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Ethical dilemmas in prehospital emergency care – from the perspective of specialist ambulance nurse students
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.ORCID iD: 0000-0002-1641-6321
Department of Health Sciences, Karlstad University, Karlstad, Sweden.
2018 (English)In: International Journal of Ethics Education, ISSN 2363-9997Article in journal (Refereed) Epub ahead of print
Abstract [en]

The aim of this study was to describe specialist ambulance nurse students’ experiences of ethical conflicts and dilemmas in prehospital emergency care. In the autumn of 2015, after participating in a mandatory lecture on ethics, 24 specialist ambulance nurse (SAN) students reported experiences and interpretations concerning conflicts and ethical dilemmas from prehospital emergency care. The text consisted of 24 written critical incidents which were interpreted using hermeneutic text interpretation. The text revealed three themes: Not safeguarding a patient’s body and identity; Not agreeing on the care actions; and Not treating the patient with dignity. The SANs experiences ethical dilemmas and conflict of values when they witness how others violate a patient’s dignity. Discussion and reflection is based on ethical conflicts and dilemmas experienced when students see how caregivers do not safeguard the patient’s body or identity. When caregivers have a conflicting will, it results in patients not being treated in an ethical manner. Also, seeing how caregivers put themselves in a power position over patients is described as an ethical dilemma that students experience when they choose not to intervene.

Place, publisher, year, edition, pages
Springer, 2018.
Keywords [en]
Human dignity; Ethical conflict; Ethical dilemma; Specialist ambulance nurse; Critical incident technique; Hermeneutic text interpretation
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-39460DOI: 10.1007/s40889-018-0055-5OAI: oai:DiVA.org:hj-39460DiVA, id: diva2:1206437
Available from: 2018-05-17 Created: 2018-05-17 Last updated: 2018-05-17

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Abelsson, Anna

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