Perceptions of ethical dilemmas in Australian paramedicine

Shearer, Kirsty; Thomas, Matthew J. W.; Signal, Tania

doi:10.12968/ippr.2021.11.3.67

Cited by 2 publications

References 20 publications

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The ways specialist nursing students understand the work in the ambulance service - a national Swedish phenomenographic study

Wallin

Bremer

Fridlund

et al. 2022

International Journal of Qualitative Studies on Health and Well

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Objective To explore and describe the ways specialist ambulance nursing (SAN) students understand the work in the ambulance service. Design, sample, and measurements An explorative descriptive design was carried out through individual interviews with 16 SAN students from all parts of Sweden and analysed in accordance with the phenomenographic tradition. Findings Five different ways of understanding the work were described and each was assigned a metaphor; The medical role; The practical role; The patient-oriented role; The commanding role; and The comprehensive role. Several aspects concerning personal, organizational, and situational conditions affecting the understanding and the distribution of these roles in the specific care assignment were identified and presented in a hierarchical model of the outcome space. Conclusions This study contributes with a new perspective on supporting role clarity for registered nurses (RN) working in the ambulance service (AS). Specialization and experiential learning are needed to support an understanding of all aspects of the work in order to develop a professional competence aligned with the challenges faced in the AS. The development of expertise in the AS needs a contextualized understanding rooted in a theoretical framework that addresses a holistic perspective towards patients’ needs.

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The ways specialist nursing students understand the work in the ambulance service - a national Swedish phenomenographic study

Wallin

Bremer

Fridlund

et al. 2022

International Journal of Qualitative Studies on Health and Well

View full text Add to dashboard Cite

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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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Perceptions of ethical dilemmas in Australian paramedicine

Cited by 2 publications

References 20 publications

The ways specialist nursing students understand the work in the ambulance service - a national Swedish phenomenographic study

The ways specialist nursing students understand the work in the ambulance service - a national Swedish phenomenographic study

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

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