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运用分析性自我民族志方法探索初级保健中护理人员的认知。

Using an analytic auto-netnographic approach to explore the perceptions of paramedics in primary care.

作者信息

Eaton Georgette, Tierney Stephanie, Wong Geoff, Mahtani Kamal R

机构信息

Nuffield Department of Primary Care Health Sciences ORCID iD: https://orcid.org/0000-0001-9421-2845.

Nuffield Department of Primary Care Health Sciences ORCID iD: https://orcid.org/0000-0002-2155-2440.

出版信息

Br Paramed J. 2024 Dec 1;9(3):21-27. doi: 10.29045/14784726.2024.12.9.3.21.

Abstract

INTRODUCTION

Paramedics in the UK are moving from emergency ambulance services into primary care, where they are employed to boost the clinical workforce. Whereas there is emerging research that seeks to understand the contribution of paramedics to the primary care workforce, there is none regarding the perceptions paramedics have regarding their role in primary care.

METHODS

An analytic auto-ethnography was undertaken, utilising a peripheral membership approach for online communities used by paramedics on Facebook, Reddit and Twitter (now X). Over a 3-month period (December 2021 to February 2022), the primary researcher reflected on the conversations, comments and opinions posted within these communities within a reflexive (immersion) journal, considering them against the context of her own experience.

RESULTS

Paramedics in primary care, who are generally isolated due to their geographical isolation from each other, utilise online social spaces to foster a community of practice. These forums are used to discuss their clinical role, education and experiences, as well as to consider their place within the primary care workforce.

CONCLUSION

This is the first application of this methodology within online social spaces utilised by UK paramedics. This article also presents novel use of a peripheral membership approach within an analytic auto-netnography in public online spaces for researcher-practitioners.

摘要

引言

英国的护理人员正从紧急救护服务转向初级医疗保健领域,他们受雇于此以扩充临床工作队伍。尽管已有研究试图了解护理人员对初级医疗保健工作队伍的贡献,但关于护理人员对自身在初级医疗保健中角色的看法却尚无相关研究。

方法

采用分析性自我民族志方法,运用外围成员身份法研究护理人员在脸书、红迪网和推特(现称X)上使用的在线社区。在3个月期间(2021年12月至2022年2月),第一作者在一本反思性(沉浸式)日志中思考这些社区内发布的对话、评论和观点,并结合自身经历来考量它们。

结果

初级医疗保健中的护理人员通常因地理位置相互隔离,他们利用在线社交空间来培育实践社群。这些论坛用于讨论他们的临床角色、教育和经历,以及思考他们在初级医疗保健工作队伍中的位置。

结论

这是该方法在英国护理人员使用的在线社交空间中的首次应用。本文还展示了在公共在线空间的分析性自我网络民族志中,为研究者 - 从业者创新性地运用外围成员身份法。

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The development of community paramedicine; a restricted review.社区医疗服务的发展:一项受限的综述。
Health Soc Care Community. 2022 Nov;30(6):e3547-e3561. doi: 10.1111/hsc.13985. Epub 2022 Sep 5.
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Role Identity, Dissonance, and Distress among Paramedics.急救人员的角色认同、角色失调和困扰。
Int J Environ Res Public Health. 2022 Feb 13;19(4):2115. doi: 10.3390/ijerph19042115.
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The doctor, the father, and the social scientist.医生、父亲与社会科学家。
Arch Dis Child. 2003 Jan;88(1):44-5. doi: 10.1136/adc.88.1.44.

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