Research Square (Research Square),
Год журнала:
2022,
Номер
unknown
Опубликована: Июнь 6, 2022
Abstract
Background:
Paramedics’
fatigue
is
rising.
Stress
factors
show
increased
risk
for
burnout,
fatigue,
leaving
the
profession,
decreased
performance
and
patient
safety.
Meanwhile,
paramedics’
strong
community
of
practice,
autonomy
a
sense
professional
respect
are
important
in
forming
psychological
resilience.
We
aimed
to
explore
Finnish
perceptions
job
demands
resources.
Methods:
Our
study
design
was
descriptive,
inductive
with
constructivist
approach.
Using
reflexive
thematic
analysis,
we
analyse
open-ended
questions,
from
web-based
survey
essays
written
by
paramedic
masters-degree
students.
The
followed
STROBE
checklist.
Results:
identified
as
stress
high
workload,
environmental
emotional
burden.
Performance
expectations
inadequacy
were
further
noted,
well
an
organizational
culture
hardiness,
presenting
lack
support
inequality.
resources
pressure
management
strategies,
which
expressed
positive
coping
mechanisms,
agency
affect
workload
self-actualization,
psychologically
safe
work
community,
pride
internal
drive
development.
Conclusions:
paramedics
exhibit
related
uncertainty
burden
cultural
hardiness
safety
communities.
Patient
or
Public
Contribution
:
This
done
based
on
data
collected
analysed
authors.
No
public
contribution
utilized
this
study.
British Paramedic Journal,
Год журнала:
2022,
Номер
7(2), С. 43 - 49
Опубликована: Авг. 30, 2022
This
article
introduces
the
reader
to
concepts
of
identity,
positionality
and
reflexivity
outlines
their
relevance
research
paramedics.
We
outline
how
a
researcher's
identity
can
influence
all
aspects
research,
including
question,
study
design,
data
collection
analysis.
discuss
that
'insider'
position
paramedics
conducting
with
other
or
within
specific
clinical
setting
has
considerable
benefits
participant
access,
understanding
dissemination,
while
highlighting
difficulties
role
duality
power
dynamics.
While
is
concerned
researcher
clearly
stating
assumptions
relating
topic,
context
process,
as
well
participants;
involves
questioning
finding
strategies
address
these.
The
must
reflect
upon
way
carried
out
explain
they
moved
through
processes
reach
certain
conclusions,
aim
producing
trustworthy
honest
account
research.
Throughout
this
article,
we
provide
examples
these
have
been
considered
applied
by
paramedic
PhD
studies
pre-hospital
setting,
illustrate
be
practically.
Journal of Multidisciplinary Healthcare,
Год журнала:
2024,
Номер
Volume 17, С. 1385 - 1400
Опубликована: Март 1, 2024
Abstract:
Timely
and
effective
prehospital
care
significantly
impacts
patient
outcomes.
Paramedics,
as
the
frontline
providers
of
emergency
medical
services,
are
entrusted
with
a
range
critical
responsibilities
aimed
at
safeguarding
well-being
patients
from
moment
they
initiate
contact
in
out-of-hospital
environment
to
time
handover
healthcare
facilities.
This
study
understand
multifaceted
roles
paramedics
promoting
safety
within
context
services.
A
systematic
review
an
integrative
approach
using
Whittemore
Knafl's
framework
was
performed
examining
qualitative,
quantitative,
mixed-methods
research,
then
conducting
data
assessment,
quality
appraisal,
narrative
research
synthesis.
Literature
search
encompassed
PubMed
(including
MEDLINE),
Scopus,
Cinahl,
ProQuest,
Web
Science,
EMBASE,
aim
retrieving
studies
published
English
last
decade
2013
2023.
To
conceptualize
ensuring
safety,
findings
were
reflected
analyzed
through
role
theory.
The
preliminary
exploration
database
yielded
2397
studies,
ultimately
narrowing
down
final
selection
16
for
in-depth
analysis
explored
facilitators
obstacles
faced
by
maintaining
terms
ambiguity,
conflict,
overload,
identity,
insufficiency
dynamic
nature
care.
