Ethical decision-making based on field assessment: The experiences of prehospital personnel
Introduction:Due to the stressful nature of prehospital emergency providers’ duties, as well as difficulties such as distance to information resources and insufficient time to analyze situations, ethical decision-making in prehospital services is a daily challenge.Objectives:This study aimed to desc...
Authors: | ; ; ; |
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Format: | Electronic Article |
Language: | English |
Check availability: | HBZ Gateway |
Journals Online & Print: | |
Fernleihe: | Fernleihe für die Fachinformationsdienste |
Published: |
Sage
2019
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In: |
Nursing ethics
Year: 2019, Volume: 26, Issue: 4, Pages: 1075-1086 |
Further subjects: | B
prehospital
B Content Analysis B ethical decision-making B Emergency Medical Services |
Online Access: |
Volltext (lizenzpflichtig) |
Summary: | Introduction:Due to the stressful nature of prehospital emergency providers’ duties, as well as difficulties such as distance to information resources and insufficient time to analyze situations, ethical decision-making in prehospital services is a daily challenge.Objectives:This study aimed to describe the experiences of Iranian prehospital emergency personnel in the field of ethical decision-making.Methods:The data were collected by semi-structured interviews (n = 15) in Iran and analyzed using the content analysis approach.Ethical considerations:This study was conducted in accordance with the principles of research ethics and national rules and regulations relating to informed consent and confidentiality.Results:The results obtained were categorized into three main categories that included “assessment of the scene atmosphere, assessment of patients’ condition and their family, and predicting outcomes of decision-making.” The central category was “field assessment,” which demonstrated the strategy of ethical decision-making by prehospital providers when facing ethical conflicts.Conclusion:Although findings showed that the majority of prehospital providers make ethical decisions based on the patients’ benefit, they also consider consequences of their decisions in dealing with personal and professional threats. This article identifies and describes a number of ethical values of prehospital providers and discusses how the values may be considered by paramedics when facing ethical conflicts. |
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ISSN: | 1477-0989 |
Contains: | Enthalten in: Nursing ethics
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Persistent identifiers: | DOI: 10.1177/0969733017736925 |