Altruism in Paramedicine: A Scoping Review

Parker, Leigh; Prior, Sarah; Dam, PJ van; Edwards, Dale

doi:10.3390/healthcare10091731

Cited by 6 publications

(6 citation statements)

References 41 publications

(162 reference statements)

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“…In research conducted by (Marbun, 2020) it is stated that education is very important for changing a person's behavior and changing their mindset so that nurse education will influence the quality of nurses' work. In line with research (Parker et al, 2022) professionalism and communication contribute to a nurse's self-confidence by providing interpersonal skills to provide positive information from professionalism. variable relationship is known to be the opposite (r= -0.159; r is negative) where the lower the nurse's altruism attitude, the higher the level of workplace violence in nurses, and vice versa.…”

Section: Altruism Attitude Of Nursementioning

confidence: 68%

“…Higher levels of altruism can be associated with better nursing quality and nurses can demonstrate professionalism towards patients to make patients feel more cared for. Care by providing an attitude of altruism plays an important role in maintaining the relationship between nurses and patients because it can build a relationship of mutual trust to reduce many conflicts (Parker et al, 2022).…”

Section: Altruism Attitude Of Nursementioning

confidence: 99%

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Correlation between Nurse Altruism Attitudes and Levels of Workplace Violence in Nurses at the Agroindustrial Regional Hospital in Jember Regency

Wijaya,

Rifatul Ula,

Rosyidi Muhammad Nur

et al. 2024

NHSJ

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Nurses with an altruistic attitude should prioritize the patients' interests over their own and strive to care for the welfare of others. This significantly affects the level of workplace violence among nurses, where violence in the workplace is a prevalent issue in the nurses' work environment. This research aims to analyze the relationship between nurses' altruism and the level of workplace violence among nurses in hospitals in the agro-industrial area of Jember district. This study employs a quantitative correlational design with a cross-sectional approach. Sampling was conducted using purposive sampling, resulting in a sample of 178 nurses. Data collection involved an altruism scale questionnaire and a workplace violence questionnaire. The research utilizes the Kendall Tau-C test. The research results revealed that 84.8% of respondents exhibited a high level of altruism, and 64.6% of respondents displayed a low level of workplace violence. Both variables show a p-value of 0.008 (p-value < 0.05), indicating a relationship between nurses' altruism and the level of workplace violence. This study shows a negative correlation value of r = -0.159, indicating a weak correlation. The lower the nurses' altruism attitude, the higher the level of workplace violence among them. The nurses' altruism attitude significantly influences patient assessment; the better the patient assessment provided by nurses, the lower the occurrence of conflicts.

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Section: Altruism Attitude Of Nursementioning

confidence: 68%

Section: Altruism Attitude Of Nursementioning

confidence: 99%

Correlation between Nurse Altruism Attitudes and Levels of Workplace Violence in Nurses at the Agroindustrial Regional Hospital in Jember Regency

Wijaya,

Rifatul Ula,

Rosyidi Muhammad Nur

et al. 2024

NHSJ

View full text Add to dashboard Cite

show abstract

“…69 There is clearly a need, and value being attributed, to patientcentred, humanistic, and emotional intelligence aspects of paramedic care being provided alongside the technical aspects. 15,[70][71][72][73] The concept of self-efficacy noted in these findings is also acknowledged within existing formal theories and models of health behaviours, particularly Social Cognitive Theory. 74,75 Such formal theories are intended to be generalisable and predictive.…”

Section: Relation To Existing Research and Theorymentioning

confidence: 75%

“…69 There is clearly a need, and value being attributed, to patient-centred, humanistic, and emotional intelligence aspects of paramedic care being provided alongside the technical aspects. 15,70–73…”

Section: Discussionmentioning

confidence: 99%

Patients’ experiences of non-conveyance following an Australian ambulance service paramedic response: A constructivist grounded theory exploration

