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. 2025 Apr 20;25:67. doi: 10.1186/s12873-025-01222-y

Table 2.

Varimax factor loadings of the items of the Emergency Medical Services Safe Care Scale (EMSSCS)

Factors’ names Item Factor loading

Factor 1:

Incident scene management

1. I meticulously observe and assess the incident scene as the initial step. 0.92
2. Prior to entering the incident scene, I evaluate any potential hazards, including fire, explosions, electrical risks, and other dangers. 0.91
3. I pay particular attention to patient safety principles at the incident scene. 0.89
4. I encourage bystanders to maintain distance from the incident scene. 0.88
5. I invite the companions of the injured to remain calm. 0.87
6. I evaluate my own performance and that of my colleagues at the scene. 0.85
7. I execute my duties at the incident scene to the best of my ability. 0.81
8. I supervise the performance of other members of the care team at the incident scene. 0.79
9. I manage stress, fear, and apprehension at the incident scene. 0.74
10. I transfer the patient to the medical center while maintaining safety principles and a calm demeanor. 0.70
11. I encourage the patient and their companions to maintain composure and tranquility. 0.69

Factor 2:

Efficient clinical skills

12. I conduct patient and casualty triage with precision and acumen in the shortest possible time. 0.91
13. I thoroughly examine and assess patients’ conditions. 0.89
14. I perform patient mobilization and immobilization with careful adherence to safety principles. 0.88
15. I strive to avoid causing harm to the patient when performing invasive procedures. 0.86
16. I utilize the latest guidelines and evidence-based nursing practices in patient care. 0.85
17. I am proficient in the scientific and proper use of medical equipment. 0.85
18. I am skilled in performing emergency interventions in high-risk situations. 0.81
19. I employ critical thinking and clinical reasoning skills in the provision of care. 0.79
20. I endeavor to develop and enhance my clinical skills. 0.74
21. I utilize the clinical experiences of my colleagues to strengthen my own clinical skills. 0.70
22. I conduct patient triage without discrimination and in adherence to principles of equity. 0.67

Factor 3:

Effective interaction

23. I pay attention to patient privacy and confidentiality in the provision of care. 0.90
24. I interact with patients and their companions with patience. 0.86
25. I have the ability to manage and lead a team. 0.84
26. I treat my colleagues with respect. 0.79
27. I am committed to the principles of teamwork and interdisciplinary collaboration. 0.73
28. I maintain patience in my interactions with colleagues. 0.71
29. I preserve the dignity and respect of the patient and their companions. 0.70
30. I accept responsibility for my behavior and performance and will be accountable. 0.69