It
also
highlighted
diverse
which
communication
decision
making
appropriate
management
life-threatening
emergencies.
effectiveness
playing
their
relies
on
acknowledging
contributions
culture
safety;
training
educational
initiatives
focused
enhancing
decision-making
abilities
both
non-technical
technical
competencies;
developing
relevant
guidelines
protocols;
improving
collaboration
between
other
peers;
optimizing
environmental
conditions
equipment;
fostering
supportive
work
environment.
Keywords:
healthcare,
paramedic,
emergency,
BMC Health Services Research,
Год журнала:
2022,
Номер
22(1)
Опубликована: Дек. 2, 2022
Paramedics'
fatigue
is
rising.
Stress
factors
show
increased
risk
for
burnout,
fatigue,
leaving
the
profession,
decreased
performance
and
patient
safety.
Meanwhile,
paramedics'
strong
community
of
practice,
autonomy
a
sense
professional
respect
are
important
in
forming
psychological
resilience.
We
aimed
to
explore
Finnish
perceptions
job
demands
resources.
Our
study
design
was
descriptive,
inductive
with
constructivist
approach.
Using
reflexive
thematic
analysis,
we
analyse
open-ended
questions,
from
web-based
survey
essays
written
by
paramedic
masters-degree
students.
The
followed
SRQR
checklist.
identified
as
stress
high
workload,
environmental
emotional
burden.
Performance
expectations
inadequacy
were
further
noted,
well
an
organizational
culture
hardiness,
presenting
lack
support
inequality.
resources
pressure
management
strategies,
which
expressed
positive
coping
mechanisms,
agency
affect
workload
self-actualization,
psychologically
safe
work
community,
pride
internal
drive
development.
paramedics
exhibit
related
uncertainty
burden
cultural
hardiness
safety
communities.
This
done
based
on
data
collected
analysed
authors.
No
or
public
contribution
utilized
this
study.
Research in Social and Administrative Pharmacy,
Год журнала:
2024,
Номер
20(9), С. 918 - 925
Опубликована: Июнь 15, 2024
The
term
'clinician'
is
not
reserved
for
any
healthcare
professional
group.
However,
there
a
general
acceptance
that
clinician
would
have
the
knowledge,
skills
and
behaviours
to
enable
them
clinically
assess
manage
patient
autonomously.
expectation,
in
modern
collaborative
system,
this
work
be
completed
as
part
of
planned
integrated
multi-disciplinary
care
delivery
structure,
where
given
delivers
devolved
element
patient's
care.
Forthcoming
changes
regulation
development
pathways
UK
will
profound
impact
on
pharmacist
identity
practice.
From
2026,
all
new
registrants
full
independent
prescribing
rights.
A
paradigm
shift
expected
Pharmacist
Clinician
Model,
incorporating
pharmaceutical
needs
with
wider
clinical
assessment,
diagnostic,
management
responsibilities.
Consideration
model
its
implications.
Changes
regulation,
policy,
education,
governance
required
deliver
safe
effective
clinicians
are
outlined.
philosophical
critique
nature
being
clinician,
differentiation
roles
compared
other
professions,
given.
further
examination
projected
risks
benefits
transformative
practice
then
explored.
Abstract
Aim
To
investigate
the
association
between
paramedics'
salutogenic
health
and
their
intentions
to
stay
in
profession.
Design
A
cross‐sectional
survey.
Methods
Paramedics
from
eight
purposively
selected
organizations
participated
this
study
(
n
=
433).
The
data
were
collected
2022
with
Salutogenic
Health
Indicator
Scale
validated
single
questions
that
assessed
work
ability,
recovery
self‐rated
stress.
Intention
was
measured
using
two
about
intention
leave
prehospital
emergency
medical
service
nursing
sector
completely
during
next
2
years.
Data
analysed
logistic
regression
statistical
significance
tests.
Results
Men
had
higher
mean
scores
than
women.
