scholarly journals How student paramedics navigate a changing UK healthcare landscape

2020 ◽  
Vol 10 (3) ◽  
pp. 57-62
Author(s):  
Carolyn Lees ◽  
Trudy Hutchison ◽  
Alison White ◽  
Robyn Lotto
Keyword(s):  
Clinical Decision Making ◽  
Clinical Decision ◽  
Prehospital Emergency Care ◽  
Focus Group Interviews ◽  
The Public ◽  
Professional Groups ◽  
Competing Demands ◽  
Prehospital Emergency ◽  
Group Interviews ◽  
Purposive Sample

Background: Paramedics have witnessed a huge shift in their role as providers of prehospital emergency care, although little is known about how student paramedics manage the competing demands they face in practice. Aim: To explore how student paramedics experience the changing healthcare landscape. Method: Semi-structured, focus groups and thematic content analysis was adopted. A purposive sample of student paramedics at different stages of their diploma preparatory training were invited to participate in focus group interviews. Findings: Participants considered that other services and the public perceived the purpose of emergency paramedics as largely a traditional one, as a service to transport patients to hospital. This appears to influence how they manage complex clinical situations. Student paramedics' clinical decision-making is frequently influenced by the emotional environments in which they work, combined with difficult communication with patients and a lack of support from the various professional groups involved in patient care. Conclusion: This study has highlighted the complexity of situations that student paramedics find themselves in while making decisions, which has important implications for paramedic educators and those supporting them in practice.

Ethical Conflicts in Prehospital Emergency Care

2006 ◽  
Vol 13 (6) ◽  
pp. 592-607 ◽  
Author(s):  
Lars Sandman ◽  
Anders Nordmark
Keyword(s):  
Emergency Care ◽  
Prehospital Care ◽  
Self Determination ◽  
Prehospital Emergency Care ◽  
Best Interest ◽  
Focus Group Interviews ◽  
Self Identity ◽  
Ethical Conflicts ◽  
Prehospital Emergency ◽  
Group Interviews

This article analyses and presents a survey of ethical conflicts in prehospital emergency care. The results are based on six focus group interviews with 29 registered nurses and paramedics working in prehospital emergency care at three different locations: a small town, a part of a major city and a sparsely populated area. Ethical conflict was found to arise in 10 different nodes of conflict: the patient/carer relationship, the patient’s self-determination, the patient’s best interest, the carer’s professional ideals, the carer’s professional role and self-identity, significant others and bystanders, other care professionals, organizational structure and resource management, societal ideals, and other professionals. It is often argued that prehospital care is unique in comparison with other forms of care. However, in this article we do not find support for the idea that ethical conflicts occurring in prehospital care are unique, even if some may be more common in this context.

scholarly journals Change in store? An investigation into the impact of the book superstore environment on use, perceptions and expectations of the public library as a space, place and experience

2009 ◽  
Vol 28 (88) ◽  
pp. 13-26
Author(s):  
Helen Cartwright
Keyword(s):  
Young People ◽  
Focus Group ◽  
Public Library ◽  
Focus Group Interviews ◽  
Community Resource ◽  
Middle Income ◽  
The Public ◽  
Group Interviews ◽  
Perceptions And Expectations ◽  
The Impact

The book superstore is promoted not just as a place to buy books but also as a community resource in which to read, learn and socialise: traits that have in combination traditionally been the preserve of the public library. This study investigates the impact of the bookstore environment on public library space. The attitudes and behaviours of library and bookstore users were examined through focus group interviews and a self-completed questionnaire. Clear areas of overlap in the functions of the two sites were found, as was evidence of age and income-related splits in use and perception of bookstores and libraries. Results suggest attention should be paid to the beliefs and behaviours of young people and middle-income earners (the groups most noticeably increasing their use of the bookstore) and to the desired balance of education and recreation in the image and nature of the public library.

Relationships and Expectations

2021 ◽  
pp. 147-162
Author(s):  
Oscar H. Gandy Jr.
Keyword(s):  
Focus Group ◽  
Third Parties ◽  
Focus Group Interviews ◽  
Small Minority ◽  
The Public ◽  
Marketing Activities ◽  
Group Members ◽  
Broad Variety ◽  
Group Interviews ◽  
The U.S

This chapter is focused on the perceptions of the public about the panoptic sort and its likely influence on society. Although the focus within the scholarly community was on surveillance, the term was not in broad use within the population, and as a result, estimates of public opinion at the time were limited to a focus on privacy as an issue of public concern. A broad variety of issues and concerns were explored in previously published and specially designed surveys of the U.S. public. The approach taken to understand the views of the public was shaped by the analysis of a series of focus group interviews that are described within this chapter. In addition to seeking discussants’ understanding of the generation and use of consumer and citizen profiles, the members of these focus groups were also invited to share their views about the kinds of limits they thought needed to be established to govern the use of profiling technologies. Of particular importance were their views about the sharing of personal and transaction-generated information with third parties. Most of these focus group members were quite knowledgeable about marketing activities, and only a small minority expressed strong criticism of their use.

