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Perceptions on Principle of Priority Setting in Disaster Triage: A Q-Method Study Publisher Pubmed



Ghanbari V1 ; Ardalan A2 ; Zareiyan A3 ; Nejati A4 ; Hanfling D5 ; Bagheri A6 ; Rostamniya L7
Authors
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Authors Affiliations
  1. 1. Emergency Nursing Department, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
  2. 2. Health in Disaster and Emergencies Department, School of Public Health, Tehran University of Medical Sciences, Avecina Ave, Keshavarz Boulevard, Tehran, Iran
  3. 3. Health in Disaster and Emergencies Department, School of Nursing, AJA University of Medical Sciences, Tehran, Iran
  4. 4. Department of Emergency Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. MD and Clinical Professor, Contributing Scholar, Center for Health Security, Johns Hopkins Center for Health Security, Baltimore, Department of Emergency Medicine, George Washington University, Washington, DC, United States
  6. 6. Center for Medical Ethics and History of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Nursing Department, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran

Source: International Emergency Nursing Published:2021


Abstract

Introduction: An ethical plan is required to make decisions regarding setting the priority for assisting injured patients through triage. The aim of this study was to explore the measures used to sort patients for ethical decision-making in disaster triage. Method: The participants were 54 clinicians and non-clinicians among the Iranian experts. Q-statements were selected from a literature review and face-to-face interviews. Data were analyzed by principal components factor analysis (PCA), Varimax, and hand-rotation techniques. Results: Distinct perspectives included: Saving patients with greater medical needs, survivability of patients and the community, providing effective treatment based on available capacity, maximizing health gain, supporting the human generation and productive and independent lives. Approximately 61% of the variance in decision is explained by these factors. Conclusion: A combination of saving more people and more positive outcomes has been accepted to make an ethical decision in triage. Public engagement needs to reach a more acceptable view of patients’ prioritizing factors in a scarce-resource situation. © 2021 Elsevier Ltd
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