No
significant
differences
observed
across
experience
or
occupational
groups.
intending
profession
exhibited
those
leave.
In
models,
increasing
levels
of
ability
associated
Healthcare,
Год журнала:
2024,
Номер
12(9), С. 946 - 946
Опубликована: Май 5, 2024
Introduction:
Paramedic
practice
is
highly
variable,
occurs
in
diverse
contexts,
and
involves
the
assessment
management
of
a
range
presentations
varying
acuity
across
lifespan.
As
result,
attempts
to
define
paramedic
have
been
challenging
incomplete.
This
has
led
inaccurate
or
under-representations
that
can
ultimately
affect
education,
assessment,
delivery
care.
In
this
study,
we
outline
our
efforts
better
identify,
explore,
represent
professional
when
developing
national
competency
framework
for
paramedics
Canada.
Methods:
We
used
systems-thinking
approach
identify
settings,
features,
influences
on
makes
use
role
influence
system
features
at
microsystem,
mesosystem,
exosystem,
macrosystem,
supra-macrosystem,
chronosystem
levels
ways
provide
new
insights.
methods
such
as
rich
pictures,
diagramming,
systems
mapping
explore
relationships
between
these
contexts
features.
Findings:
When
examine
paramedicine,
multiple
layers
become
evident
within
them
start
see
details
ought
be
considered
any
future
development
work.
Our
exploration
highlights
considers
person
receiving
care,
caregivers,
paramedics.
It
collaboration
co-located
dispersed
teams
are
composed
other
health
social
care
professionals,
public
safety
personnel,
others.
Practice
enacted
geographical,
cultural,
social,
technical
subject
policy,
regulatory,
legislative
influence.
Conclusion:
Using
approach,
developed
detailed
map
inform
initial
stages
more
representative,
comprehensive,
contemporary
European journal of psychotraumatology,
Год журнала:
2024,
Номер
15(1)
Опубликована: Сен. 6, 2024
:
First
responders
(FRs)
are
at
high
risk
of
being
exposed
to
traumatic
events
in
their
occupational
roles.
Responding
critical
incidents
often
involves
exposure
life-threatening
circumstances,
dealing
with
fatalities
and
encountering
highly
stressful
situations
that
may
trigger
responses.
These
experiences
can
lead
poor
physical
mental
health
(MH)
outcomes
including
post-traumatic
stress
disorder,
co-morbid
conditions
such
as
depression,
anxiety,
substance
abuse,
insomnia,
suicidality.
Little
research
has
explored
the
perspectives
FRs
trauma(s)
how
best
meet
needs.
Introduction
Paramedic
practice
is
highly
variable,
occurs
in
diverse
contexts,
and
involves
the
assessment
management
of
a
range
presentations
varying
acuity
across
lifespan.
As
result,
attempts
to
define
paramedic
have
been
challenging
incomplete.
This
has
led
inaccurate
or
under-representations
that
can
ultimately
affect
education,
assessment,
delivery
care.
In
this
study,
we
outline
our
efforts
better
identify,
explore,
represent
professional
when
revising
national
competency
framework
for
paramedics
Canada.
Methods
We
used
systems
thinking
approach
identify
settings,
features,
influences
on
makes
use
role
influence
system
features
at
microsystem,
mesosystem,
exosystem,
macrosystem,
supra-macro
system,
chronosystem
levels
ways
provide
new
insights.
methods
such
as
rich
pictures,
diagramming,
mapping
explore
relationships
between
these
contexts
features.
Findings
When
examine
paramedicine,
multiple
layers
become
evident
within
them
start
see
details
ought
be
considered
any
future
development
work.
Our
exploration
highlights
considers
person-receiving
care,
caregivers,
paramedics.
It
collaboration
co-located
dispersed
teams
are
composed
other
health
social
care
professionals,
public
safety
personnel,
others.
Practice
enacted
geographical,
cultural,
social,
technical
subject
policy,
regulatory,
legislative
influence.
Conclusion
Using
approach,
developed
detailed
map
inform
initial
stages
more
representative,
comprehensive,
contemporary
