Student Paramedic Attitudes towards the Elderly: A Cross-Sectional Study

Ross, Linda; Duigan, Thomas Benedict; Boyle, Malcolm; Williams, Brett

doi:10.33151/ajp.11.3.16

Cited by 11 publications

(13 citation statements)

References 33 publications

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“…Although data derived from Likert scales is considered ordinal, it is acceptable to include descriptive statistical analyses (10). It should be noted there is a paucity of validated tools to measure the attitudes and perceptions of student paramedics (11).…”

Section: Instrumentationmentioning

confidence: 99%

Undergraduate Paramedic Students’ Perception of Mental Health Using a Pre and Post Questionnaire

Emond

Furness

Deacon-Crouch

2015

Australasian Journal of Paramedicine

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IntroductionIt is well recognised that mental illness causes significant morbidity and mortality, and has been identified as a national health priority. Despite this, there is a paucity of research about paramedic student perceptions and attitudes toward those experiencing mental health presentations. The objective of this study was to explore the mental health perceptions of a final year cohort of paramedic students from a regional Victorian university.MethodsFinal year undergraduate paramedicine students enrolled in the core subject Advanced Mental Health Practice were invited to participate in both pre- and post-subject surveys and record their perceptions of mental health using electronic questionnaires. The questionnaires used nine 5-point Likert scale questions and three multiple option questions using declarative statements.ResultsOf the 25 eligible students, 16 completed the pre-subject questionnaire and 12 completed both the pre- and post-subject questionnaires. The results indicated that this cohort held common myths and misconceptions relating to mental health combined with a lack of general knowledge about mental illness and its paramedic management. These perceptions altered following the introduction of the mental health subject.ConclusionThe results suggest that the implementation of a mental health subject into paramedicine undergraduate curriculum has the ability to positively alter perceptions of mental health. This may lead to students acquiring the knowledge and attitudes required to manage mental health presentations.

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Section: Instrumentationmentioning

confidence: 99%

Undergraduate Paramedic Students’ Perception of Mental Health Using a Pre and Post Questionnaire

Emond

Furness

Deacon-Crouch

2015

Australasian Journal of Paramedicine

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“…Longer delays to treatment in older patients and women have been associated with atypical symptoms and delay to STEMI recognition . Longer EMS delays in older patients may also be explained by the multiple medical problems and the diverse physical and psychological needs of ageing patients . In comparison, an explanation for why patients with mental health disorders experience longer EMS delays is less clear, and may be because their presentation is initially perceived to be psychosomatic in origin rather than cardiac …”

Section: Discussionmentioning

confidence: 99%

Factors associated with emergency medical service delays in suspected ST‐elevation myocardial infarction in Victoria, Australia: A retrospective study

Alrawashdeh

Nehme

Williams

et al. 2020

Emerg Medicine Australasia

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Objective: To assess the effect of patient and system characteristics on emergency medical service (EMS) delays prior to arrival at hospital in suspected ST-elevation myocardial infarction (STEMI). Methods: This was a retrospective observational study of 1739 patients who presented with suspected STEMI to the EMS in Melbourne, Australia between October 2011 and January 2014. Our primary outcome measure was call-to-hospital time, defined as the time in minutes from emergency call to hospital arrival. We examined the association of patient and system characteristics on call-to-hospital time using multivariable linear regression. Results: The mean call-to-hospital time was 60.1 min (standard deviation 20.5) and the median travel distance was 13.0 km (interquartile range 7.2-23.1). In the multivariable model, patient characteristics associated with longer call-to-hospital time were age ≥75 years (2.3 min; 95% confidence interval [CI] 0.6-4.0), female sex (1.9 min; 95% CI 0.3-3.4), pre-existing mental health disorder (4.0 min; 95% CI 1.9-6.1) or musculoskeletal disease (2.7 min; 95% CI 1.0-4.4), absence of chest pain (3.0 min; 95% CI 1.1-4.8), and presentation with clinical complications. System factors associated with call-to-hospital time include lower dispatch priority (12.7 min; 95% CI 9.0-16.5) and non-12-lead electrocardiography (ECG) capable ambulance first on scene (4.5 min; 95% CI 3.1-5.8). Patients who were not initially attended by a 12-lead capable ambulance were less likely to receive a 12-lead ECG within 10 min (18.5% vs 71.0%, P < 0.001). Conclusion: A range of patient and system factors may influence EMS delays in STEMI. However, optimising dispatch prioritisation and widespread availability of prehospital 12-lead ECG could lead to substantial reduction in time to treatment.

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“…Misconceptions, negative stereotypes and biases toward older adults are reportedly prevalent in research into students of health science (see e.g. Ross, Duigan, Boyle, & Williams, 2014), as well as into social work students (Kane, Lacey, & Green, 2009;Lin, Bryant, & Boldero, 2010). These negative attitudes are often associated with a lack of exposure to older adults and a lack of education about the elderly (Wang & Chonody, 2013).…”

Section: Implementing Critical Reflection In Social Work Education Wimentioning

confidence: 99%

“…This perception was grounded in both stereotypical views and a bias towards older people (see e.g. Ross et al, 2014). As one student tried to explain:…”

Section: Attitudes Towards the Elderly-reflection In Actionmentioning

confidence: 99%

Looking for elderly people´s needs: teaching critical reflection in Swedish social work education

Karlsson

2019

Social Work Education

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This paper focuses on how to use critical reflection in social work education in order to encourage students to critically reflect on their standards regarding assessment, opinions and values about aging. Material, both oral and written, from needs assessments of older persons conducted by 106 social work students was analyzed. The result shows that the students initially interpreted needs based on prejudice and assumptions about aging. However, when using Schön´s three steps of reflection in the exercise, together with knowledge of critical social work theories, students became more concerned and reflected more critically on their assessments. This study shows the possibilities of working with pedagogical exercises in order to increase the awareness and critical knowledge of social work students in order to attempt to reduce discrimination. Educating students in critical social work enables them to learn how to comment on and transform the profession of social work and our unjust society, while questioning their own as well as society's prejudice regarding the needs of elderly persons.

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Student Paramedic Attitudes towards the Elderly: A Cross-Sectional Study

Cited by 11 publications

References 33 publications

Undergraduate Paramedic Students’ Perception of Mental Health Using a Pre and Post Questionnaire

Undergraduate Paramedic Students’ Perception of Mental Health Using a Pre and Post Questionnaire

Factors associated with emergency medical service delays in suspected ST‐elevation myocardial infarction in Victoria, Australia: A retrospective study

Looking for elderly people´s needs: teaching critical reflection in Swedish social work education

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