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EMS Mental Health Assignment: Culturally Sensitive Support for Non-Western Bystanders in Denmark

University University College Dublin (UCD)
Subject Literature Review

Title

Exploring Culturally Sensitive Mental Health Support for Non-Western Bystanders in Denmark’s EMS: Practices, Gaps, and Policy Implications

These instructions follow academic best practices for a scoping review, using the PRISMA-ScR framework, APA 7th edition referencing, and a literature inclusion timeframe of 2010–2025.

✅ Instructions for Writing the Literature Review

1. Purpose

The literature review aims to:

  • Map existing evidence on culturally sensitive mental health support in emergency medical services (EMS)
  • Focus on non-Western populations and bystander trauma
  • Identify research gaps and best practices in Denmark and comparable EU contexts

2. Inclusion Criteria (PCC Framework)

Element Description
Population: Non-Western immigrants or refugees, ethnic minorities, or culturally/linguistically diverse bystanders
Concept: Mental health support, trauma-informed care, cultural competence, bystander psychological interventions
Context: EMS (ambulance services, paramedics, prehospital care) in Denmark or EU countries

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3. Study Timeframe

Only include peer-reviewed literature published between January 2010 and May 2025.

4. Search Strategy (PRISMA-ScR Standards)

a. Databases

Use at least three of the following academic databases:

  • PubMed / MEDLINE
  • ScienceDirect
  • PsycINFO (EBSCO)
  • Scopus or Embase (if available)

b. Search String Structure

Use combinations of MeSH terms and keywords for each PCC element. For example:

(“Emergency Medical Services” OR “EMS” OR “ambulance” OR “prehospital care”)
AND (“bystander*” OR “witness*” OR “layperson*” OR “community responder”)
AND (“mental health” OR “psychological support” OR “trauma” OR “PTSD”)
AND (“culturally competent” OR “cultural sensitivity” OR “ethnic minority” OR “non-Western” OR “immigrant” OR “refugee”)

Apply Boolean operators, truncations, and filters (e.g., publication year: 2010–2025; language: English).

c. Document the Search Process

Create a PRISMA flow diagram with:

  • Number of records identified
  • Number after duplicates removed
  • Records screened
  • Full-text articles assessed
  • Final number of included studies

Record search dates, database names, keywords used, filters applied, and total hits.

5. Screening Process

Screen titles and abstracts against inclusion/exclusion criteria:

  • Include: Empirical studies (qualitative, quantitative, mixed methods), literature reviews, policy documents
  • Exclude: Opinion pieces, non-peer-reviewed sources, editorials, studies unrelated to mental health or EMS

Use tools like Zotero, Rayyan, or Excel to manage references and screen articles.

6. Data Extraction

Create a data extraction table with the following fields:

Field Description
Author(s), Year
Title
Country of study
Population studied
EMS context
Intervention or focus
Cultural relevance
Key findings
Relevance to your research question

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7. Thematic Analysis Structure

Group findings into thematic categories, aligned with your thesis structure:

  1. Cultural and Linguistic Barriers
  2. Mental Health Needs of Migrants and Refugees
  3. Current EMS Practices and Gaps
  4. Disparities and Inequities
  5. Recommendations for Culturally Competent EMS Care

Each theme should:

  • Start with authors and publication year
  • Synthesize findings (not just summarize)
  • Compare studies, highlight contradictions or consensus
  • Identify methodological strengths/weaknesses
  • Emphasize relevance to the Danish EMS context

8. Referencing

Use APA 7th edition throughout the review.

  • In-text: (Author, Year) or Author (Year)
  • Full reference list in alphabetical order at the end of the chapter

9. Writing Style & Structure

Follow an hourglass structure:

  1. Start with general trends on EMS, trauma, and migration in Europe
  2. Narrow to Denmark and non-Western bystanders
  3. End with summary and identification of key gaps

Use:

  • Topic sentences to introduce each paragraph
  • Transitions to connect ideas
  • Clear and concise academic English
  • Objective and analytical tone

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