Abstract
This qualitative study describes out-of-hospital emergency care providers’ experiences and views of situational awareness (SA) in the identification of abuse, including observations that led them to suspect abuse. Nine prehospital emergency care providers and three community paramedics were interviewed based on preselected themes. The data was analyzed using inductive content analysis. According to the results, emergency care providers’ self-defined situational awareness consisted of cognitive competence (logical reasoning and detection of cause-effect relationships); emotional competence (empathy and emotional intelligence); social competence (interaction skills and assessment of family dynamics), and experiential knowledge. Indicators of abuse involved the overall situation; the client’s physical condition; the client’s mental condition; the context and circumstances, and the logic in client reports. Although situational awareness develops with work experience, it is advisable for educators to include a wide range of cognitive, emotional and social skills in the initial and continuing education of emergency care professionals. These skills can be practiced using multi-professional simulation-based education.
Highlights
This qualitative study describes out-of-hospital emergency care providers’ experiences and views of situational awareness (SA) in the identification of abuse, including observations that led them to suspect abuse
The interviews were based mended the S.I.G.N.A.L program, which has been field tested on the following themes: (I) Abusive situations encountered in several European countries, an intervention protocol of in emergency medical services (EMS); (II) How is abuse detected in EMS; (III) Situational proven efficacy for EMS personnel to guide the identification awareness as an emergency care provider’s attribute; (IV)
Had prior knowledge of the topic based on extensive research Based on the analysis of the interviews, situational awareexperience and first-hand preunderstanding of the identifica- ness appeared to consist of cognitive competence
Summary
The number of reported cases of abuse and neglect is increasing internationally. People of any age can become subject to various forms of abuse or neglect. Emergency care providers frequently see clients, who refuse treatment or transport to hospital. They may even repeatedly visit the same clients, which allows them to accumulate evidence of potential abuse.[2]. Care providers in medical emergency services have a unique identification of abuse. They may possess, either consciously opportunity to help identify adults, elders and children at risk. 2020, Vol 8, No 4 abuse can help to develop the quality of care and facilitate research by claiming that good SA creates adaptive teams canewcomers’ work in the emergency medical services
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