Specialist paramedics' perceptions of their transition to primary care

Many specialist paramedics are moving from the ambulance service to primary care. There is a lack of empirical literature regarding this transition. This study aims to improve support for specialist paramedics undertaking the transition by ascertaining factors that may hinder or facilitate the process. The study used semi-structured interviews with eight specialist paramedics working in primary care in England. An interpretative phenomenological analysis approach was used to analyse data, and this was informed by a review of theoretical and empirical literature. Facilitators and barriers to transition were found, along with information regarding the transition. Five facilitators were identified: previous clinical experience; mentorship; support; clear role parameters; and opportunity to develop. Four barriers were identified: role misunderstanding; changing scope of clinical practice; time pressures; and gaps in education and knowledge. This study contributes to a limited field of research by highlighting barriers and facilitators to the transition of specialist paramedics to primary care. Practical steps can be taken to smooth this transition.