scholarly journals Do Paramedics Have a Professional Obligation to Work During a Pandemic? A Qualitative Exploration of Community Member Expectations

2020 ◽  
Vol 14 (3) ◽  
pp. 406-412
Author(s):  
Cameron Anderson ◽  
Julie Ann Pooley ◽  
Brennen Mills ◽  
Emma Anderson ◽  
Erin C. Smith

ABSTRACTObjectives:Previous research has identified a lack of clarification regarding paramedic professional obligation to work. Understanding community expectations of paramedics will provide some clarity around this issue. The objective of this research was to explore the expectations of a sample of Australian community members regarding the professional obligation of paramedics to respond during pandemics.Methods:The authors used qualitative methods to gather Australian community member perspectives immediately before the onset of the coronavirus disease 2019 (COVID-19) pandemic. Focus groups were used for data collection, and a thematic analysis was conducted.Results:The findings revealed 9 key themes: context of obligation (normal operations versus crisis situation), hierarchy of obligation (individual versus organizational obligation), risk acceptability, acceptable occupational risk (it’s part of the job), access to personal protective equipment, legal and ethical guidelines, education and training, safety, and acceptable limitations to obligation. The factors identified as being acceptable limitations to professional obligation are presented as further sub-themes: physical health, mental health, and competing personal obligations.Conclusions:The issue of professional obligation must be addressed by ambulance services as a matter of urgency, especially in light of the COVID-19 coronavirus pandemic. Further research is recommended to understand how community member expectations evolve during and after the COVID-19 coronavirus pandemic.

2021 ◽  
Author(s):  
Cassandra Cross ◽  
Thomas Holt

Advancements in information technology are sources of both opportunity and vulnerability for citizens. Previous research indicates that there are significant challenges for police in investigating cybercrime, that community expectations about police responses are based largely on media representations, and that victims experience high levels of frustration and stigmatisation. This paper examines the views of the Australian community and law enforcement officers about the policing of cybercrime. Results suggest that police personnel are more likely to view cybercrime as serious, and community members are more likely to ascribe blame to victims. Results also indicate a discrepancy between police and community members in their views of the efficacy of police responses. These discrepancies contribute to public dissatisfaction. Therefore, the paper covers some general strategies for short-and long-term cybercrime prevention.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 514-514
Author(s):  
Jennifer Cardellini ◽  
Sarah Nicolay ◽  
Jessica Bibbo

Abstract Cleveland Heights, in northeast Ohio, is currently working towards becoming a member of the Dementia Friendly America National Network. Utilizing the Dementia Friends curriculum to raise community members’ awareness of issues related to dementia is a key component of this initiative. Our initial efforts toward this goal targeted two sectors, namely community member and libraries. Participants completed on-line surveys at the beginning and end of each session. The surveys include the Brief Tool for Dementia-Friendly Education and Training Sessions developed by the Administration for Community Living. Of the 22 participants, nine had not previously attended a Dementia Friends session and completed both pre- and post-session surveys. Results indicated participants felt more confident interacting with people living with dementia at post-session compared to pre-session (t = -2.83, p=.022). Changes at the individual level may create more inclusive communities for people living with dementia and those who care for and about them.


2018 ◽  
Vol 33 (5) ◽  
pp. 466-470 ◽  
Author(s):  
Erin Smith ◽  
Frederick M. Burkle ◽  
Kristine Gebbie ◽  
David Ford ◽  
Cécile Bensimon

