1. Purpose This study aims to identify the problems in response to violence and the subjective recognition types of policy alternative in an effort to present suitable recognition types of policy alternative for before and after the response, according to the recognition types of problems in response to violence, intended for 119 emergency medical technicians (EMT) who have experienced violence on the field.
2. Method This study divides the 17 cities and provinces nationwide into the following groups: Seoul, Gyeonggi, Gangwon area(12 EMTs), Chungcheong area(8 EMTs), Gyeongsang area(9 EMTs), and Jeolla, Jeju area(7 EMTs). The above-stated 36 EMTs are certified first and second grade emergency medical technicians and nurses who have experienced violence on the field, and have participated in the Q-methodology. This study was approved by the Kongju National University Institute Review Board (IRB, KNU_IRB_2021-17), and was conducted after explaining the purpose and procedures to willing participants and obtaining their consent. Data were collected from May 1, 2021 to August 30, 2021, and the study procedure was conducted in three stages and an additional analysis stage. The collected data were analyzed by Q factor analysis using PC-QUNAL program.
3. Results 1) Recognition types of the problem in 119 EMT’s response to violence The study showed three recognition types of the problem in 119 EMT’s response to violence, with the explanatory power of 23% for the first type, 7.8% for the second, and 6.6% for the third. Combined, the three types explain 37.5% of the whole variable. The first type was named ‘the lack of professional manpower’, the second was named ‘the inadequate policy on violence’, and the third was named ‘the lack of awareness of the emergency field’.
2) Recognition types of policy alternative on response to violence by 119 EMTs The study showed four recognition types of policy alternative on response to violence by 119 EMTs, with the explanatory power of 20.7% for the first type, 10% for the second, 6.2% for the third, and 6.2% for the fourth. As the first type has the most variate with 20.7%, it can be seen as the type that most explains the recognition of policy alternative on response to violence by 119 EMTs, and the four types combined explain 43.2% of the whole variable. The first type was named ‘the training and public relations oriented’, the second was named ‘the work environment improvement’, and the third was named ‘the violence handling specialization demand’, and the fourth was named ‘the recovery support seeker’.
3) Recognition types of policy alternative on response to violence according to recognition types of the problem in 119 EMT’s response to violence. This study matched the recognition types of policy alternative with the problems in response to violence experienced by EMTs. The first type of problem in response to violence, ‘the lack of professional manpower’, was matched with the third type of policy alternative on response to violence, ‘the violence handling specialization demand’, and the second type, ‘the work environment improvement’. The second type of problem in response to violence, ‘the inadequate violence policy’, was matched with the first type of policy alternative on response to violence, ‘the training and public relations oriented’, and the fourth type, ‘the recovery support seeker’. Finally, the third type of problem in response to violence, ‘the lack of awareness of the emergency field’, was also matched with the first type of policy alternative on response to violence, ‘the training and public relations oriented’, and the fourth type, ‘the recovery support seeker’.
4. Conclusion Through this study, the recognition types of problem in response to violence by 119 EMTs and the recognition types of policy alternative to address the problems can be identified, and the recognition types of policy alternative according to the recognition types of problem in response to violence can be presented. Based on this study, we expect to improve the understanding of the problems in response to violence and recognition types of policy alternative, and to provide the foundation required to develop and implement the policies regarding response to violence, thereby contributing to EMTs providing effective emergency medical service in safe environment.