Salutogenesis: the case for a holistic tool for paramedic assessment of wellness

Cockrell, Krista R; Reed, Buck; Agarwal, Gina; Wilson, Leigh

doi:10.12968/jpar.2019.11.10.440

Cited by 4 publications

(3 citation statements)

References 43 publications

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“…As Cockrell aptly described, the SOC is 'in essence, a combination of optimism and control', the capacity to 'muster, believe in and value resources to support resilience'. 35 Resilience is associated with coping in the face of challenges.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

Parent perceptions: How disparate early childhood care and education centres in South Africa foster belongingness and well-being in children

Excell

Shaik

2023

TDSA

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This article explores parents’ perceptions of their children’s belongingness in early childhood care and education (ECCE) centres. It stems from the unexpected findings of a transformative ECCE pedagogy research project, which was characterised by multicultural, multiracial and varied economic conditions. As such, the authors expected controversial parental perceptions of the quality of the care and education their children experienced in these centres. However, this was not the case. Drawing on the theory of salutogenesis and its key concept, namely a sense of coherence, parents’ responses about their children’s early learning and well-being across diverse ECCE contexts were overwhelmingly positive. This prompted the question: what was it in these centres that allowed parents to experience a strong sense of belonging and such positive sentiments concerning their children’s sense of well-being? This phenomenological study was informed by the narratives of 19 parents, collected through the transformative pedagogy project, set in rural and urban situations, and at well-resourced and under-resourced centres. Findings reflected four identifiable themes. Firstly, parents favoured the diversity of influences at the centres, viewing these as rich opportunities for their children’s development and learning. Secondly, parents felt a strong conviction that the ECCE teachers were genuinely concerned about and sensitive towards their children. Thirdly, parents believed that their children were learning playfully in safe, loving spaces, and fourthly, parents were confident that their children were happy in the centres. These findings are particularly welcomed in the ECCE space, which is often demoralised and marginalised within the broader schooling system.Transdisciplinarity Contribution: The article shows that quality early childhood learning and teaching can take place across disparate contexts, be they urban or rural, well-resourced or under-resourced. This study identified factors that led to parents perceiving that their children experienced happiness and a sense of belonging in different centres.

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Section: Theoretical Frameworkmentioning

confidence: 99%

Parent perceptions: How disparate early childhood care and education centres in South Africa foster belongingness and well-being in children

Excell

Shaik

2023

TDSA

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“…Changes included the introduction of formalised education, varying types of clinical governance, increases in scope and greater practitioner autonomy creating the modern concept of a paramedic (Brooks et al ., 2018; O'Meara et al ., 2017). Today, paramedics not only respond to emergencies, but support patients with chronic disease, provide referrals to other health professionals, engage in health promotion and work in a range of community and primary health care roles in diverse practice environments including palliative care, primary health care, community health and occupational health (Acker et al ., 2014; O'Meara, 2014; Long and Lord, 2021; Cockrell et al ., 2019; O'Meara et al ., 2017).…”

Section: Introductionmentioning

confidence: 99%

Perceptions of Australian paramedics following the introduction of professional regulation: a qualitative exploration

Reed,

Cowin,

O'Meara

et al. 2024

IJES

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PurposeParamedics became nationally registered in 2018 in Australia. Prior to this, there was no central regulation of the profession with reliance on organisational regulation through employers. As paramedics expanded their scope, role and range of employers, especially outside statutory agencies, there was increasing need to engage in professional regulation. Regulation is more than a legal and bureaucratic framework. The purpose of the paper states that the way paramedics interact with their new regulatory environment impacts and is influenced by the professionalisation of the discipline. Regulation also redefines their positionality within the profession.Design/methodology/approachTwo mixed-method surveys were undertaken. A pre-registration survey occurred in the month prior to regulation commencing (N = 419) followed by the second survey 31 months later (N = 407). This paper reports the analysis of qualitative data from the post-registration survey and provides comparison to the pre-registration survey which has been previously reported. Analysis was undertaken using interpretive phenomenological analysis (IPA).FindingsThemes from the pre-registration survey continued however became more nuanced. Participants broadly supported registration and saw it as empowering to the profession. Some supported registration but were disappointed by its outcome, others rejected registration and saw it as divisive and oppressive.Originality/valueParamedics are beginning to come to terms with increasing professionalisation, of which regulation is one component. Changes can be seen in professional identity and engagement with professional practice; however, this is nascent and is deserving of additional research to track the profession as it continues to evolve.

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“…From origins as basic first aiders with a mandate to transport the sick and injured to hospital, paramedics have evolved to a well-educated and autonomous group of clinicians (Newton et al ., 2020; Moritz, 2018; Brydges et al ., 2022; McCann, 2022). This highlights the continuous evolution of paramedics to meet the needs of the communities they serve, including the prevalence of complex and chronic health and social conditions (Makrides et al ., 2021; Cockrell et al ., 2019). This evolution has exponentially propelled paramedicine down the occupational continuum towards professional status over the last half century.…”

Section: Introductionmentioning

confidence: 99%

An exploration of perceptions and experiences of Australian paramedics following the introduction of professional regulation

Reed,

Cowin,

O'Meara

et al. 2023

IJHG

Self Cite

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PurposeSince 2018, Australian paramedics have been regulated under the National Registration and Accreditation Scheme (NRAS) for health practitioners. Established professions have been regulated in Australia for some time, so there is limited knowledge of their entry to regulation. However, as paramedicine has not been previously centrally regulated, this provides a unique case study to explore the transition to regulated practice.Design/methodology/approachAustralian paramedics undertook two surveys: pre- and post-introduction of registration. The first survey was in the month leading up to the commencement of registration (N = 419), and the second survey took place 31 months after registration (N = 407). This paper presents the results of statistical analyses of the post-registration survey including comparisons to the pre-registration survey.FindingsAlthough support for regulation has increased over time, there remains strong dissent consistent with 2018 levels. After 31 months of regulation, respondents reported increasing knowledge of the scheme and greater ease of navigation. The impacts of regulation are more nuanced and less polarised than in the first survey. Identity is again canvassed, and results suggest a shift from employment status and qualifications as key elements of identity to a community of practice and registration.Originality/valueParamedics' experiences and understanding of the rationale for registration are developing. Further support is needed to assist with the emerging professional identity and behaviours. Regulation is one of many occupational factors influencing professional identity and professionalism. Exploring the experience of regulation potentially assists regulators in better supporting practitioners and helps better understand professional evolution.

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Salutogenesis: the case for a holistic tool for paramedic assessment of wellness

Cited by 4 publications

References 43 publications

Parent perceptions: How disparate early childhood care and education centres in South Africa foster belongingness and well-being in children

Parent perceptions: How disparate early childhood care and education centres in South Africa foster belongingness and well-being in children

Perceptions of Australian paramedics following the introduction of professional regulation: a qualitative exploration

An exploration of perceptions and experiences of Australian paramedics following the introduction of professional regulation

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