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Interaction, action, and reflection: how medics learn medical care in the Swedish armed forces
Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Health Sciences. Centre for Defence Medicine, Swedish Armed Forces, Göteborg, Sweden. (Medicinsk pedagogik)
Centre for Defence Medicine, Swedish Armed Forces, Göteborg, Sweden.
Centre for Defence Medicine, Swedish Armed Forces, Göteborg, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Health Sciences. (Medicinsk pedagogik)
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2013 (English)In: Military medicine, ISSN 0026-4075, Vol. 178, no 8, 861-866 p.Article in journal (Refereed) Published
Abstract [en]

The objective of this study is to examine how medics within the Swedish Armed Forces perceive their learning outcome following military prehospital training. A qualitative study with a phenomenographic approach was used to investigate how leaming is perceived among military medics. At meta level, the results can be viewed as an interaction, i.e., being able to collaborate in the medical platoon, including the ability to interact within the group and being able to lead; an action, i.e., being able to assess and treat casualties, including the ability to communicate with the casualty, to prioritize, and to be able to act; and a reflection, i.e., having confidence in one's own ability in first aid, including being prepared and feeling confident. Interaction during the period of education is important for learning. Action, being able to act in the field, is based on a drill in which the subject progresses from simple to complex procedures. Reflection, leaming to help others, is important for confidence, which in turn creates preparedness, thereby making the knowledge meaningful.

Place, publisher, year, edition, pages
AMSUS , 2013. Vol. 178, no 8, 861-866 p.
National Category
Medical and Health Sciences Social Sciences
URN: urn:nbn:se:liu:diva-106000DOI: 10.7205/MILMED-D-13-00048OAI: diva2:712733
Available from: 2014-04-16 Created: 2014-04-16 Last updated: 2014-10-28Bibliographically approved
In thesis
1. Militär akutsjukvård i fält: när den övade verkligheten blir verklig
Open this publication in new window or tab >>Militär akutsjukvård i fält: när den övade verkligheten blir verklig
2014 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Aims: Governing for the Armed Forces health care is respect for human dignity and the view of each individual as irreplaceable. The quality of the military care will be at a level equivalent to that of today's civil peace healthcare, which requires that the training is of high quality. Casualty care in the military environment is a complex, challenging and dangerous task. Today there is a lack of knowledge about how to learn these skills. The purpose of the research was to identify the knowledge area pre-hospital care in the military environment by examining what doctors, nurses, paramedics and officers learn about military health care during preparation and exercise.

Method: A phenomenographic approach was used in all sub-studies, and empirical data were collected by means of semi-structured interviews. Study I‐III are cross-sectional studies and study IV is a longitudinal study. Twelve registered nurses who had served in Bosnia were interviewed for study I, and 24 conscript paramedics were interviewed for study II. Study III included 20 officers in their pre-deployment training for service in Afghanistan and Liberia, and Study IV included 7 doctors and twenty nurses who previously had served in Afghanistan, Bosnia, Kosovo and Liberia.

Results: Learning military health care by training and gaining experience can be seen as different abilities; interaction, action and reflection. In-depth analysis at a meta--‐level revealed that the integration between the military and military medical fields of knowledge was missing. The results indicate that participants' understanding of their respective fields of knowledge is inadequate and needs to be integrated in education in a clearer way.

Implications: To create opportunities for better education and integration in these fields of knowledge are proposed (1) that the findings of the thesis could be utilised to develop the design of the curriculum (2) the inter-professional learning is introduced as a part of creating a safer and more effective pre-hospital care, (3) the clinical competence becomes part of the development of pre-hospital emergency care in the field, and (4) that the training is built according to the principle of "train as you fight" with emphasis on the requirements in the combat zone.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2014. 76 inkl. 3 bilagor p.
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1411
National Category
urn:nbn:se:liu:diva-111670 (URN)10.3384/diss.diva-111670 (DOI)978-91-7519-284-0 (print) (ISBN)
Public defence
2014-11-24, Berzeliussalen, Campus US, Linköpings universitet, Linköping, 13:00 (Swedish)
Available from: 2014-10-28 Created: 2014-10-28 Last updated: 2014-10-31Bibliographically approved

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Andersson, Sten-OveTingström, PiaAbrandt Dahlgren, Madeleine
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