ArticleBMC medical ethics2018
Experiences of pre-hospital emergency medical personnel in ethical decision-making: a qualitative study.
Article in BMC medical ethics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 78 citations in OpenAlex.
- Ethical Decision Making in Disaster and Emergency Management: A Systematic Review of the Literature.Prehospital and disaster medicine · 2023Pooled it
- Ethics education to support ethical competence learning in healthcare: an integrative systematic review.BMC medical ethics · 2022Pooled it
- Article
- Perception of the Ethical Climate Among Hospital Employees in a Public Healthcare System: A Qualitative Study at the University Hospital of Split, Croatia.Healthcare (Basel, Switzerland) · 2026Article
- Caring in Ambulance Encounters With Older Patients With Complex Care Needs: A Phenomenographic Study.Scandinavian journal of caring sciences · 2026Article
- Effect of implemented blended educational program on nurses' knowledge, attitude, and practices regarding meniscus repair.Journal of education and health promotion · 2026Article
- Moral sensitivity and professional quality of life in EMS personnel: a cross-sectional multicenter study.BMC emergency medicine · 2025Article
- Bracing for the next wave: A critical incident study of frontline decision-making, adaptation and learning in ambulance care during COVID-19.Journal of advanced nursing · 2025Article
- Translation and validation for Persian version of Abbreviated Moral Injury Outcome Scale (AMIOS) in emergency health professionals: a comprehensive methodological approach.BMC health services research · 2025Article
- Stimulating ambulance specialist nurse students' ethical reflections by high-fidelity simulation.Nursing ethics · 2025Article
- Ambulance clinicians' perspectives on interprofessional collaboration in prehospital emergency care for older patients with complex care needs: a mixed-methods study.BMC geriatrics · 2025Article
- Evaluating cognitive bias in clinical ethics supports: a scoping review.BMC medical ethics · 2025Article
- Inventory of ethical problems in mobile pre-hospital care.Revista brasileira de enfermagem · 2025Article
- Committed care in the shadow of fear: The experiences of emergency medical services staff encountering with COVID-19 patients.Journal of education and health promotion · 2025Article
- The relationship between self-confidence and attitude of emergency medical technicians towards family presence during resuscitation.International journal of emergency medicine · 2024Article
- Exploring the challenges of emergency medical service providers in the initial phase of the COVID-19 pandemic: a qualitative content analysis.BMC emergency medicine · 2024Article
- Lived experiences of Iranian prehospital emergency technicians in facing women's emergencies: a phenomenological study.BMC emergency medicine · 2024Article
- Assessing unsafe behaviors and their relationship with work-related factors among EMS staff in Iran: a cross-sectional study.BMC emergency medicine · 2024Article
- Male nurses' adaptation experiences after turnover to community institutions in Korea: A grounded theory methodology.PloS one · 2024Article
- Exploring the challenges to using telecardiology as perceived by pre-hospital emergency care personnel: a qualitative study.BMC emergency medicine · 2023Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmergency care providers regularly deal with ethical dilemmas that must be addressed. In comparison with in-hospital nurses, emergency medical service (EMS) personnel are faced with more problems such as distance to resources including personnel, medico-technical aids, and information; the unpredictable atmosphere at the scene; arriving at the crime scene and providing emergency care for accident victims and patients at home. As a result of stressfulness, unpredictability, and often the life threatening nature of tasks that ambulance professionals have to deal with every day, ethical decision-making (EDM) has become an inevitable challenge.
methodsThe content analysis approach was used to conduct the present qualitative study in Iran. The participants consisted of 14 EMS personnel selected through purposive sampling, which continued until the data became saturated. Data were collected using semi-structured interviews and analyzed concurrently with their collection through the constant comparison method.
resultsThe process of data analysis resulted in the emergence of 3 main categories "respecting client's values", "performing tasks within the professional manner", "personal characteristic", and the emergence of eight (8) sub-categories signifying participants' experiences with regard to EDM.
conclusionAccording to the results, when EMS personnel are faced with ethical dilemmas, they consider the client's values and professional dignity, and perform the assigned tasks within the framework of the regulation. The findings also suggest that pre-hospital care providers assess legal consequences before making any decision. Further studies should be conducted regarding the experiences of the subordinates and other related parties.
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