Feedback Use in Paramedicine

International journal of paramedicine Pub Date : 2024-01-05 DOI:10.56068/flgc4650

James Foster, Stacey Todd, Brett Williams

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Abstract

Objective: The aim of this scoping review is to determine how feedback is used in paramedicine. Introduction: Feedback is widely recognised as essential for clinician growth in healthcare however there is limited research on its use within paramedicine. Paramedics place high value on effective feedback and different types and methods are used depending on context. Methods: Peer-reviewed primary research involving any type of feedback used in paramedicine was included. We searched MEDLINE, CINAHL, EMCARE, SCOPUS and grey literature from inception to March 2023. Two authors independently screened and selected studies for full-text review. One reviewer performed data extraction. This reviewfollowed JBI methodological guidance and PRISMA extension for scoping reviews. Results: From 413 articles 20 were included in this review (16 quantitative, 3 qualitative and 1 mixed-methods). Feedback is generally given under the themes of professional and personal development, quality improvement, resuscitation and education. Paramedics have a strong desire for feedback to meet personal and professional needs. However, current provisions are inadequate and compounded by existing barriers. Informal routes of feedbackare sought when formal routes are inadequate despite the latter having more weighting. Feedback in resuscitation either in real-time or post-incident positively modifies paramedic behaviour to improve performance. Feedback is used in paramedic services to standardize care as part of quality improvement. Within an education setting feedback as an education tool is well received and improves confidence for future performance. Conclusion: Paramedics display a positive attitude to receiving feedback to meet personaland professional requirements. Desires for feedback outweigh provisions compounded by existing barriers, potentially creating a paramedic wellbeing issue. Feedback is an effective tool within paramedicine in modifying behaviours either immediately or post-incident to improve clinical performance.

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辅助医疗中的反馈使用

目标：本范围研究旨在确定如何在辅助医疗中使用反馈：反馈被广泛认为是临床医生在医疗保健领域成长的关键，但在辅助医疗中使用反馈的研究却很有限。辅助医务人员高度重视有效的反馈，并根据具体情况采用不同的反馈类型和方法：方法：纳入经同行评审的、涉及辅助医疗中使用的任何反馈类型的初级研究。我们检索了 MEDLINE、CINAHL、EMCARE、SCOPUS 以及从开始到 2023 年 3 月的灰色文献。两位作者独立筛选并选取研究进行全文审阅。一名审稿人负责数据提取。本综述遵循了 JBI 方法指南和 PRISMA 扩展范围综述：从 413 篇文章中，有 20 篇被纳入本综述（16 篇定量研究，3 篇定性研究，1 篇混合方法研究）。反馈通常以专业和个人发展、质量改进、复苏和教育为主题。辅助医务人员强烈希望获得反馈，以满足个人和专业需求。然而，目前的规定并不充分，而且还存在障碍。当正式途径不足时，他们会寻求非正式的反馈途径，尽管后者的权重更大。复苏过程中的实时反馈或事故发生后的反馈会积极改变辅助医务人员的行为，从而提高工作绩效。在辅助医疗服务中，反馈被用来规范护理，作为质量改进的一部分。在教育环境中，反馈作为一种教育工具广受欢迎，并能提高对未来表现的信心：辅助医务人员对接受反馈以满足个人和专业要求持积极态度。对反馈的渴望超过了对现有障碍的规定，这可能会造成辅助医务人员的福利问题。在辅助医务人员中，反馈是一种有效的工具，可以立即或在事故发生后改变行为，从而提高临床表现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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International journal of paramedicine

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