How do emergency ambulance paramedics view the care they provide to people who self harm?: Ways and means
作者： N. Rees , F. Rapport , H. Snooks , A. John , C. Patel
DOI: 10.1016/J.IJLP.2016.05.010
关键词:
摘要: The UK has one of the highest rates self harm (SH) in Europe, and almost four times more people die by suicide than road traffic collisions. Emergency ambulance paramedics are often first health professionals involved care who have self-harmed, yet little is known about provided or issues raised these encounters. aim this study to explore paramedics' perceptions experiences caring for SH, inform education policy. Semi structured interviews were conducted with paramedics, themes generated constant comparison coding. This paper reports two emerging themes: Firstly, professional, legal, clinical ethical tensions, linked limited decision support, referral options education. second theme relationships police, revealed practices surreptitious strategies related detention, aimed at overcoming complexities care. In absence tailored education, guidance support self-harm care, 'ways means' evolved which may negatively influence challenge legal frameworks. There an urgent need include evidence from revised educational materials working prehospital emergency setting.
swan.ac.uk
core.ac.uk
sci-hub.se 参考文章(34)
Etienne Wenger, Communities of Practice: Learning, Meaning, and Identity ,(1998)
Ramon Shaban, Paramedic clinical judgment of mental illness: Representations of official accounts Australasian Journal of Paramedicine. ,vol. 3, pp. 20- 29 ,(2015) , 10.33151/AJP.3.4.340
Ramon Shaban, Claire Wyatt-Smith, Joy Cumming, Uncertainty, Error and Risk in Human Clinical Judgment: Introductory Theoretical Frameworks in Paramedic Practice. Australasian Journal of Paramedicine. ,vol. 2, pp. 1- 12 ,(2004) , 10.33151/AJP.2.1.263
Sally A. Santen, Robin R. Hemphill, A Window on Professionalism in the Emergency Department Through Medical Student Narratives Annals of Emergency Medicine. ,vol. 58, pp. 288- 294 ,(2011) , 10.1016/J.ANNEMERGMED.2011.04.001
Alexandra Ackerman, Mark Graham, Hilary Schmidt, David T. Stern, Steven Z. Miller, Critical events in the lives of interns. Journal of General Internal Medicine. ,vol. 24, pp. 27- 32 ,(2009) , 10.1007/S11606-008-0769-8
F W Hafferty, Beyond curriculum reform: confronting medicine's hidden curriculum. Academic Medicine. ,vol. 73, pp. 403- 407 ,(1998) , 10.1097/00001888-199804000-00013
Vaughan Parsons, Louise O'Brien, Peter O'Meara, Mental health legislation: an era of change in paramedic clinical practice and responsibility Journal of Paramedic Practice. ,vol. 1, pp. 9- 16 ,(2011) , 10.12968/IPPR.2011.1.1.9
Carolyn Ellis, Anselm Strauss, Juliet Corbin, Basics of qualitative research : grounded theory procedures and techniques Contemporary Sociology. ,vol. 21, pp. 138- ,(1992) , 10.2307/2074814
Lars Mehlum, Mette Ystgaard, Jorulf Husby, Nils Petter Reinholdt, Deliberate self harm in adolescents Tidsskrift for Den Norske Laegeforening. ,vol. 123, pp. 2241- 2245 ,(2003)
Nigel Rees, Frances Rapport, Helen Snooks, Perceptions of paramedics and emergency staff about the care they provide to people who self-harm: Constructivist metasynthesis of the qualitative literature. Journal of Psychosomatic Research. ,vol. 78, pp. 529- 535 ,(2015) , 10.1016/J.JPSYCHORES.2015.03.007