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Original Research

Open Access

Coping with difficulties faced in pre-hospital healthcare amid pandemics

  • Sarper Yilmaz1
  • Gizem Sebahat Çoban2
  • Figen Unal Colak3
  • Ozgur Karcioglu4

1Department of Emergency Medicine, University of Health Sciences, Kartal Dr. Lutfi Kirdar City Hospital, 34865 Istanbul, Turkey

2Department of Educational Administration, Cyprus Science University Faculty of Educational Science, 99320 Kyrenia, Turkish Republic of Northern Cyprus

3Department of Communication Design and Management, Faculty of Communication Sciences, Anadolu University, 26470 Eskisehir, Turkey

4Department of Emergency Medicine, University of Health Sciences, Istanbul Education and Research Hospital, 34098 Istanbul, Turkey

DOI: 10.22514/sv.2021.247

Submitted: 05 August 2021 Accepted: 10 November 2021

Online publish date: 29 December 2021

*Corresponding Author(s): Sarper Yilmaz E-mail:


EMS (Call number: 112 in Turkey) encompasses services provided by professional healthcare teams in case of diseases and injuries emerging acutely, accessed expediently following the event, using specialized equipment as necessary. The main purpose of this study is to determine the difficulties faced by 112 pre-hospital healthcare workers (HCWs) in the transfer of patients to hospital, during the COVID-19 pandemic period, and to examine ways to cope with these difficulties, with a case study method that examines unique cases. The study group of the research consists of Emergency Medical Technicians (EMTs) (n = 15; 30.6%), paramedics (n = 19; 38.8%) and doctors (n = 15; 30.6%). The forty-nine participants who comprise the study group were selected from ‘HCWs who worked in the ambulance service during the transportation of patients with COVID-19 to hospital’. Based on the narratives of the participants, two main themes were determined as difficulties experienced and strategies of coping with these difficulties. Under the theme of difficulties experienced, three subthemes and a total of thirty-one codes were created as problems originating from society, the system and the employee himself. The theme of the strategies used to cope with the difficulties experienced was determined under three subthemes; professional equipment and personal precautions, professional measures and system support. A total of twelve codes were created. The pandemic period has been a time when boundaries and durability have been questioned. The experience obtained during this period is a great knowledge base for future global and mass epidemics, attacks and disasters.


Pre-hospital; Healthcare workers; COVID-19; Difficulties; Coping strategy

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Sarper Yilmaz,Gizem Sebahat Çoban,Figen Unal Colak,Ozgur Karcioglu. Coping with difficulties faced in pre-hospital healthcare amid pandemics. Signa Vitae. 2022.doi:10.22514/sv.2021.247.


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