International Journal for Advancing Practice, Journal Year: 2023, Volume and Issue: 1(1), P. 47 - 48
Published: April 2, 2023
Sam Willis, Simon Menz and Paul Grant discuss the development of community paramedic role explore how it has evolved to meet contextual demands across Australia
Language: Английский
Australian Journal of Rural Health, Journal Year: 2025, Volume and Issue: 33(1)
Published: Jan. 6, 2025
To evaluate the alignment of undergraduate paramedicine curricula in Australia with RESPIGHT model, focusing on diverse aspects such as emergency response, community engagement and governance.
Language: Английский
Citations
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BMC Medicine, Journal Year: 2025, Volume and Issue: 23(1)
Published: Jan. 21, 2025
Abstract Background In response to the unsustainable workload and workforce crises in primary care, paramedics (with their generalist clinical background acquired from ambulance service experience) are increasingly employed care. However, specific contribution can offer care has not been distinctly outlined. We used realist approaches understand ways which impact (or not) workforce. Methods A evaluation was undertaken, consisting of three independent but inter-related research studies: WP1, a mixed-methods cross-sectional survey UK conducted comprehend existing practices within NHS. WP2 involved an analytic auto-netnography, where online conversations among were observed paramedics’ perceptions role. WP3 utilised focused observations interviews delve into on This comparative study collected data sixty participants across fifteen sites UK, twelve region Canada, Community Paramedicine is well established. Results The culmination findings each phase led development final programme theory, comprising 50 context-mechanism-outcome configurations (CMOCs) encompassing conceptual categories: Expectations associated with transition roles, roles responsibilities Conclusions Our mixed-method approach present empirical evidence role It offers insights factors relating deployment, employment, how they fit wider team. Based generated, we produced series practice implementation recommendations highlighted areas for further research.
Language: Английский
Citations
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BMJ Open, Journal Year: 2025, Volume and Issue: 15(3), P. e096986 - e096986
Published: March 1, 2025
Background Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. Low back pain (LBP) a discomfort in the spinal area around 12th rib inferior gluteal folds without radiation to lower extremities. It widespread public health problem throughout world, especially prominent for healthcare providers working prehospital areas. Now, it major low- middle-income countries, but magnitude its determinant factors have not been researched Ethiopia. Objective To assess prevalence of LBP among selected ambulance service centres Addis Ababa, Ethiopia, 2024. Methods A cross-sectional study was conducted from total 150 Ethiopia 1 30 April simple random sampling method used select participants. Data were collected using standardised self-administered questionnaire by certified degree nursing professionals. The data imported into EpiData V. 3.1 exported SPSS 25 analysis. determine whether there significant relationship between dependent independent variables, bivariable multivariable logistic regression carried out. Result overall 80%. Working twisting position (AOR: 5.763 (95% CI 1.544 21.515)) several call missions >6 times per week 12.437 2.603 59.423)) positive predictors, while ergonomic manual guidelines 0.159 0.032 0.787)) negative predictor LBP. Conclusion There high providers. Also, predictors position, significantly Healthcare facilities should be retrofitted equipment enabling work based on principles ergonomics.
Language: Английский
Citations
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BMC Primary Care, Journal Year: 2025, Volume and Issue: 26(1)
Published: March 22, 2025
In 2014, a rural Family Health Team (FHT) in Ontario, Canada embedded community paramedicine program into their primary care practice to improve for complex patients. Community paramedics are health professionals who extend role beyond emergency services provide home and settings. The study aims evaluate the utility of having FHT. this qualitative study, we conducted 12 semi-structured interviews with team (n=4) other staff from FHT (n=8), including physicians, nurse practitioners, allied (AHPs), director. We deductive thematic analysis using RE-AIM framework. This allowed us examine strengths challenges incorporating model providers coordinating patient setting. Reach: is primarily used by physicians target older patients multiple chronic conditions, frequent use, limited social support. Effectiveness: In-home visits yield detailed picture patients' health-related behaviours, such as medication adherence dietary habits, improving FHT's understanding needs informing strategies. Adoption: value opportunity build long-lasting relationships. Implementation: location significant external barrier limiting paramedic program's ability serve larger caseload. Maintenance: aligns mission access vulnerable Our findings highlight paramedics' supporting high-needs patients, particularly average age 78, they often have comorbidities, prevalent dementia. Such conditions necessitate gather accurate information masked clinic Embedding improves provides more support needs. Using these findings, developed "how to" blueprint embedding settings address high-risk adults. Not applicable.
Language: Английский
Citations
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BMC Health Services Research, Journal Year: 2025, Volume and Issue: 25(1)
Published: April 10, 2025
Abstract Background Globally, ambulance services face overwhelming primary and urgent care presentations that they are not structurally or culturally designed to manage efficiently effectively. One mechanism meet this consumer demand is the implementation of Paramedic Practitioner models with postgraduate qualifications in care. This study explores interest-holder views on reactive within Australian services. Methods A multidisciplinary team representing was formed, including paramedicine, nursing, medicine. realist lens adopted, a qualitative research design using inductive thematic analysis employed. Semi-structured focus groups interviews were conducted obtain data from 56 participants. Interest-holders represented included consumers ( n = 16), members parliament 3), government executives 8), industry emergency medicine, general practice, paramedicine 6), service medical directors 7), researchers practicing clinicians medicine 8). Results Consumers described calling for non-emergency complaints as didn’t know if their concern an not, wanting go hospital, someone listen them, reassure then quickly solve problem spot: saw Practitioners aptly meeting need. Among healthcare professions, opinions divided. Most participants largely unfamiliar evidence base supporting model concept received widespread support at clinician level, small but avidly dissenting contingent national policymakers opposed models. considered require broad across system be effective. Policymakers unsure which outcomes wanted measured evaluate Conclusion reports wide range perspectives use Enablers 10) barriers efficient effective identified. Key interest 6) identified, these may operationalised future evaluations programs.