AbstractIntroductionThe Australian prehospital profession has not yet facilitated a comprehensive discussion regarding paramedic role and responsibility during disasters. Whether paramedics have a duty to treat under extreme conditions and what acceptable limitations may be placed on such a duty require urgent consideration. The purpose of this research is to encourage discussion within the paramedic profession and broader community on this important ethical and legal issue.MethodsThe authors employed qualitative methods to gather paramedic and community member perspectives in Victoria, Australia.ResultsThese findings suggested that both paramedic and community member participants agree that acceptable limitations on paramedic duty to treat during disaster are required. These limitations should be based on consideration of the following factors: personal health circumstances (eg, pregnancy for female paramedics); pre-existing mental health conditions (eg, posttraumatic stress disorder/PTSD); competing personal obligations (eg, paramedics who are single parents); and unacceptable levels of personal risk (eg, risk of exposure and infection during a pandemic).ConclusionIt is only with the engagement of a more broadly representative segment of the prehospital profession and greater Australian community that appropriate guidance on limiting standards of care under extreme conditions can be developed and integrated within prehospital care in Australia.SmithE, BurkleFM Jr., GebbieK, FordD, BensimonC. Acceptable limitations on paramedic duty to treat during disaster: a qualitative exploration. Prehosp Disaster Med. 2018;33(5):466–470.


2015 ◽  
Vol 10 (4) ◽  
pp. 316-332 ◽  
Author(s):  
Molly A. McCarthy ◽  
Christopher M. Fisher ◽  
Junmin Zhou ◽  
He Zhu ◽  
Aja Kneip Pelster ◽  
...  

2021 ◽  
Author(s):  
Marlee Bower ◽  
Amarina Donohoe-Bales ◽  
Scarlett Smout ◽  
Andre Quan Ho Nguyen ◽  
Julia Boyle ◽  
...  

The COVID-19 pandemic, as well as the recent bushfires and flash floods, have resulted in significant and unprecedented mental health impacts in Australia. Despite the known impacts, there is a paucity of research directly asking Australian community members about their mental health experiences and what they perceive to be the most important mental health issues in the context of the pandemic. This study utilises qualitative data from Alone Together, a longitudinal mixed-methods study investigating the effects of COVID-19 on mental health in an Australian community sample (N = 2,056). Of the 1,350 participants who completed the first follow-up survey, a total of 1,037 participants, who ranged in sex (69.9% female), age (M = 40-49 years), state/territory of residence, and socioeconomic status, shared responses to two open-ended questions regarding the most important issues for mental health in Australia and the impact of COVID-19 on their individual mental health. Responses were analysed using thematic analysis. Participants described COVID-19 as primarily impacting their mental health through the disruption it posed to their social world and financial stability. A key concern for participants who reported having poor mental health was the existence of multiple competing barriers to accessing good mental health care. According to participant responses, the pandemic had pressurized an already over-burdened mental health service system, leaving many without timely, appropriate support. Further absent or stigmatising rhetoric around mental health, at both a political and community level, also prevented participants from seeking help. Insights gained from the present research provide opportunities for policymakers and health practitioners to draw on the expertise of Australians’ lived experience and address priority issues through targeted policy planning. This could ultimately support a more responsive, integrated and effective mental health system, during and beyond the COVID-19 pandemic.


2020 ◽  
Vol 75 (7) ◽  
pp. 396-399
Author(s):  
Ronel Maart ◽  
Riaan Mulder ◽  
Saadika Khan

The reach of Coronavirus Disease - 2019 (COVID-19) has even reached the ethical guidelines for good practice from the Health Professions Council of South Africa (HPCSA).The health care worker should carefully consider the guidance outlined in several of the booklets as patient treatment has multiple dimensions where COVID-19 had impacted on clinical practice. Due to the nature of dentistry and aerosol generation, special care must be taken when treating healthy patients and patients that are carriers but do not realise that they are COVID-19 positive.COVID-19 transmission and aerosol dissemination may expose the practice team to hazards of infection. The risk is elevated when implementing aerosol generating procedures without any protective equipment. The oral health care worker (OHCW) and staff thus require the appropriate personal protective equipment (PPE) as suggested by country-specific guidelines, for example, The South African Dental Association (SADA).To this extent, practicing dentistry in the 21st century is complex and amidst the current COVID-19 pandemic the OHCW is presented with more pitfalls. As the pandemic is showing no sign of abating in SA, this has presented the OHCW with a range of additional ethical considerations.These dilemmas may be resolved in a variety of ways following an understanding of the basic knowledge of core ethical values and standards for good practice outlined by the HPCSA guidelines.