scholarly journals The views of intensive care nurses regarding short-term deployment

Curationis ◽  
2015 ◽  
Vol 38 (1) ◽  
Author(s):  
Mokgadi C. Matlakala
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Focus Group Interviews ◽  
Short Term ◽  
Gauteng Province ◽  
Intensive Care Nurses ◽  
Hospital Units ◽  
Policies And Procedures ◽  
Group Interviews ◽  
Purposive Sample

Background: Short-term deployment of nurses is usually used within the hospital units in order to ‘balance the numbers’ or to cover the shortage of staff in the different units. Often nurses in the intensive care unit (ICU) are sent to go and assist in other units, where there is not enough nursing staff or when their own unit is not busy.Objectives: The objective of this study was to explore the views of the ICU nurses regarding short-term deployment to other units.Method: A qualitative design was used, following interpretivism. The study was conducted in the ICUs of two hospitals in Gauteng Province, South Africa. Data were collected through focus group interviews with a purposive sample of registered nurses working in the selected ICUs, transcribed verbatim and analysed using open coding.Results: The participants shared a similar view that deployment to other units should be based on a formal agreement, with policies and procedures. Consultation and negotiation are recommended prior to deployment of staff. Management should recognise and acknowledge expertise of ICU nurses in their own speciality area.Conclusion: The findings call for redesign of a deployment policy that will suit nurses from the speciality areas such as ICU.

Measuring social performance: reconciling the tension between commercial and social logics

2018 ◽  
Vol 45 (1) ◽  
pp. 205-222 ◽  
Author(s):  
A.K. Siti-Nabiha ◽  
Zubir Azhar ◽  
Salmi Mohd Isa ◽  
A.Z. Siti-Nazariah
Keyword(s):  
Performance Appraisal ◽  
Social Performance ◽  
Institutional Logics ◽  
Structured Interviews ◽  
Focus Group Interviews ◽  
Target Groups ◽  
Content Type ◽  
Competing Demands ◽  
Group Interviews ◽  
Social Logics

Purpose The purpose of this paper is to explore the implementation of microfinance programs in three Malaysian development finance institutions (DFIs). Its main concerns revolve around how these DFIs measure and manage their social performance and how they reconcile their competing social and commercial objectives which are driven by particular logics. Design/methodology/approach This paper analyzes the ways in which the DFIs selected for this study measure and manage their social performance. The data were acquired from two sessions of focus group interviews, a series of semi-structured interviews, and extensive reviews of documentaries. The institutional logics perspective is used to explore the interplay between social and commercial logics in shaping the view and use of social performance measures in the three studied DFIs. Findings Although these DFIs have consistently offered formal microfinance programs to designated target groups, their ultimate focus has been on measuring financial as opposed to social performance. Hence, performance appraisal is mainly aligned with the breadth of outreach, rather than its depth. Nevertheless, there appear to be conflicts between the need to accommodate both breadth and depth, due to the competing demands of the two objectives. The rivalry between these two competing demands, which represents the interplay between social and commercial logics, is resolved through reconciliation, that is, by making one objective compatible with the other. Originality/value This paper examines the ways in which the DFIs in the study measure and manage their social performance, a topic that is, currently, not widely explored. This study contributes to advancing the knowledge on the link between institutional logics and organizational practices, particularly in understanding the extent to which the Malaysian DFIs assign importance to social performance when designing and offering microfinance programs.

scholarly journals Medical professionalism: Navigating modern challenges

2021 ◽  
pp. 175573802110526
Author(s):  
Nicola Cooper-Moss ◽  
Helen Hooper ◽  
Kartina A. Choong ◽  
Umesh Chauhan
Keyword(s):  
Primary Care ◽  
Decision Making ◽  
General Practice ◽  
Professional Practice ◽  
Clinical Decision Making ◽  
Medical Profession ◽  
Clinical Decision ◽  
Medical Professionalism ◽  
The Public ◽  
General Practice Training

Medical professionalism is an evolving entity, requiring continual development according to shifting societal priorities. The public trust that underpins the medical profession is imperative for maintaining effective partnerships with patients, their families and the wider community. This article provides an overview of what constitutes medical professionalism, including the current protocols and assessments for general practice training. The aim is to improve understanding of the current issues surrounding professionalism in primary care. Fictional case scenarios are used to illustrate modern professional dilemmas and to promote reflection on the complex interacting factors that influence professional practice and clinical decision-making.

