• Gundega Dambe Latvijas Universitāte, Pedagoģijas, psiholoģijas un mākslas fakultāte
  • Dzintra Atstāja Banku augstskola



ambulance personnel, attitude, competence, skills, values


The purpose of this paper is to clarify and analyse the understanding of the values for Ambulance personnel, to compare and integrate it with the system of competencies used in the performance assessment and evaluation of professional competence. The results of State Emergency Medical Service ambulance personnel’s survey in the 2018 are analysed in the research. The results obtained Ambulance personnel’s different understanding of the importance of organization's values and its impact in management, staff attitude and work performance. The results of the survey have showed that Ambulance personnel has contradictive understanding of system of values. Their personal values are respect, compassion, care, ethics, honesty, trust, however for their professional work they recognise teamwork, professionalism, safety, etc. as very important values.




ACEP Mission Statement (2003). Retrieved from

ACP Core Values (2003). Retrieved from

Combes, J.R , & Arespacochaga , E. (2012). Physician Competencies for a 21st Century Health Care System J Grad Med Educ. 2012 Sep; 4(3), 401–405.

Core Values (2019). Harbor Medical Services Retrieved from

Dambe, G., Atstaja, D.(2015). The Assessment of competencies for Ambulance Personnel – Problems and Challenges, Sabiedrība, integrācija, izglītība, Rēzeknes Augstskolas starptautiskās zinātniskās konferences materiāli, 509-520.

Dambe, G. (2012). Evolution of learning organized by employer, ARSA-2012 - Advanced Research in Scientific Areas, 6. Psychology, Sociology and Pedagogy, Social Science, 782-783. Retrieved from

Dambe, G. (2013a). Medical Professionals in the Role of an Adult Educator: Case of Latvia. Virtual International Conference on Advanced Research in Scientific Fields 2th-6th December 2013, 235-239.

Dambe, G. (2013b). Annual Proficiency Tests at Workplace and its Role in Personnel Development. Conference Human And Social Sciences at the Common Conference 18-22 November, 149-156.

Dambe, G., & Atstaja, D. (2013a). Estimation of Ambulance personnel Generations Differences in Learning Needs Determination: Case of Latvia, The 1st International Virtual International Scientific Conference SCIECONF 2013, 10-14 June, 2013, 219-223.

Dambe, G., & Atstāja, D. (2013b). Does yearly made testing of knowledge at work place enhance medical personnel’s self-directed learning in their longlife? Sabiedrība, integrācija, izglītība, Rēzeknes Augstskolas starptautiskās zinātniskās konferences materiāli 2013.gada 25-26.maijs, 550-561.

Dambe, G., & Atstāja, D. (2014). Profesionālisma novērtēšanas problēmas un izaicinājumi neatliekamās medicīniskās palīdzības personālam. Sabiedrība, integrācija, izglītība. Rēzeknes Augstskolas starptautiskās zinātniskās konferences materiāli 2014.gada 23-24.maijs, 404-414.

Dufourg, N., Goldstein, L.,N., & Botha, M. (2017). Competence in performing emergency skills: How good do doctors really think they are? African Journal of Emergency Medicine, V7(4), 151-156.

Geske, A., & Grīnfelds, A. (2006). Izglītības pētniecība. Latvijas Universitātes Akadēmiskais apgāds, Rīga.261 lpp.

Gill, D. (2013). Assessment of professionalism. In Westwood O, Griffin A, Hays F (Ed.), How to assess students and trainees in medicine and health (76 - 93): Wiley-Blackwell.

Goodwin, N. (2013). Taking integrated care forward:The need for shared values. International Journal of Intergrated care, 13 Retrieved from:

Halligan, A. (2008). The importance if values in healthcare. Journal of the Royal Society Medicine, Oct 1; 101(10), 480–481.

Hodges, B.D., Ginsburg, S., Cruess, R., et al.(2011). Assessment of professionalism: recommendations from the Ottawa 2010.Conference. Medical Teacher, 33, 354-363.

Kim, S.,C.,Ro, Y.,S.,et al., (2017). Assessment of Competence in emergency medicine among Helthcare Professionals in Cameroon, JKMS, Journal of Korean Science, 32(12), 1932-1937.

Kompetenču vārdnīca (2011). Pieejams

Leung, L.Y. (2012). The Five Core Virtues of the Modern Physician. Retrieved from

Mitchell, P., M. Wynia, R., Golden, B., McNellis, S., Okun, C.E., Webb, V., Rohrbach, I., & Von Kohorn, I. (2012). Core principles & values of effective team-based health care. Discussion Paper, Institute of Medicine, Washington, DC. Retrieved from

Mission Vision & Values (2019). Dalhausie University Department of Emergency Medicine (2019), Retrieved from:

Sharp HealthCare's Mission, Vision and Values (2019). Retrieved from

Tregunno, D., Barnsley, J., & Murray M. (2004). Competing Values of Emergency Department Performance: Balancing Multiple Stakeholder Perspective. Health Services Ressearches. Aug; 39(4 Pt 1), 771–792.

Westwood, O.M., Griffin, A., & Hay, F.,H. (2013). Hov to Assess Students and Trainees in Medicine and Health. John Willey & Sons, LTD, UK

WHO. WHO global strategy on people-centred and integrated health services, interim report Geneva; 2015. Retrieved from: .

Word it out (2019). Retrieved from:

Zonneveld, N., Driessen, N., René A. J. Stüssgen, R.A., & Mikman., M. (2018) Values of Integrated Care: A Systematic Review. Journal of Integrated Care 2018 Oct-Dec; 18(4): 9.

gada 10.jūlija Ministru kabineta noteikumi Nr.494 „Noteikumi par valsts tiešās pārvaldes iestādēs nodarbināto darba izpildes novērtēšanu” Retrieved from

gada 16.aprīļa Ministru kabineta noteikumi Nr.268 „Noteikumi par ārstniecības personu un studējošo, kuri apgūst pirmā vai otrā līmeņa profesionālās augstākās medicīniskās izglītības programmas, kompetenci ārstniecībā un šo personu teorētisko un praktisko zināšanu apjomu” Retrieved from