Evidence map›Paper›PMID 40836232›Full record

Trial reportBMC medical education2025

Investigating the impact of crisis management training on clinical decision-making and management of stress factors in the personnel of emergency medical services: randomized controlled trial.

Ghasem Babamiri, Zohreh Karimiankakolaki

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Ghasem BabamiriSocial Determinants of Health Research Center, Shk.C., Islamic Azad University, Shahrekord, Iran.
Zohreh KarimiankakolakiSocial Determinants of Health Research Center, Shk.C., Islamic Azad University, Shahrekord, Iran. zohrehkarimian68@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEmergency medical workers face unique problems that are specific to their work environment because they play an effective role in happy and sad moments of life and death, accidents and disasters, and these people face a high level of tension. The purpose of this study is to investigate the impact of crisis management training on clinical decision-making and management of stress factors in the personnel of emergency medical services (EMS).

methodsIn this randomized controlled trial with parallel groups study, 64 personnel of the emergency medical center of Shahrekord University of Medical Sciences were selected in two groups of 32 people, control and intervention in 2024. The training content included how to deal with the crisis and crisis management. 32 training sessions were held in two weeks. After the necessary training, the effectiveness of the training on the personnel in line with crisis management was checked through a questionnaire and its relationship with process improvement. Clinical decision-making was investigated. Demographic characteristics, nursing stressors of Gary Taft and Anderson and clinical decision-making questionnaire were used. The data was analyzed with spss23 software.

resultsThe average age of the study subjects in the intervention and control groups was 31.86 and 30.98 years. Before the intervention, there was no significant difference in the average of clinical decision making in the two groups (p > 0.05), but after the intervention, there was a statistically significant difference (p < 0.05). Also, in the intervention group, there was a significant difference in the decision-making score before and after the intervention (p < 0.05). In the two groups' intervention and control, the most common type of decision-making was analytical-intuitive decision-making (71.88 and 65.62%).

conclusionThe results of the present study showed that crisis management training interventions can reduce job stress and tension in prehospital emergency personnel and improve their decision-making process.

Indexed as

Clinical Decision-MakingCrisis InterventionEmergency Medical ServicesEmergency Medical TechniciansOccupational StressStress, PsychologicalAdultFemaleHumansIranMaleSurveys and QuestionnairesCrisis managementDecision makingEducationEMSStress

Identifiers

PMID40836232
PMCPMC12366106

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.