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Ethical profiles in the Spanish and Swedish Emergency Medical Services
Högskolan i Borås, Institutionen för Vårdvetenskap.
2013 (Engelska)Konferensbidrag, Publicerat paper (Refereegranskat)
Abstract [en]

Introduction: The ambulance crew faces in their daily work different kinds of ethical problems, such as conflicts between ethical values and standards that are critical for the health care. This gives a complexity of the situations and becomes a constant challenge in the care practice for these professionals. Sandman and Nordmark (2006) describe that decision-making in this area of care often creates high pressure and discomfort among the ambulance personnel. Adams, Arnold, Siminoff and Wolfson (1992) identified ethical conflicts in 14.4% of the alerts made by the ambulance crews. In Sweden, Sandman and Nordmark (2006) found ethical conflicts in out-of-hospital care regarding the care relationship, the patient’s autonomy, the patient’s best interest, professional ideals, the professional role and self-identity, family members and bystanders, other care professionals, organizational structure and resource management, societal ideals, and other professionals. In Spain, Jiménez (2009) presented some ethical problems that arouse during CPR, pain relief, death and in situations when the right to autonomy was at stake. None of these studies are presenting tools for mapping or help for understand the different situation. The ethical value profile is a help to create tools for mapping and understanding. The first part of this project aims to translate, adapt and test a previous used instrument to map the ethical profile among ambulance crew in Spain and Sweden and in a pilot compare ethical values among the professionals. Result: The Managerial Value Profile (MVP) was translated from English to Swedish and Spanish. The translation was made forward and backward and then subjected to a psychometric test. To adapt the questions in regard to cultural aspects a pilot study was made in both countries (Sweden n=26, Spain n=20). In the pilot we found that ambulance personnel in Sweden and Spain tended to stress the value of individual rights and partly social justice while an utilitaristic approach was regarded as less important. On three items we found a huge difference between the two groups. In those items the Spanish professionals tended to consider social justice more often than the Swedish ambulance personnel that considered individual rights.

Ort, förlag, år, upplaga, sidor
2013.
Nyckelord [en]
ethical values, ambulance, emergency medical services, instruments
Nationell ämneskategori
Omvårdnad
Forskningsämne
Integrerad vårdutveckling
Identifikatorer
URN: urn:nbn:se:hb:diva-7048Lokalt ID: 2320/12857OAI: oai:DiVA.org:hb-7048DiVA, id: diva2:887755
Konferens
Prehospital vård för att värma om patientens hälsa. PreHospenkonferens i Borås. Borås 2013-04-26
Tillgänglig från: 2015-12-22 Skapad: 2015-12-22 Senast uppdaterad: 2019-12-13Bibliografiskt granskad

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Bremer, Anders

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Totalt: 145 träffar
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