Australian Journal of Paramedicine最新文献_第7页

The Transition from Clinician to Manager: The Paramedic Experience 从临床医生到管理者的转变:护理人员的经验

Australian Journal of Paramedicine Pub Date : 2021-01-01 DOI: 10.33151/ajp.18.861

K. Stewart, Vicki Cope, Melanie Murray

{"title":"The Transition from Clinician to Manager: The Paramedic Experience","authors":"K. Stewart, Vicki Cope, Melanie Murray","doi":"10.33151/ajp.18.861","DOIUrl":"https://doi.org/10.33151/ajp.18.861","url":null,"abstract":"Introduction Promotion from paramedic to manager is common in ambulance services, yet there is limited research concerning paramedics’ experience of this role transition. The purpose of this qualitative study was to explore the experiences of paramedics who have transitioned from clinician to manager. Methods A qualitative approach was used for this study. Through purposive sampling, semi-structured interviews were conducted with paramedics who had made the transition to manager. The participants were asked to describe how they felt and what their experiences were concerning this transition. Thematic analysis was undertaken identifying themes within participant responses. Results Six key themes emerged during the data analysis. Participants described feelings of isolation on moving from the frontline, a lack of feeling part of the team ‘in green’; however, they also reported that previously being a paramedic in some instances gave credibility in their new manager roles. Challenges reported concerned no formal training before transitioning into the role, and the lack of essential managerial experience. Conclusion This research provided insight into how paramedics feel and perceive the transition from clinician to management roles. A review of the organisational approach to role transition is of benefit to paramedics. Such a review may help identify what changes could be made in support of paramedics transitioning to management roles. Further research is required across other ambulance services to determine the efficacy of these results in the broader ambulance service environment.","PeriodicalId":340334,"journal":{"name":"Australian Journal of Paramedicine","volume":"2018 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116714502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Care in the Field: Adult Anaphylaxis for Paramedics 现场护理:护理人员的成人过敏反应

Australian Journal of Paramedicine Pub Date : 2021-01-01 DOI: 10.33151/ajp.18.916

M. Wilkinson-Stokes, D. Rowland, Maddison Spencer, Sonja Maria, Marc Colbeck

引用次数: 0

A Comparison of Australasian Jurisdictional Ambulance Services’ Paramedic Clinical Practice Guidelines Series: Adult Sepsis 澳大利亚管辖救护车服务的护理人员临床实践指南系列的比较:成人败血症

Australian Journal of Paramedicine Pub Date : 2021-01-01 DOI: 10.33151/ajp.18.932

M. Wilkinson-Stokes, Elena Ryan, Michael Williams, Maddison Spencer, Sonja Maria, Marc Colbeck

{"title":"A Comparison of Australasian Jurisdictional Ambulance Services’ Paramedic Clinical Practice Guidelines Series: Adult Sepsis","authors":"M. Wilkinson-Stokes, Elena Ryan, Michael Williams, Maddison Spencer, Sonja Maria, Marc Colbeck","doi":"10.33151/ajp.18.932","DOIUrl":"https://doi.org/10.33151/ajp.18.932","url":null,"abstract":"Introduction This article forms part of a series that seeks to identify interjurisdictional differences in the scope of paramedic practice and differences in patient treatment based upon which jurisdiction a patient is geographically located within at the time of their complaint. Methods The current CPGs of each JAS were accessed during June 2020, and updated in August 2021. Content was extracted and verified. Results Nine services provide antibiotics for meningococcal septicaemia, with dosage ranging from 1 – 4 grams. Five services provide antibiotics for non-meningococcal sepsis (three under doctor approval), with choice of antibiotic including Ceftriaxone, Benzylpenicillin, Amoxicillin, and Gentamicin. Three services provide antipyretics, one provides corticosteroids under doctor approval, and all provide fluids (with dosage ranging from 20 – 60 ml/kg). ICPs are allowed to provide adrenaline infusions in nine services, noradrenaline in three services (one requiring doctor approval), and metaraminol in three services. Two additional services restrict metaraminol to specialist paramedics, with one of these requiring doctor approval. Two services perform phlebotomy and one takes lactate. Paramedics perform unassisted intubation in one service, with nine restricting this to ICPs. Facilitated or Ketamine-only intubation is performed by ICPs in one service. Rapid or delayed sequence induction is performed by ICPs in six services, and restricted to specialists in two services. Conclusion The domestic jurisdictional ambulance services in Australasia have each created unique treatment clinical practice guidelines that are heterogeneous in their treatments and scopes of practice. A review of the evidence underlying each intervention is appropriate to determining best practice.","PeriodicalId":340334,"journal":{"name":"Australian Journal of Paramedicine","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125871015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Escape Rooms in Paramedic Education 急救教育中的密室逃生

