Evidence map›Paper›PMID 42298730›Full record

ArticleBMC psychology2026

Disaster readiness and resilience among emergency medical service providers: a cross-sectional study in Iran.

Sogand Sarmadi, Akbar Zare-Kaseb, Neda Sanaie, Fariba Borhani

Abstract read
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Article in BMC psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Sogand SarmadiMedical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Akbar Zare-KasebMedical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. akbar.zarekaseb@gmail.com.ORCID http://orcid.org/0000-0002-0014-7104
Neda SanaieMedical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Fariba BorhaniMedical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPre-hospital Emergency Medical Services (EMS) providers serve a critical function in disaster response. While technical preparedness remains essential, psychological resilience is equally vital for sustaining performance amidst stressful conditions. This research endeavored to assess disaster readiness and resilience among EMS providers in Tehran Province, Iran, and to identify the factors associated with resilience.

methodsA cross-sectional analytical study was conducted in 2025, involving 467 pre-hospital EMS providers, using online self-administered questionnaires. Data collection encompassed demographics, Persian Version of the Disaster Nursing Readiness Evaluation Index (F-DNREI), and Disaster Resilience Measurement Tool. Descriptive statistics, correlation analyses, and multiple linear regression were employed to identify factors associated with resilience.

resultsParticipants' mean disaster readiness score was 95.88 ± 10.62, whereas resilience mean score was 44.81 ± 9.50, with only 3.85% classified as highly resilient. Resilience was significantly correlated with readiness (r = 0.562, p < 0.001) and was positively associated with work experience, higher education, and prior attendance at a disaster management workshop. In the final multivariable regression model, age was excluded due to near-perfect collinearity with work experience, disaster readiness, holding a bachelor's degree, and prior workshop participation; these variables were retained as independent predictors of disaster resilience (R² = 0.606).

conclusionsDespite adequate disaster readiness, resilience was low, indicating a critical gap between technical preparedness and psychological adaptability. Education, experience, and prior training emerged as significant factors associated with resilience. Based on these observational associations, integrating simulation-based training with resilience-enhancement and psychosocial-support components warrants evaluation as a potential strategy to strengthen both readiness and adaptive capacity. Future research should examine these dynamics in real emergency scenarios.

Indexed as

Civil DefenseDisaster PlanningEmergency Medical ServicesResilience, PsychologicalAdultCross-Sectional StudiesFemaleHumansIranMaleMiddle AgedSurveys and QuestionnairesCross-sectionalDisaster ReadinessDisaster ResilienceDisastersEmergency Medical ServicesEmergency Preparedness

Identifiers

PMID42298730
PMCPMC13330486

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.