Table 3 SA Ordered Situational Map for EMS In Iran
Individual Human Elements/Actors | Nonhuman Elements/Actants |
|---|---|
Nurses LPN Patients Faculty Hospital managers Nursing managers Faculty in nursing & EMS Health system policymakers | Development of nursing knowledge Advances in Medical Sciences Medical equipment Medications and treatment methods Increase library resources Development of medical specialization Specialized expectations in bed |
Collective Human Elements/Actors | Major Issues/Debates (Usually Contested)in EMS |
Ministry of Health (Vezarat-e Behdari)in the past (1952–1986), Ministry of Health and Medical Education Since 1986, Iranian Nursing Association (1921–1978), Nursing Board (since 1991), Health Department and Treatment of the National Military System (IRGC) The Deputy of Nursing Iranian Nursing Organization (INO) (2003) Iranian Medical Emergencies Association (2000) Medical Emergencies Board (1999 till now) Emergency Information Centers (1975) Pre-hospital emergency centers and incident management 1357 until now) Emergency Organization of the country (since 2015) Red Crescent Relief and Rescue Organization of the country Red 1929 until now Fire Department (1921 until now) | Shortage Of EMS Higher Education In EMS Establishment Iranian Nursing Organization (INO) for standardization practice The wandering of the field of emergency medicine in the organization chart of the faculties (uncertainty of the field in the nursing or paramedical faculty) Mechanisms of presence of women in the field of emergency medicine Lack of leveling of care among emergency medical forces Not having a medical emergency representative in the country's nursing system organization Continuous and non-continuous undergraduate studies in emergency medicine Air medical services |
Economic Elements | Sociocultural/Symbolic Elements |
Sales of Iranian oil and improvement of financial situation in the years (1340 to 1351) Private sector investment in the health system | Village and urban population Cultural revolution in the country's higher education system Women's participation in society woman enter the EMS profession |
Economic Elements in health care system | Political Elements |
the creation of educational infrastructure in the field of nursing and LPN employ faculty members in nursing the quantitative growth of nursing Recruitment of academic staff in nursing (1983 so far), health management in disasters and medical emergencies and emergency medicine Increase absorption in emergency medical admissions Setting up private ambulances (2013 so far) | Iran's membership in the World Health Organization The royal family's support for the role of EMS in society Islamic Revolution(1) The Iraq - Iran War (1978–1989) Establishment of Islamic Azad University |
Temporal Elements | Related Discourses (Historical, Narrative, and/or Visual) |
The Iraq - Iran War (1978–1989) | The Diminished Involvement Of Women And Volunteers In Nursing (1961–1980) The Active Presence Of Affluent And Sometimes Middle-Class Women In The Social The Engagement Of Women, Especially From The Low And Middle-Class Class In Social Activity |
Implicated/Silent Actors | |
need of population for health services |