King

Oprescu²,

Lord

et al. 2023

Paramedicine

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Understanding patient experience is associated with quality, safe, and effective healthcare. However, there is a scarcity of knowledge explaining how patients experience non-conveyance, a setting where individuals receive unscheduled ambulance service response and paramedic-led care that results in a decision to not attend a hospital emergency department (ED). This research project aimed to investigate patients’ experiences of non-conveyance within an Australian ambulance service setting. Constructivist Grounded Theory methods were used to generate and analyse data from in-depth, semi-structured interviews with 21 participants who received paramedic-led healthcare from an Australian ambulance service between August 2020 and October 2021 that resulted in non-conveyance. A substantive theory centred on ‘Restoring self-efficacy’ was generated. It comprises three categorical concepts and their interconnected relationships, explaining how patients experience non-conveyance. ‘Losing independence’ conceptualises how a precipitating event forces patients to realise their circumstantial vulnerabilities, motivating action to seek support that leads to ambulance service response. ‘Restoring self-confidence’ emerged as the core concept, central to overall experience and a key influence on patients navigating the non-conveyance decision. When patients perceive that they have received professionally thorough and compassionate healthcare from paramedics, they form a trusting partnership resulting in the interpretation that their circumstances do not require conveyance to ED. With this reconstructed perspective, patients demonstrate increased ability for ‘Self-management’, by continuing to cope with their circumstances on their own after the episode of care. This paper provides a theoretical model for understanding how patients experience non-conveyance. Experience is influenced by dynamic, complex factors associated with restoring self-efficacy in relation to managing a health topic of interest. Restoration of self-efficacy was influenced by the patients’ interpretation of their interactions with paramedics. Future research may consider investigating the impacts of applying this knowledge to paramedic education and practice, and to quality indicators surrounding non-conveyance situations.

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“…These findings are reflected in the expanding body of research from the educational systems for both paramedics [60,175,206,207] and RNs [9,13,40,41,55], where a greater focus on non-technical cognitive skills in the educational programmes and in the training of AS professionals were requested. Non-technical cognitive skills in the AS have been suggested as consisting of a wide range of associated concepts, for example, situational awareness, clinical reasoning, problem-solving, clinical decision-making, communication, empathy, caring, altruism, leadership, teamwork, ethics, and interpersonal skills as fundamental parts of the competencies needed [33,60,175,176,182,206,208]. These requests for an expansion of the skills set and knowledge for AS professionals coincides with the reports of an expanding scope of practice [18][19][20][23][24][25], where a large part of today's ambulance care concerns advanced medical assessments and decisions of an ethical nature in a team of two, where the professionals report a high level of responsibility for making caring decisions independently that are insufficiently supported by organizational guidelines [29,30,55].…”

Section: Ethical Dimensions Of Clinical Decision-makingmentioning

confidence: 99%

Balancing structure and flexibility in the ambulance service: the pursuit of professional judgement in caring and learning

Wallin¹

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The overall aim of this thesis was to describe the conditions for learning inthe ambulance service during clinical practice, and to develop an understanding of how to support the professional development of caring in this context. The findings of this thesis are based on four qualitative interview studies.The study group consisted of 28 specialist ambulance nursing students (I), 20 preceptors (II), 27 preceptors (III), and 16 specialist ambulance nursingstudents (IV), from all parts of Sweden. The data were collected by individual, dyadic, and focus group interviews. The study designs and analytical approach were guided by the critical incident technique, latent content analysis, reflexive thematic analysis, and a phenomenographic approach. The findings indicate that the contextual complexities of ambulance care contradict the students’ fundamental need to independently care for the patients in their development of all domains of knowledge. Caring and learning in the ambulance service requires a structured approach in medical, technical, and practical aspects to create a basic security for preceptors and students in dealing with the diversity in care situations, patient needs, and student needs. However, this structured approach may hinder an individualized and situationally adapted approach unless the preceptors and students develop a flexible and reflective questioning approach in the phronetic domains of knowledge. The support, educational strategies, and learning objectives needed for enhancing educational clarity and quality during clinical practice in ambulance care are presented at an organizational, environmental, situational, and interpersonal level. It is proposed in the conclusions that a reflective questioning approach and an embodied understanding of ambulance service work supported by critical reflections are fundamental to support professional development in this field. Higher education institutions and the ambulance departments should address the professional development as a mutual concern, where supporting the development of a caring competence should be viewed as a lifelong continuum of learning. The expanding scope of ambulance care requires professional judgement to manage the ethical complexities of clinical decision-making to safeguard the patient perspective in ambulance care.

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Altruism in Paramedicine: A Scoping Review

Cited by 6 publications

References 41 publications

Correlation between Nurse Altruism Attitudes and Levels of Workplace Violence in Nurses at the Agroindustrial Regional Hospital in Jember Regency

Correlation between Nurse Altruism Attitudes and Levels of Workplace Violence in Nurses at the Agroindustrial Regional Hospital in Jember Regency

Patients’ experiences of non-conveyance following an Australian ambulance service paramedic response: A constructivist grounded theory exploration

Balancing structure and flexibility in the ambulance service: the pursuit of professional judgement in caring and learning

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