Case study and case-based research in emergency nursing and care: Theoretical foundations and practical application in paramedic pre-hospital clinical judgment and decision-making of patients with mental illness

2017 ◽  
Vol 20 (1) ◽  
pp. 17-24
Author(s):  
Ramon Z. Shaban ◽  
Julie Considine ◽  
Margaret Fry ◽  
Kate Curtis
2015 ◽  
Vol 3 (4) ◽  
Author(s):  
Ramon Shaban

This paper is the fourth in a series that heralds a study that examines paramedic accounts and constructs of judgment and decision-making (JDM) of mental health and mental illness. This paper will provide the results of one stage of this study in which a discourse-historical case study of paramedic JDM of mental health and mental illness using ethnographic and ethnomethodological research methods was conducted. Preliminary themes describing the ways in which paramedics officially account for their judgments of mental illness will be presented.


2004 ◽  
Vol 2 (3) ◽  
Author(s):  
Ramon Shaban

Summary This paper is the first in a series that heralds a study examining paramedic accounts and constructs of judgment and decision-making (JDM) of mental health and mental illness. Providing an introduction and background to the evolving study, the paper will establish a warrant for the research and scope of the research agenda and methods of inquiry.


2015 ◽  
Vol 3 (3) ◽  
Author(s):  
Ramon Shaban

This is the third paper in a series that heralds a study that examines paramedic accounts and constructs of judgment and decision-making (JDM) of mental health and mental illness. This paper will overview an innovative theoretical framework for conducting a discourse-historical case study of paramedic judgment and decision-making of mental health and mental illness using ethnographic and ethnomethodological research methods. The review of the existing research and literature suggests an insufficiency of current theoretical and methodological frameworks to address the research problem and questions of this study. Little examination of judgment in mental illness and health has occurred, which is discussed in an earlier paper.1 Those studies, and the theoretical frameworks used, are insufficient in addressing key aspects of inquiry in judgment and decision-making, particularly in the paramedic ecology. The theoretical framework described here seeks to begin addressing this insufficiency in a new and innovative way.


1993 ◽  
Vol 21 (1) ◽  
pp. 35-76 ◽  
Author(s):  
Randy Borum ◽  
Randy Otto ◽  
Stephen Golding

Psychologists, psychiatrists and other mental health professionals are frequently involved as expert witnesses in legal proceedings. However, clinical judgment and decision making, which play a role in almost all clinical evaluations, have problems and limitations. Mental health professionals who conduct forensic examinations should be aware of these problems and take steps to address them. This article details the limitations of clinical judgment and decision making, and suggests ways to minimize associated problems, thereby improving the validity and utility of forensic evaluations.


2012 ◽  
Vol 26 (4) ◽  
pp. 500-518 ◽  
Author(s):  
Amanda Martindale ◽  
Dave Collins

This case study of an elite judo player recovering from injury provides an exemplification of a practitioner’s Professional Judgment and Decision Making (PJDM) using a ‘reflection-in-action research’ methodology. The process of “reflection-in-action” Schön (1991) and in particular the concept of ‘framing’ offer insight into how professionals think in action. These concepts assisted the practitioner in organizing, clarifying and conceptualizing the client’s issues and forming intentions for impact. This case study exemplifies the influence of practitioner PJDM on implementation at multiple levels of practice including planning the overall program of support, designing specific interventions to aid client recovery and moment-to-moment in-situ decision making session-by session. It is suggested that consideration of practitioner PJDM should be a strong feature of case study reporting and that this approach carries the potential to extend our use of case studies within applied sport psychology practice.


2013 ◽  
Vol 11 (2) ◽  
pp. 47-59
Author(s):  
Alison Warren ◽  
Ann Taylor ◽  
Mairead Cahill ◽  
Marie O’Donnell

Inter Professional Education (IPE) is not commonplace within Ireland. This paper presents the development and practical application of an IPE placement experience initiated by the University of Limerick. Several factors contributed to its development, including the establishment of posts based within several universities and the health service specifically to facilitate placement education. The MAGPIE model (Meet, Assess, Goal-Set, Plan, Implement and Evaluate) was used as a platform for the case-based IPE sessions involving Occupational Therapy and Physiotherapy students. Each student experienced 10.5 hours of discussion-based inter-professional activity within a placement and presented an inter-professional case study. The IPE experience was evaluated via focus groups involving students, practice educators and placement facilitators. Strengths of the experience included increased motivation, improved team working skills and development of a greater understanding of professional roles. Recommendations to enhance future case-based IPE sessions are identified.


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