Fundamentals of Paramedic Practice: A Systems Approach

490 Pages·2015·10.1 MB·English

by  Sam Willis

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Fundamentals of
Paramedic
Practice
This book is dedicated to two significant characters within pre- and out-of-hospital care.
The first is Graham Harris, MCPara College of Paramedics, Director of Professional Standards, and
elected Governing Council Member for London Region. Graham has made an incredible contribution
to both pre- and out-of-hospital care, through the publication of significant texts, but more impor-
tantly through the synthesis and publication of the Paramedic Curriculum Guidance, and the Para-
medic Career and Competency Framework documents, eligibility for student paramedics to be part
of the NHS bursary system, and also the professional body’s endorsement of higher education HCPC-
approved programmes.
The second is Robert Henson, paramedic, team leader and qualified training officer. Rob demon-
strates true leadership and dedication to the profession every single day. His passion for the profes-
sion is tireless, and he is a true role model for the staff and students he supports.
Thank you Graham and Rob for your ongoing contributions to pre-hospital care and paramedic
education.
Fundamentals of
Paramedic
Practice
A Systems Approach
EDITED BY
Sam Willis
Lecturer in Paramedic Sciences, HCPC Registered Paramedic, Fellow of the Higher Education Academy,
School of Medicine, University of Tasmania, Sydney, Australia
AND
Roger Dalrymple
Principal Lecturer, Professional Education and Leadership Programmes, Oxford Brookes University,
Oxford, UK
This edition first published 2015 © 2015 by John Wiley & Sons, Ltd
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The right of Sam Willis and Roger Dalrymple to be identified as the authors of the editorial material in this work has
been asserted in accordance with the UK Copyright, Designs and Patents Act 1988.
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Library of Congress Cataloguing-in-Publication Data
Fundamentals of paramedic practice : a systems approach / edited by Sam Willis and Roger Dalrymple.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-118-48627-6 (pbk.)
I. Willis, Sam, 1978– , editor. II. Dalrymple, Roger, 1971– , editor.
[DNLM: 1. Emergency Medical Technicians. 2. Emergency Treatment. 3. Emergency Medical
Services. 4. Professional Role. WB 105]
RA975.5.E5
362.18–dc23
2014038943
A catalogue record for this book is available from the British Library.
Cover image: © Iona Semay
Cover design by Visual Philosophy
Set in 10/12 pt MyriadPro by Toppan Best-set Premedia Limited
1 2015
Contents
About the series xvii
Contributors xviii
Preface xxi
Acknowledgements xxiii
How to use your textbook xxiv
About the companion website xxviii
Part One Theory and Background
Chapter 1 Professionalism in paramedic practice 3
Netta Lloyd-Jones
Introduction 4
Professionalism in paramedic practice 4
Defining professionalism 5
Professionalism as ethical practice 6
Professional identity, socialisation and culture 6
How do students learn professionalism? 7
Assessment and standards of professionalism 9
Regulatory areas, fitness to practise processes and outcomes 9
Conclusion 10
Activities 11
Glossary 11
References 12
Chapter 2 Human factors of paramedic practice 14
Sam Willis
Introduction 15
Background 16
Defining human factors 16
Human factors of paramedic practice 16
Hazardous attitudes 21
Crew resource management (CRM) 23
Conclusion 24
Activities 25
Glossary 27
References 28
Contents
viii Chapter 3 Communication skills for the pre-hospital professional 29
Sam Willis
Introduction 30
Background 31
The importance of effective communication 31
A model of communication 32
Non-verbal communication 33
Verbal communication 38
Effective listening 39
Empathy 40
Barriers to effective communication in the pre-hospital setting 40
Conclusion 42
Activities 42
Glossary 43
References 44
Chapter 4 Sociological aspects of paramedic practice 46
Kellie Tune
Introduction 47
The sociological imagination 47
Three sociological paradigms 48
The sociocultural context of health 51
Medicalisation and demedicalisation 52
Conclusion 53
Activities 53
Glossary 55
References 56
Chapter 5 Legal and ethical aspects of paramedic practice 58
Sam Willis, Nevin Mehmet
Introduction 59
Ethical aspects of paramedic practice 63
Conclusion 67
Activities 67
Glossary 67
References 68
Chapter 6 The psychology of paramedic care 70
Heather Knight, Helen Pocock
Introduction 71
Llewellyn’s core domains of clinical health psychology 71
Psychological concepts of health 75
Influences of a loss of control on health 75
Psychological considerations for the paramedic 77
The system 79