2020 ◽  
Vol 8 (1) ◽  
pp. 84
Author(s):  
Melda Yenni

The increasing of growth of any oil palm crop is not accompanied by safe behavior in the use of PPE in oil palm plantations. This is evident from most workers who do not work safely by not using PPE when they accomplished their activities. This study aims to determine of the use of Personal Protective Equipment (PPE) to workers in oil palm plantations. This is a quantitative research with cross sectional.The study population was all plantation workers totaling 77 workers and the sampling technique using total sampling method from the total total population of 77 workers. The results showed that the behavior of using PPE was in the bad category at 61.0%. Knowledge (p = 0.031), attitude (p = 0.001) and training (0.018) are variables that have a relationship with the use of PPE. Conclusions show that most workers know about the use of PPE but workers do not believe that one way to reduce the risk of workplace accidents is by using personal protective equipment and most of them have said that they have attended training in the use of personal protective equipment.


2018 ◽  
Vol 24 (1) ◽  
pp. 100
Author(s):  
Lenka Kissiková ◽  
Ivan Dlugoš

<p>The article evaluates the issue of work at heights in industry and reports statistics on fatal accidents at work, the source of which is a fall from above. It also deals with the assessment of the state of personal protective equipment already in use - for example, safety and working ropes and other accessories contaminated with facade paints, lyes, acids or mineral oils and their misuse and dangerous use. The state of the assessed personal protective equipment used was assessed in a test facility on test machines, where the safety of these devices was verified under certain conditions. The article also mentions the issue of inadequate training and training of high-level workers and the lack of training centers that carry out such training.</p>


2011 ◽  
Vol 16 (47) ◽  
Author(s):  
L M Milne ◽  
T Lamagni ◽  
A Efstratiou ◽  
C Foley ◽  
J Gilman ◽  
...  

Two fatal cases of Streptococcus pyogenes emm st22.6 bacteraemia occurred in a care home in England during April and June 2010, initiating a cluster investigation. The first case had left the home 13 days before the second case took up residence. We sought further cases and carriers. We swabbed throat and chronic skin lesions from residents and staff and examined these specimens for the presence of S. pyogenes. 61 specimens were taken from 18 of 19 residents and 39 of 39 staff. All results from swabbing were culture negative. We observed infection control practices and the environment at the care home for deficiencies. Issues were identified relating to the correct use of personal protective equipment, hand hygiene, clinical waste and laundry. Infection control practices were improved and training given. Infection control practices and the environment at a care home should be examined as part of the investigation of a S. pyogenes cluster. Screening for carriage of S. pyogenes should be done before antibiotic chemoprophylaxis is issued to care home residents and staff.


2020 ◽  
Vol 12 (1) ◽  
pp. 26
Author(s):  
Osman Yazicioglu ◽  
Oguz Borat

In the transition to the knowledge community, the disciplines of knowledge management have necessitated the revision of education and employment issues. As a result, more than 140 countries around world have had to set their national priority to review their own education and employment policies considering the individual developments, community expectations and international practices associated with the “lifelong learning”. The overall goal of Turkish Qualifications Framework (TQF) is to provide an integrated structure which describes and classifies all qualifications available in Turkey, allowing for links such as transfer or progression among qualifications to be determined. Thus, transparency will be improved in education and training systems, which will enable national and international comparability, recognition and validation. TQF will ensure to link all qualifications achieved either at classroom of a school, university, training center, or in a laboratory, workshop and workplace of a research center or company through formal, non-formal or informal learning. TQF structure comprises of levels described by level descriptors and supported by qualification types. Qualification types are described through qualification type specifications.


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