Time to Improve Prehospital Care in Developing Countries

Boyle, Malcolm; Wallis, Jaime; Suryanto, Sunarto

doi:10.33151/ajp.13.3.538

Cited by 4 publications

(6 citation statements)

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“…In order to enhance the competency of ambulance nurses in Malang, two projects funded by the Australian Department of Foreign Affairs and Trade through the Australia Indonesia Institute have been implemented (24). The projects involved staff from Monash University, Griffith University and Brawijaya University.…”

Section: Human Resourcesmentioning

confidence: 99%

“…The projects involved staff from Monash University, Griffith University and Brawijaya University. The sharing of knowledge and experience by Australian university staff about aspects of pre-hospital care has been received by Brawijaya University staff during the pilot project of the Ambulance Nurse Course involving ambulance nurses from both the puskesmas and hospital EDs in Malang and will also be used as part of the nurse specialist program (Emergency Nursing) at Brawijaya University (24). With great anticipation, the course is expected to be delivered by Brawijaya University with a broader range of participants in the future.…”

Section: Human Resourcesmentioning

confidence: 99%

“…The system does not only manage the ambulance services but also provides the information regarding the availability of emergency units and in-patient rooms in the hospitals. Several challenges in implementing the system include the lack of infrastructure and resources (24), the delay in responding to the calls due to a lack of staff available in the NCC, and the delay in transferring calls from the NCC to PSC (11).…”

Section: Pre-hospital Care Settingmentioning

confidence: 99%

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The Pre-Hospital and Healthcare System in Malang, Indonesia

Suryanto

Boyle

Plummer

2017

Australasian Journal of Paramedicine

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IntroductionMalang is the second largest city in East Java and consists of three districts: Malang Regency, Malang City and Batu City. Malang has the most advanced emergency care education in East Java, and possibly Indonesia. The recent launch of the 119 Emergency Medical Service may influence pre-hospital care in Malang and assist in developing a more organised emergency medical system in the area.ObjectiveThis paper describes the pre-hospital care and healthcare structure in Malang and focuses on the health facilities, pre-hospital care service and healthcare providers.DiscussionThere are two major types of healthcare facilities in Malang, hospitals and primary healthcare centres called ‘puskesmas’. Ambulance service provision in Malang is either hospital-based or puskesmas-based. There is no organised emergency medical system in Malang. In the case of an emergency, the patient or bystander calls the hospital emergency department or puskesmas. The use of ambulances in Malang is low due to the perceived prohibitive cost of the service. Ambulance service fees for emergency cases outside of the hospital or puskesmas are not covered by the universal health insurance in the country. There is no specific pre-hospital trained staff in Malang. Nurses are responsible for staffing the ambulance, and there is no formal pre-hospital care education for those nurses working in an ambulance.

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Section: Human Resourcesmentioning

confidence: 99%

Section: Human Resourcesmentioning

confidence: 99%

Section: Pre-hospital Care Settingmentioning

confidence: 99%

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The Pre-Hospital and Healthcare System in Malang, Indonesia

Suryanto

Boyle

Plummer

2017

Australasian Journal of Paramedicine

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“…Today's phenomenon shows that the implementation of emergency medical services in Indonesia is still not going well. The difficulty of the call center to be contacted, limited human resources and infrastructure, also the lack of public knowledge about the way to access this service is allegedly to be the main cause of the sub-optimal service, so there is no guarantee that ambulances and health workers will arrive at the scene on time (Boyle, Wallis & Suryanto, 2016). So one of the attempts that can we do to improve the survival rate of the victim is by improving the number of bystander CPR (Wati, Wihastuti & Nasution, 2017).…”

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Application of the Theory of Planned Behavior to Identify Nursing Student's Intention to be a Bystander Cardiopulmonary Resuscitation

Wati¹,

Wihastuti

Nasution³

2021

NLJ

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Background: Theory of Planned Behavior (TPB) is a social pshycological theory which explained that someone's tendency to behave is affected by their intention. This theory often used to predict behavioral intention in health workers by measuring some aspects such as attitude, subjective norm and self efficacy. As a prospective health worker who equipped with knowledge and skills about Cardiopulmonary Resuscitation (CPR) during education phase, nursing students are expected to have a good intentions to become bystander CPR in Out of Hospital Cardiac Arrest (OHCA). Aims: This study intends to apply TPB in identifying factors that influence nursing student’s intention to perform bystander CPR. Methods: This was a quantitative study with cross-sectional approach. The research population were undergraduate nursing student in Malang, while the 108 samples were taken using proportional sampling technique. Data were collected once using questionnaire included: attitude, subjective norm, self efficacy and intention to be a bystander CPR. Results: Chi-square test revealed that the relationship between independent variables and intention to be a bystander CPR were: attitude p=0,00, self efficacy p=0,00 and subjective norm p=0,00. The result of multivariate analysis with logistic regression showed that: attitude p=0,004 (OR=5,279), subjective norm p=0,001 (OR=5,824) and self efficacy p=0,001 (OR=5,709). Conclusion: There were significant relationship between attitude, subjective norm and self efficacy with intention, where subjective norm was the most dominant factor associated with intention of nursing student to be a bystander CPR.

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“…089673305582. EMS di Indonesia belum dikembangkan secara komprehensif(Boyle, Wallis, & Suryanto, 2016). Selain itu kejadian cedera yang serius seperti akibat kecelakaan lalu lintas hanya sedikit yang menggunakan…”

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The Experience of Tems Nurses in Handling Traffic Accident Victims in Rsud Dr. Iskak Tulungagung

Kanita

Ratnawati²,

Lestari³

2019

JNSU

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Emergency Medical Services (EMS) in Indonesia has not been developed comprehensively. EMS service that has been running is in RSUD dr. Iskak Tulungagung named Tulungagung Emergency Medical Services (TEMS) with the most incident call are traffic accidents. Nurses experienced some obstacles when handling the traffic accident victims which made it cannot be done optimally. This study aims to explore the experience of nurses in conducting EMS on the handling of traffic accident victims in RSUD dr. Iskak Tulungagung. The research was using qualitative method with interpretive phenomenology approach by using data analysis process based on Interpretative Phenomenological Analysis (IPA). Nine themes were obtained from 9 participants: 1) Assuming the importance of providing the best treatment, 2) Encourage team cohesiveness to facilitate handling, 3) Feel the contradictions in the self when dealing with victims, 4) Feeling the emergence of spirit in self, 5) Serving with wholeheartedly embodied with the priority of the victim, 6) Experiencing poor acceptance from the community, 7) Experiencing the limited, 8) Craving accurate service by a competent team, and 9) Feeling increasing public trust who knowing TEMS. Establishing EMS from the beginning to the current process, based on the awareness of the nurse and the relevant parties regarding the appropriate and best handling of traffic accident victims to achieve patient safety. Regular evaluation is needed from all related parties and education for community for handling of traffic accident victims in EMS service so it can be given maximally by the nurse.

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Time to Improve Prehospital Care in Developing Countries

Abstract: This editorial highlights the issue of prehospital care in developing countries

Cited by 4 publications

References 0 publications

The Pre-Hospital and Healthcare System in Malang, Indonesia

The Pre-Hospital and Healthcare System in Malang, Indonesia

Application of the Theory of Planned Behavior to Identify Nursing Student's Intention to be a Bystander Cardiopulmonary Resuscitation

The Experience of Tems Nurses in Handling Traffic Accident Victims in Rsud Dr. Iskak Tulungagung

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