辅助医务人员重返临床实践的经历:反思性专题分析

Jessica Odgers, Andrew Rochecouste, Brett Williams
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引用次数: 0

摘要

在过去的几十年里,澳大利亚的辅助医务人员队伍有了显著的扩大和发展。专业化、日益增长的需求和不断发展的临床实践,都给辅助医务人员带来了压力,要求他们满足社区对提供服务的期望。缺勤后重返临床实践对辅助医务人员来说是一个巨大的挑战,他们需要在重新适应快节奏的院前护理环境的同时驾驭这一过渡阶段。本研究旨在探索和了解重返临床实践的辅助医务人员的经历。研究方法邀请护理人员讨论他们重返澳大利亚救护车服务临床实践的经历。在组织支持理论框架的支持下,采用归纳法进行了定性反思性主题分析。经验取向得到了批判现实主义本体论的支持,而批判现实主义本体论又与认识论背景主义相互交叉和重叠。研究结果确定了三大主题(1) 感知到的组织支持,(2) 灵活工作的现实,以及 (3) 临床医生的身份。主题一又进一步细分为与结构、工作参与度和临床支持有关的三个次主题。结论:我们的研究结果让我们深入了解了重返临床实践的辅助医务人员的生活经历。这些经历和挑战应为组织政策的应用和资源分配提供参考,以便在未来更好地支持重返临床的辅助医务人员。相关策略应包括增强领导能力、灵活的工作方式、强有力的临床教育以及具有内在灵活性的结构化计划,以便在强调沟通和支持的同时使员工重新融入社会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The paramedic experience of return to clinical practice: A reflexive thematic analysis
The Australian paramedic workforce has significantly expanded and evolved in the past few decades. Professionalisation, increasing demand and evolving clinical practice have contributed to pressure on paramedics to meet community expectations of service delivery. Returning to clinical practice after an absence presents a substantial challenge for paramedics who will need to navigate this transitional phase while readjusting to the fast-paced environment of pre-hospital care. This study aims to explore and understand the experience of paramedics returning to clinical practice. Methods: Paramedics were invited to discuss their experiences returning to clinical practice in ambulance services within Australia. A qualitative reflexive thematic analysis was conducted utilising an inductive approach, underpinned by the theoretical framework of the organisational support theory. An experiential orientation was supported by a critical realist ontology, which intersected and overlapped with epistemological contextualism. Results: Three major themes were identified: (1) perceived organisational support, (2) the reality of flexible work, and (3) clinician identity. Theme one was further broken down into three sub-themes relating to structure, work engagement, and clinical support. Conclusions: Our findings provide insight into the lived experiences of paramedics returning to clinical practice. These experiences and challenges should inform the application of organisational policy and resource allocation to better support returning paramedics in the future. Strategies should include enhanced leadership capability, flexible work, robust clinical education, and structured programmes with in-built flexibility to reintegrate staff with an emphasis on communication and support.
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