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Title: Planning for chaos : developing the concept of emergency preparedness through the experience of the paramedic
Author: Day, Alison
ISNI:       0000 0004 5922 245X
Awarding Body: University of Warwick
Current Institution: University of Warwick
Date of Award: 2015
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This thesis aimed to develop an understanding of the concept of emergency preparedness through the lived experiences of paramedics, utilising an interpretative phenomenological analysis (IPA) methodology. Emergency preparedness is a developing speciality, with a limited evidence base. Current research is mainly atheoretical, with the majority of literature comprising of anecdotal reports, government guidance, clinical protocols, audit and clinical policy. The published literature offers little more than opinion and a retrospective view of experience, with few studies examining and understanding the individual lived experience within this area. To address the identified gaps in the literature and in line with the idiographic focus of IPA, thirteen paramedics were recruited and face-to-face interviews explored their individual experiences of emergency preparedness. Through data analysis, the following superordinate themes were identified for further discussion:- self determination, control and experience-based practice. Participants appeared to value their role and the unpredictable environment that they worked in. Personal resilience, an area that they suggested is not covered effectively within individual preparation, was viewed as important. The participants articulated that risk, threat, uncertainty, safety, trust and control were important concepts within individual preparedness. These paramedics valued practice-based knowledge and education as credible and transferrable to their clinical work. Additionally, storytelling appeared as a preferred method of conveying knowledge in an area with minimal real-life experience. Dimensions of individual preparedness are presented, with the paramedic central to the experience within a conceptual model (the DiEP model), creating a new form of emergency preparedness that reflects the individual paramedic’s experience.
Supervisor: Not available Sponsor: Coventry University
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: RA Public aspects of medicine