Australian Journal of Paramedicine Pub Date : 2021-01-01 DOI: 10.33151/ajp.18.935

S. Delport, A. Weber

{"title":"Escape Rooms in Paramedic Education","authors":"S. Delport, A. Weber","doi":"10.33151/ajp.18.935","DOIUrl":"https://doi.org/10.33151/ajp.18.935","url":null,"abstract":"Introduction Even with paramedicine's evolution, clinical decision-making will always be a crucial learning and teaching requirement. As part of their learning, paramedic students need to develop critical thinking and collaborative approaches with others. The aim was to review the literature around escape room activity as a pedagogical approach for paramedic education. The intent is to contribute to the discussion around authentic and engaging approaches to teaching clinical thinking and decision making in paramedicine. Methods A systematic review was undertaken to review existing literature on using this approach in higher education. EBSCO, Medline, CINAHL, ScienceDirect, ProQuest and PubMed were used to review paramedic and health education strategies using a list of keywords. Results There were 23 scholarly papers examining the use of escape rooms in an educational context found. There was no reference to using this teaching methodology in paramedicine, but some health contexts were identified for nursing, pharmacy, radiology and medicine. Conclusion With an instructional design that addresses logistical requirements, educational escape rooms can be used effectively in paramedic higher education. This review highlights a longitudinal study is needed to assess an educational escape room's implementation into the paramedic higher education curriculum. A longitudinal, multi-university study can further explore the feasibility of using a blended online/offline escape room activity in large enrolment paramedic programs.","PeriodicalId":340334,"journal":{"name":"Australian Journal of Paramedicine","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125884763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Ethical Dilemmas with Little Time for Reflection: A Discussion of the Ethics of Out-of-Hospital Refusals 没有时间反思的伦理困境:院外拒绝的伦理讨论

Australian Journal of Paramedicine Pub Date : 2021-01-01 DOI: 10.33151/ajp.18.909

Bryson Galozo, Blair Macdonald

引用次数: 0

Uncharted Waters: The Effects of Covid-19 on Student Paramedics 未知的水域:Covid-19对学生护理人员的影响

Australian Journal of Paramedicine Pub Date : 2021-01-01 DOI: 10.33151/ajp.18.921

