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Evaluation of the CARES skills framework as a peer support model in the paramedic undergraduate curriculum: facilitating challenging discussions in a safe environment
Journal article   Open access   Peer reviewed

Evaluation of the CARES skills framework as a peer support model in the paramedic undergraduate curriculum: facilitating challenging discussions in a safe environment

Belinda Flanagan, Matthew Warren-James and Jeanine Young
Prehospital Emergency Care, Vol.27(8), pp.971-977
2023
PMID: 36103240
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Evaluation of the CARES skills framework as a peer support model in the paramedic undergraduate curriculum - facilitating challenging discussions in a safe environment1.03 MBDownloadView
Accepted Version Open Access CC BY-NC V4.0
url
https://doi.org/10.1080/10903127.2022.2125136View
Published Version

Abstract

coping wellbeing grief peer support social support
Objective: Infant or child death is reported as being the most distressing type of case paramedics attend. Student paramedics also identify supporting bereaved families as an area associated with low confidence. This study evaluated the CARES skills framework (Connect to emotion, Attention training, Reflective listening, Empathy, Support help seeking) as a peer support model to encourage student paramedics to talk about grief and death related to infants and children. Method: A convenience sample of first-year paramedic students (target n = 154) was recruited from a single Australian regional university. A modified nominal group technique method was used following a student debriefing session designed to identify problems, generate solutions, and make decisions regarding the efficacy of the CARES skills framework. Results: Of 154 eligible participants, 141 participated (92% response rate). Peer social support normalized students’ emotions related to death and dying. Although naming emotions was challenging, students reported that the CARES model facilitated a safe environment to talk about death and dying. Students reported feeling heard and connected to their peers during the exercise and an enhanced sense of belonging after the exercise. Conclusions: Findings contribute to evidence that suggests the CARES model is a useful mechanism to enhance peer social support in paramedic students.

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Emergency Medicine
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