستاری، دانشکده پرستاری، دانشگاه علوم پزشکی لارستان، لار، ایران Milad Ahmadi Marzaleh میلاد احمدی مرزاله Ahmadi_i40@gmail.com) 100319475328460029311 100319475328460029311 No Department of Healthcare Services Management, Clinical Education Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, iran گروه مدیریت خدمات بهداشتی درمانی، مرکز تحقیقات آموزش بالینی، دانشکده مدیریت سلامت و علوم اطلاعات، دانشگاه علوم پزشکی شیراز، شیراز، ایران Ebrahim Rahimi ابراهیم رحیمی 100319475328460029312 100319475328460029312 No Mamsani School of Allied Medical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran دانشکده علوم پزشکی ممسنی، دانشگاه علوم پزشکی شیراز، شیراز، ایران Mostafa Bijani مصطفی بیژنی bizhani_mostafa@yahoo.com 100319475328460029313 100319475328460029313 Yes Department of Medical Surgical Nursing, School of Nursing, Fasa University of Medical Sciences, Fasa, Iran گروه پرستاری جراحی پزشکی، دانشکده پرستاری، دانشگاه علوم پزشکی فسا، فسا، ایران