S. Whitfield, A. Perkins, Sarah Kelly, Hannah Dumbleton

{"title":"Uncharted Waters: The Effects of Covid-19 on Student Paramedics","authors":"S. Whitfield, A. Perkins, Sarah Kelly, Hannah Dumbleton","doi":"10.33151/ajp.18.921","DOIUrl":"https://doi.org/10.33151/ajp.18.921","url":null,"abstract":"Introduction The effect of COVID-19 pandemic shutdowns on education has been discussed broadly in both the media and among academics, however its true effects on paramedicine students and their ability to attend in-person lectures, skill sessions and clinical placements has not been widely researched. This study aimed to investigate the impact of COVID-19 on a group of paramedicine students at an Australian university. Methods A cross-sectional study using a convenience sample of first and second year paramedicine students was undertaken to explore their perceived experiences of COVID-19 through both qualitative and quantitative responses. Results A total of 83 paramedicine students from Griffith University in Queensland participated in the survey, demonstrating an 84.7% response rate. Of the participants, 78.3% (n=65) disagreed that online workshop sessions were as valuable as face-to-face sessions. Similarly, the majority of participants (61.5%, n=51) disagreed that online lectures and tutorials were as beneficial as in-person equivalents. A further 61.4% (n=51) of students agreed that COVID-19-associated lockdowns had negatively impacted their ability to formulate strong personal relationships that are important for university, however 78.3% of students agreed that communication platforms assisted in maintaining some form of social interaction. Conclusion The results from this study demonstrate that the educational and social impacts of COVID-19 on paramedicine students were highly diverse, and were contingent on several factors including but not limited to: year of study, learning style, previously established social connections and extenuating life circumstances.","PeriodicalId":340334,"journal":{"name":"Australian Journal of Paramedicine","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124439846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Public Perceptions of the Cost of Paramedic Services in Saskatchewan, Canada 公众对加拿大萨斯喀彻温省护理服务成本的看法

Australian Journal of Paramedicine Pub Date : 2021-01-01 DOI: 10.33151/ajp.18.889

Adeyemi O. Ogunade, F. Luhanga, Jacquie Messer-Lepage, Khan Md Rashed Al-Mamun

{"title":"Public Perceptions of the Cost of Paramedic Services in Saskatchewan, Canada","authors":"Adeyemi O. Ogunade, F. Luhanga, Jacquie Messer-Lepage, Khan Md Rashed Al-Mamun","doi":"10.33151/ajp.18.889","DOIUrl":"https://doi.org/10.33151/ajp.18.889","url":null,"abstract":"Introduction Despite the increasingly important role of paramedics in Canada's healthcare system, the Canadian Health Act does not cover paramedic services. Anecdotal evidence indicates that the cost of paramedic services prevents many people in need from accessing this care. This article explores public perceptions of the cost of paramedic services in Saskatchewan, Canada. Methods Using a qualitative research design, we collected data from 56 participants in focus group sessions and semi-structured interviews designed to explore perceptions of paramedic services in Saskatchewan. Results The data indicated that participants perceived the cost of paramedic services to be too high, and that this perception may limit the use of paramedic services during medical emergencies. The data also suggested a lack of understanding of how paramedic service costs are calculated. Overall, participants expected the government to do more to subsidise these costs. Conclusion The results revealed a disconnect between public perceptions about the cost of paramedic services and the initiatives designed by the provincial government to alleviate these costs. They also highlight the need for better public education about and access to government programs designed to alleviate the cost of paramedic services.","PeriodicalId":340334,"journal":{"name":"Australian Journal of Paramedicine","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121647977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

State of the Evidence for Emergency Medical Services Care of Adult Patients with Sepsis: An Analysis of Research from the Prehospital Evidence-Based Practice Program 成人脓毒症患者急诊医疗服务的证据现状:院前循证实践项目的研究分析

Australian Journal of Paramedicine Pub Date : 2021-01-01 DOI: 10.33151/ajp.18.851

