A qualitative study on the relationship between leadership and clinical skills in paramedicine and the promotion of patient safety

Adrian Lockhart, Tony Walker, K. Bowles
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Abstract

This study aims to investigate and describe the relationship between acquired leadership capability and clinical performance in the out-of-hospital environment (OOH) and to identify and explore those key themes that might influence a relationship between paramedic leadership aptitude and patient safety. This study employed a qualitative descriptive design using a combination of purposive and convenience sampling. Data collection occurred via semi-structured interviews conducted over teleconference. Qualitative thematic analysis was chosen with an inductive orientation, semantic focus of meaning, and experiential framework taken to coding and theme generation. This methodology facilitated the discovery and analysis of the participant's personal experiences with the interconnectedness of leadership and clinical skills and the associated implications to patient safety. Data was collected from seven registered paramedics, all of whom were working for public sector ambulance services as specialist, advanced care paramedics. Five primary themes emerged: (1) discovery of human factors, (2) knowledge growth is formal and informal, (3) working smarter, (4) leadership expectations and usefulness and (5) transparency of errors. These themes underpin the importance of, and provide constructive insights into, the relationship between leadership and clinical skills in paramedicine and the impact on patient safety. This research has identified that those non-technical skills (NTS) including that of leadership employed in paramedicine are inextricably linked and of equal importance to those technical clinical skills The assessment of a paramedic's NTS against a required standard in a similar way to a technical skill, is important when considering practice competency policies moving forward.
关于辅助医务人员领导力和临床技能与促进患者安全之间关系的定性研究
本研究旨在调查和描述院外环境(OOH)中后天领导能力与临床表现之间的关系,并确定和探讨可能影响辅助医务人员领导能力与患者安全之间关系的关键主题。本研究采用了定性描述设计,将目的性抽样和便利性抽样相结合。通过电话会议进行半结构化访谈收集数据。采用归纳式主题分析、语义聚焦和经验框架进行编码和主题生成。这种方法有助于发现和分析参与者在领导力与临床技能相互关联方面的个人经验,以及对患者安全的相关影响。收集数据的对象是七名注册辅助医务人员,他们都是在公共部门救护服务机构工作的专业高级护理辅助医务人员。研究发现了五个主要的主题:(1) 发现人为因素;(2) 正式和非正式的知识增长;(3) 更聪明地工作;(4) 领导的期望和作用;(5) 错误的透明度。这些主题强调了辅助医疗中领导力与临床技能之间关系的重要性以及对患者安全的影响,并提供了建设性的见解。这项研究发现,辅助医疗中使用的非技术性技能(NTS),包括领导能力,与临床技术技能密不可分,具有同等重要性。
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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来源期刊
CiteScore
1.30
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0.00%
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