Language: Английский
Citations
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Palliative Medicine, Journal Year: 2023, Volume and Issue: 37(8), P. 1266 - 1279
Published: July 14, 2023
Paramedic practice is diversifying to accommodate evolving global health trends, including community paramedicine models and growing expertise in palliative end-of-life care. However, despite care specific clinical guidelines existing training, paramedics still lack the skills, confidence support provide this type of care.To elicit paramedics', doctors nurses', general practitioners', residential aged nurses' bereaved families carers' experiences, perspectives, attitudes on role, barriers enablers delivering community-based settings.A qualitative study employing reflexive thematic analysis data collected from semi-structured online interviews was utilised.A purposive sample 50 stakeholders all Australian jurisdictions participated.Five themes were identified: positioning paramedic (a dichotomy between life saver responder); creating an identity (the trusted clinician a crisis), fear threat (feeling afraid caring for dying), permission (seeking consent take approach) harsh reality (navigating role limiting siloed environment).Paramedics perceived have revered public identity, shaped by their ability fix crisis. other professionals also expressed vulnerability when taking approach Paramedics may require move beyond culture curative care, yet participant groups recognised important adjunct
Language: Английский
Citations
6
Paramedicine, Journal Year: 2023, Volume and Issue: 20(3), P. 63 - 78
Published: March 17, 2023
Understanding patient experience is associated with quality, safe, and effective healthcare. However, there a scarcity of knowledge explaining how patients non-conveyance, setting where individuals receive unscheduled ambulance service response paramedic-led care that results in decision to not attend hospital emergency department (ED). This research project aimed investigate patients’ experiences non-conveyance within an Australian setting. Constructivist Grounded Theory methods were used generate analyse data from in-depth, semi-structured interviews 21 participants who received healthcare between August 2020 October 2021 resulted non-conveyance. A substantive theory centred on ‘Restoring self-efficacy’ was generated. It comprises three categorical concepts their interconnected relationships, ‘Losing independence’ conceptualises precipitating event forces realise circumstantial vulnerabilities, motivating action seek support leads response. self-confidence’ emerged as the core concept, central overall key influence navigating decision. When perceive they have professionally thorough compassionate paramedics, form trusting partnership resulting interpretation circumstances do require conveyance ED. With this reconstructed perspective, demonstrate increased ability for ‘Self-management’, by continuing cope own after episode care. paper provides theoretical model understanding Experience influenced dynamic, complex factors restoring self-efficacy relation managing health topic interest. Restoration interactions paramedics. Future may consider investigating impacts applying paramedic education practice, quality indicators surrounding situations.
Language: Английский
Citations
5
Australasian Emergency Care, Journal Year: 2023, Volume and Issue: 27(1), P. 21 - 25
Published: Aug. 9, 2023
Community Paramedicine is a model of care which effective and accepted by health professionals the community. paramedicine delivers low acuity primary to disadvantaged communities addresses service gaps. We aimed identify successful implementation community models signalled opportunities challenges.
Language: Английский
Citations
5
Applied Health Economics and Health Policy, Journal Year: 2024, Volume and Issue: 22(5), P. 665 - 684
Published: July 17, 2024
Globally, emergency medical services (EMSs) report that their demand is dominated by non-emergency (such as urgent and primary care) requests. Appropriately managing these a major challenge for EMSs, with one mechanism employed being specialist community paramedics. This review guides policy evaluating the economic impact of paramedic models from healthcare system perspective.
Language: Английский
Citations
1
BMJ Open, Journal Year: 2024, Volume and Issue: 14(7), P. e083866 - e083866
Published: July 1, 2024
In 2023, Australian government emergency medical services (EMS) responded to over 4 million consumers, of which 56% were not classified as an 'emergency', at the cost AU$5.5 billion. We explored viewpoints politicians, policymakers, clinicians and consumers on how these non-emergency requests should be managed. A realist framework was adopted; a multidisciplinary team (including paramedicine, medicine nursing) formed; data collected via semistructured focus groups or interviews, thematic analysis performed. 56 participants selected purposefully open advertisement: national state parliamentarians (n=3); heads healthcare disciplines policymakers (n=5); industry in medicine, general practice paramedicine (n=6); EMS chief executive officers, directors managers (n=7); academics (n=8), frontline nursing (n=8); (n=16). Three themes emerged: first, reality workload (theme titled 'facing reality'); second, perceptions what direction policy take manage this ('no silver bullet') finally, future role society ('finding right space'). Participants provided 16 suggestions, 10 widely supported: increasing public health literacy, removing Medical Priority Dispatch System, supporting teams, 24-hour virtual departments, revising undergraduate paramedic university education reflect contemporary role, use management plans for frequent better integration with system, empowering callers by providing estimated wait times, reducing ineffective media campaigns 'save emergencies' moving away from hospital referrals towards community care. There is need establish consensus within and, particularly, whether scope continue expanding beyond This research reports possible ideas, each may warrant consideration, maps them onto standard patient journey.
Language: Английский
Citations
1