J. Greene, J. Goldstein, D. Lane, J. Jensen, Yves Leroux, J. Swain, D. Fidgen, Ryan Brown, M. Simpson, Alix J. E. Carter

{"title":"State of the Evidence for Emergency Medical Services Care of Adult Patients with Sepsis: An Analysis of Research from the Prehospital Evidence-Based Practice Program","authors":"J. Greene, J. Goldstein, D. Lane, J. Jensen, Yves Leroux, J. Swain, D. Fidgen, Ryan Brown, M. Simpson, Alix J. E. Carter","doi":"10.33151/ajp.18.851","DOIUrl":"https://doi.org/10.33151/ajp.18.851","url":null,"abstract":"Introduction The Prehospital Evidence-Based Practice (PEP) program is an online, freely accessible, continuously updated emergency medical services evidence repository. This PEP summary describes the research evidence for the identification and management of adult patients with sepsis or septic shock. Methods A systematic search of the literature on sepsis or septic shock was conducted. Studies were scored by trained appraisers on a three-point level of evidence scale (based on study design and quality) and a three-point direction of evidence scale (supportive, neutral or opposing findings based on the studies’ primary outcome for each intervention). Results One hundred forty-three studies (80 existing and 63 new) were included for 16 interventions listed in PEP for adult patients with sepsis. The evidence matrix rank for supported interventions (n=16) were supportive-high quality (n=2, 12.5%) for crystalloid infusion and vasopressors, supportive-moderate quality (n=8, 50%) for identification tools, pre-notification, point-of-care lactate, titrated oxygen, temperature monitoring and balanced crystalloids. The benefit of pre-hospital antibiotics, colloids, Trendelenburg position and early goal-directed therapy remain inconclusive with a neutral direction of evidence. There is moderate level evidence opposing the use of high flow oxygen. Conclusion Several standard treatments are well supported by the evidence including fluid resuscitation, using balanced crystalloids, vasopressors and titrating oxygen. Tools for identifying and guiding treatment are also supported (eg. pre-notification, temperature monitoring and lactate). The evidence for antibiotic use is inconclusive. This PEP state of the evidence analysis can be used to guide selection of appropriate pre-hospital therapies during the development of pre-hospital protocols or clinical practice guidelines.","PeriodicalId":340334,"journal":{"name":"Australian Journal of Paramedicine","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129296348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Enhancing Professional Practice and Professionalism among Canadian Rural Paramedics 加强加拿大农村护理人员的专业实践和专业精神

Australian Journal of Paramedicine Pub Date : 2021-01-01 DOI: 10.33151/ajp.18.926

Mathieu Grenier, Julia van Vuuren, E. Spelten

{"title":"Enhancing Professional Practice and Professionalism among Canadian Rural Paramedics","authors":"Mathieu Grenier, Julia van Vuuren, E. Spelten","doi":"10.33151/ajp.18.926","DOIUrl":"https://doi.org/10.33151/ajp.18.926","url":null,"abstract":"Introduction The scope of paramedic practice is being redefined and expanded. Professional development and clinical expertise are not only necessary for paramedics to perform their clinical functions and operational responsibilities, they are at the very core of their professionalisation. Professionalisation is a complex process, and the degree to which it can accomplished will impact society's perception of the profession – and its trust in it – for years to come. This study investigated ways to enhance professional practice, from the point of view of the main healthcare providers in a rural area of Ontario, Canada. Methods A qualitative analysis informed by action research methodology was used. The research design was staged and consisted of focus groups and a World Café. The data were coded and organised into themes, using thematic analysis, and were triangulated with the literature. Results Three key themes emerged from the World Café and focus group conversations including current enablers of professionalisation; system components that promote professionalism; and community of practice to support professional development and clinical expertise. Conclusion Paramedic practice is evolving. This should be reflected in clinical practice and education, and more paramedic-led research. Paramedic training may need to move from the college to the university environment to reflect equal standing with colleagues in the broader healthcare system. This study shows strong motivation among paramedics and management to enhance professional practice and professionalism. To achieve this, a culture of trust, developing engagement and communication strategies and establishing a community of practice are crucial.","PeriodicalId":340334,"journal":{"name":"Australian Journal of Paramedicine","volume":"2013 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131031533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychological and Social Wellbeing of Paramedics in Riyadh City during the Covid-19 Pandemic Covid-19大流行期间利雅得市护理人员的心理和社会福祉

Australian Journal of Paramedicine Pub Date : 2021-01-01 DOI: 10.33151/ajp.18.895

A. Alqahtani, S. Alqahtani, Abdullah S Alhodaib, Amin Daoulah, Abdulmajeed Mobarad, S. Alhamid, R. Alhazmi

引用次数: 4