scholarly journals Diversity and health strategies for newly resettled refugees

2020 ◽  
Vol 16 (3) ◽  
pp. 241-252
Author(s):  
Linda Vikdahl ◽  
Göran Ståhle ◽  
David Gunnarsson ◽  
Fredrik Saboonchi
Keyword(s):  
Mental Health ◽  
Design Methodology ◽  
Daily Basis ◽  
Health Needs ◽  
Physical And Mental Health ◽  
Focus Group Interviews ◽  
Content Type ◽  
The Public ◽  
Group Interviews ◽  
Different Levels

Purpose In general, newly resettled refugees have poorer physical and mental health than native-born Swedes. This indicates that the society must make special efforts to enable refugees to attain health that is on a par with the rest of the population. The challenges rest primarily with employees in the public sector. But what resources do professionals need to meet the refugees’ health needs? This paper is about the need to develop strategies for professionals working with diversity and health, with a focus on the establishment of newly resettled refugees in Sweden. Thus, the purpose of this paper is to identify the needs and obstacles in working with diversity and health for the newly resettled. Design/methodology/approach The paper is based on focus group interviews with 40 professionals working in three large municipalities and one County Administrative Board, all of whom work with challenges related to migration and health on a daily basis. Findings The needs expressed by the interviewees are primarily about developing and improving communications. Three important areas of communication were expressed: how information can be transferred from sender to receiver, institutionalization and interactions at different levels. Originality/value This paper identifies important needs and obstacles when working with diversity and health in Sweden, with a focus on the establishment of newly resettled refugees. It is an important contribution because refugees in general have poorer physical and mental health than native-born Swedes and strategies to improve their health, therefore, need to be further developed.

Information kiosks: Singapore users' experience

2002 ◽  
Vol 21 (1) ◽  
pp. 21-41
Author(s):  
Lai-Lai Tung
Keyword(s):  
Information Dissemination ◽  
Demographic Variables ◽  
The Other ◽  
Focus Group Interviews ◽  
The Public ◽  
Other Hand ◽  
Group Interviews ◽  
Types Of Information ◽  
Public Views ◽  
High Information

Information kiosks are machines that can disseminate information, handle transactions or perform both functions. For the purpose of our study, these kiosks are classified into four different types of information kiosks with respect to the functions that they perform. These four types of kiosks are Basic Information kiosks, High Transactional kiosks, High Information Dissemination kiosks and High-End kiosks. A questionnaire survey on the general public was conducted to find out the public views on the information kiosks. Focus group interviews and pilot tests were carried out to ensure the survey was feasible and that the structure of the questionnaire was clear and proper. Generally, the results of our survey showed that older users and those with high positions tend to use less of information kiosks. The reasons cited by users of information kiosks: need to find out information or perform some transactions, for convenience and out of curiosity. On the other hand, non-users of information kiosks cited that they do not use the kiosks because of inconvenience and a lack of need to use them. Generally, transactional kiosks are found to be the most preferred kiosks due to convenience reasons. On the other hand, for Basic and High Information Dissemination kiosks, users actually prefer personalised services to them. Our results also showed that except for High-End kiosks, people's preference of information kiosks to personalised services is not related to the demographic variables but rather the types of functions the kiosks perform.

scholarly journals Incidence and impact of incivility in paramedicine: a qualitative study

2021 ◽  
pp. emermed-2020-209961
Author(s):  
Nicola Jane Credland ◽  
Clare Whitfield
Keyword(s):  
Decision Making ◽  
General Public ◽  
Best Practice ◽  
Clinical Decision Making ◽  
Cumulative Effect ◽  
Well Being ◽  
Clinical Decision ◽  
Interpersonal Aggression ◽  
Professional Groups ◽  
Semistructured Interviews

BackgroundIncivility or rudeness is a form of interpersonal aggression. Studies suggest that up to 90% of healthcare staff encounter incivility at work with it being considered ‘part of the job’.MethodsQualitative, in-depth, semistructured interviews (n=14) undertaken between June and December 2019. Purposive sampling was used to identify front-line paramedics working for one NHS Ambulance Trust. Interviews lasted between 16 and 45 min, were audiorecorded, verbatim transcribed and analysed using thematic analysis.ResultsFour themes were identified: paramedics reported a lack of respect displayed both verbally and non-verbally from other professional groups. The general public and interdisciplinary colleagues alike have unrealistic expectations of the role of a paramedic. In order to deal with incivility paramedics often reported taking the path of least resistance which impacts on ways of working and shapes subsequent clinical decision-making, potentially threatening best practice. Finally paramedics report using coping strategies to support well-being at work. They report that a single episode of incivility is easier to deal with but subsequent episodes compound the first.ConclusionsThis study highlights the effect incivility can have on operational paramedics. Incivility from the general public and other health professionals alike can have a cumulative effect impacting on well-being and clinical decision-making.

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