title: Resiliency Improvements in Medical Emergency Staff in Burn Missions: A Qualitative Study in an Iranian Context.
abstract: BACKGROUND
  Medical emergency staff complete understanding of the nature of resiliency in burn events is a prerequisite for improving the quality of clinical service delivery in pre-hospital burn events.
  
  
  OBJECTIVE
  The present study aimed to describe resiliency in view of medical emergency staff in burn events.
  
  
  METHODS
  The present qualitative study was performed using a content analysis method. In total, 18 Iranian emergency care personnel participated in the study. A purposeful sampling method was applied until reaching data saturation. Data was collected using semi-structured interviews and field observations. Afterwards, data was analyzed by face content analysis.
  
  
  RESULTS
  By analyzing 456 primary codes, four main concepts including: 1) scene safety/security, 2) effective clinical decision making, 3) self-efficacy and 4) religious support were extracted through content analysis from experiences of pre-hospital emergency personnel during burn care.
  
  
  CONCLUSIONS
  Different factors affect resiliency improvements in medical emergency staff and consequently the quality of pre-hospital burn care. This study showed that various factors such as scene security/safety, effective decision making, self-efficacy and religious support are effective in the improvement of resiliency and the quality of pre-hospital emergency care.
authors.affiliation: University of Social Welfare and Rehabilitation Sciences, Tehran, IR Iran.
authors.forename: Razieh
authors.initials: R
authors.lastname: Froutan
authors.affiliation: University of Social Welfare and Rehabilitation Sciences, Tehran, IR Iran.
authors.forename: Hamid Reza
authors.initials: HR
authors.lastname: Khankeh
authors.affiliation: University of Social Welfare and Rehabilitation Sciences, Tehran, IR Iran.
authors.forename: Masoud
authors.initials: M
authors.lastname: Fallahi
authors.affiliation: Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran.
authors.forename: Fazlollah
authors.initials: F
authors.lastname: Ahmadi
authors.affiliation: University of Social Welfare and Rehabilitation Sciences, Tehran, IR Iran.
authors.forename: Kian
authors.initials: K
authors.lastname: Norouzi
keywords: Burn Care; Pre-Hospital Emergency Personnel; Resiliency