Rees Nigel, Williams Julia, Hogan Chloe, Smyth Lauren, Archer Thomas
Welsh Ambulance Services NHS Trust ORCID iD: https://orcid.org/0000-0001-8799-5335.
University of Hertfordshire.
Br Paramed J. 2021 Sep 1;6(2):34-39. doi: 10.29045/14784726.2021.9.6.2.34.
Exceptional demands have been placed on paramedics and other healthcare workers (HCWs) during the COVID-19 pandemic. An overwhelming outpouring of public support has unfolded, bringing into focus the relationship between paramedics, other HCWs and society, where they are portrayed as heroes. Scholars have studied the notion of heroism to society, and characteristics of such heroic status include: the voluntary nature of a heroic act, risk of physical or social harm, willingness to accept the consequences of action, acting for the benefit of others and without the expectation of gain. While some HCWs and paramedics may reflect these characteristics, many may not. Such heroic narratives can be damaging, stifling meaningful discussion around limits to duties, failing to acknowledge the importance of reciprocity and potentially imposing demands on paramedics and HCWs to be heroic.
This article prospectively presents the protocol for a metasynthesis which aims to identify, appraise and synthesise the qualitative literature in order to develop theory on heroism and paramedic practice.
Evolved grounded theory methodology is followed along with the procedural guidelines of Noblit and Hare (1988) to guide the analysis. The Preferred Reporting Items for Systematic Reviews and Meta-analysis Protocols (PRISMA-P) have also been adopted when preparing this protocol and will be followed in the study proper. The protocol has been registered with the International Prospective Register of Systematic Reviews PROSPERO 2021, registration number CRD42021234851.
We do not currently have results, but PRISMA guidelines will be followed when reporting our findings.
Current narratives on heroism and paramedic practice are important in terms of the relationship between paramedics and society. The metasynthesis prospectively reported in this article serves as the first point in our journey of making sense of and developing theory on heroism and paramedic practice.
在新冠疫情期间，护理人员和其他医护人员面临着极高的要求。公众给予了大量支持，这使得护理人员、其他医护人员与社会之间的关系成为焦点，他们被视为英雄。学者们研究了英雄主义对社会的概念，这种英雄地位的特征包括：英雄行为的自愿性质、身体或社会伤害的风险、愿意接受行动后果、为他人利益行事且不期望获得回报。虽然一些医护人员和护理人员可能体现这些特征，但许多人可能并非如此。这种英雄叙事可能具有破坏性，会抑制围绕职责限制的有意义讨论，无法承认互惠的重要性，并可能给护理人员和医护人员施加成为英雄的要求。
本文前瞻性地介绍了一项元综合研究方案，旨在识别、评估和综合定性文献，以发展关于英雄主义和护理实践的理论。
遵循进化的扎根理论方法以及诺布利特和黑尔（1988年）的程序指南来指导分析。在制定本方案时还采用了系统评价和元分析方案的首选报告项目（PRISMA-P），并将在实际研究中遵循。该方案已在国际前瞻性系统评价注册库PROSPERO 2021中注册，注册号为CRD42021234851。
我们目前尚无结果，但在报告研究结果时将遵循PRISMA指南。
当前关于英雄主义和护理实践的叙事对于护理人员与社会之间的关系很重要。本文前瞻性报告的元综合研究是我们理解和发展英雄主义与护理实践理论之旅的起点。
