Recently, road traffic injuries (RTIs) have become a major health problem affecting health systems in many low- and middle-income countries. Regardless of whether an ambulance is available for evacuation, police officers have been shown to arrive at the crash scene first, becoming, in effect, the first responders to RTI victims. Therefore, the study aimed to explore the experiences of traffic police officers in regard to the provision of care to RTI victims in the prehospital environment, including the role of traffic police upon arriving at the crash scene, the challenges they face, and their opinions about how to improve care to RTI victims. The study used a qualitative approach in which data were obtained from 10 individual interviews and three focus group discussions. There were 41 participants, 27 of them were male and 14 were female. About half (48.7%) of the study participants were aged between 30 to 39 years. Qualitative content analysis was used to analyse all the materials. Three themes emerged from the analysis. The theme “Maintain safety while saving injured victims’ lives and facilitating access to a health facility” was comprised of safety, sorting, initial help, and assisting access to hospital care. “Overwhelmed working with limited resources and support” included limited care and transport resources, police fatigue, and little or no support. “Improving supportive system and empowering frontline personnel” included the need for an emergency care system, availability of resources and an emergency medical support system, and training for police and drivers regarding victims’ first-aid care, and road safety. The study findings characterize an environment in which the police first responders have no knowledge or skills and no equipment and supplies to provide care to RTI victims at the scene before rushing them to definitive care. The results suggest a favorable climate for training and equipping officers so that they can deliver competent postcrash care at the scene while emergency medical services are yet to be established. However, more research will be needed to determine the efficacy of such training and its acceptability in the Tanzanian context.

中文翻译：

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交警人员对道路交通伤害受害者进行事后护理的经验：对坦桑尼亚的定性研究”

最近，道路交通伤害（RTI）已成为影响许多中低收入国家卫生系统的主要健康问题。无论是否有救护车可以撤离，都已证明警官首先到达坠机现场，实际上是对RTI受害者的第一反应者。因此，该研究旨在探讨交通警察在院前环境中为RTI受害者提供护理方面的经验，包括交通警察在到达撞车现场后的角色，他们所面临的挑战以及他们对交通事故的看法。如何改善对RTI受害者的护理。该研究采用定性方法，该数据是从10次个人访谈和3次焦点小组讨论中获得的数据。有41位参与者，其中27位是男性，14位是女性。约一半（48.7％）的研究参与者年龄在30至39岁之间。定性含量分析用于分析所有材料。分析中出现了三个主题。主题“在确保安全的同时挽救受伤受害者的生命并促进获得医疗设施的便利”包括安全性，分类，初步帮助和协助获得医院护理。“在有限的资源和支持下不堪重负的工作”包括有限的护理和运输资源，警察疲劳以及几乎没有支持。“改善支助系统并赋予一线人员权力”包括对紧急护理系统的需求，资源和紧急医疗支持系统的需求，以及对警察和驾驶员进行受害者急救护理和道路安全方面的培训。研究结果表明，警察急救人员没有知识或技能，也没有设备和物资，无法在现场为RTI受害者提供医疗服务，然后才匆忙采取最终的护理措施。结果表明，培训和装备人员的气氛良好，以便他们可以在现场提供胜任的事后护理，而尚未建立紧急医疗服务。但是，在坦桑尼亚的背景下，需要进行更多的研究来确定这种培训的有效性及其可接受性。结果表明，培训和装备人员的气氛良好，以便他们可以在现场提供胜任的事后护理，而尚未建立紧急医疗服务。但是，在坦桑尼亚的背景下，需要进行更多的研究来确定这种培训的有效性及其可接受性。结果表明，培训和装备人员的气氛良好，以便他们可以在现场提供胜任的事后护理，而尚未建立紧急医疗服务。但是，在坦桑尼亚的背景下，需要进行更多的研究来确定这种培训的有效性及其可接受性。