Vol. 3 No. 1 (2024): Transforming Healthcare: AI & Management Innovations

Original Research Article

Exploring moral quandaries: An interpretative phenomenological inquiry into the ethical dilemmas faced by Emergency Medical Technicians (EMTs) in the Southern Philippines

Raifa M. Guro
College of Health Sciences, Mindanao State University, Marawi City, Philippines
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Asnorah P. Hadji Ali
College of Health Sciences, Mindanao State University, Marawi City, Philippines
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Ashley A. Bangcola
College of Health Sciences, Mindanao State University, Marawi City, Philippines
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Monalinda M. Macawadib
College of Health Sciences, Mindanao State University, Marawi City, Philippines
Bio
Norhanie A. Ali
College of Health Sciences, Mindanao State University, Marawi City, Philippines
Bio
Alibasher D. Macalnas
College of Health Sciences, Mindanao State University, Marawi City, Philippines
Bio

Keywords

Philippines, ethical dilemmas, emergency medical technicians, professional role, emergency medical services, respect, organizational culture

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Abstract

Background: Emergency Medical Technicians (EMTs) in Lanao del Sur, Philippines, face ethical dilemmas shaped by the Meranao cultural value of ‘Maratabat,’ which emphasizes family honor and dignity. Understanding these cultural nuances is crucial for improving emergency medical care and addressing the ethical challenges encountered by EMTs in this region.

Objective: This study aimed to explore the ethical dilemmas experienced by EMTs in disaster management settings, particularly how cultural values shape their decision-making processes.

Methods: A phenomenological design was utilized. Eight EMTs working at the Provincial Disaster Risk Reduction and Management Office (PDRRMO) of Lanao del Sur, Philippines, were purposefully selected to participate. Data were collected from 31 January 2024 to 1 February 2024 through in-depth interviews, and thematic analysis was employed for data analysis.

Results: Key themes emerged, including navigating complex dilemmas, adhering to organizational protocols, influential factors impacting EMTs’ capacity to handle ethical dilemmas in emergency services, and coping strategies for EMTs in addressing the psychological burden from ethical dilemmas in emergency care. The concept of ‘Maratabat’ greatly affects EMTs’ ethical decision-making processes, guiding their actions in the field.

Conclusion: The study highlights the importance of cultural values, organizational backing, and coping mechanisms in effectively enabling EMTs to address moral quandaries in their professional roles. Institutional support, a positive organizational culture, and continuous education are essential in assisting EMTs in making informed decisions amid ethical dilemmas. These findings have implications for interventions and strategies to support EMTs as frontline providers of emergency medical services, enhancing patient care quality during crises.


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Declaration of Conflicting Interest

The authors declared no conflict of interest in this study.

Acknowledgment

The authors gratefully acknowledge the invaluable contributions of the participants and the support extended by the local government authorities of PDDRMO of Lanao del Sur, Marawi City. Their cooperation and involvement were essential for the successful completion of this study.

Authors’ Contributions

Raifa M. Guro, as the main researcher, played a pivotal role in conceptualizing the research topic and data collection. Asnorah P. Hadji Ali, also the main researcher, significantly contributed to the research by providing expertise in healthcare management, facilitating data collection, and offering valuable insights into the research topic. Ashley A. Bangcola contributed to the research by providing expertise in data analysis and being involved in applying methods to analyze the gathered data. Additionally, she assisted in interpreting the findings and drawing meaningful conclusions from the data analysis. Monalinda M. Macawadib played a significant role in the research by assisting in the analysis of the gathered data and contributed to ensuring the accuracy and reliability of the data analysis process. Norhanie A. Ali contributed to the research by providing valuable support in analyzing the gathered data and being involved in conducting data analysis, qualitative coding, or other data processing methods. Alibasher D. Macalnas played an integral role in the research by assisting in the analysis of the gathered data and contributed to ensuring the robustness and reliability of the data analysis process. All authors were accountable in each step of the study and approved the final version of the article to be published.

Data Availability Statement

The datasets used and/or analyzed during the current study are available from the corresponding author upon reasonable request.

Declaration of the Use of AI in Scientific Writing

We, the authors, disclose the utilization of ChatGPT (https://chat.openai.com/) to enhance the tone and style of our manuscript. In March 2024, we employed ChatGPT to proofread our work comprehensively. Specifically, we instructed the AI to identify typos, grammatical errors, passive voice constructions, repeated phrases, and unnecessary adverbs within our manuscript. The resulting output was subsequently refined to align more closely with our intended writing style.

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