Limits...
Informing a Canadian paramedic profile: framing concepts, roles and crosscutting themes

View Article: PubMed Central - PubMed

ABSTRACT

Background: Paramedicine is a rapidly evolving health profession with increasing responsibilities and contributions to healthcare. This rapid growth has left the profession with unclear professional and clinical boundaries. Existing defining frameworks may no longer align with the practice of paramedicine or expectations of the public. The purpose of this study was to explore the roles paramedics in Canada are to embody and that align with or support the rapid and ongoing evolution of the profession.

Methods: We used a concurrent mixed methods study design involving a focused discourse analysis (i.e., analysis of language used to describe paramedics and paramedicine) of peer reviewed and grey literature (Phase 1) and in-depth one-on-one semi-structured interviews with key informants in Canadian paramedicine (Phase 2). Data from both methods were analyzed simultaneously throughout and after being merged using inductive thematic analysis.

Results: Saturation was reached after 99 national and international grey and peer reviewed publications and 20 in depth interviews with stakeholders representing six provinces, seven different service/agency types, 11 operational roles and seven provider roles. After merging both data sets three framing concepts, six roles and four crosscutting themes emerged that may be significant to both present-day practice and aspirational. Framing concepts, which provide context, include variable contexts or practice, embedded relationships and a health and social continuum. Roles include clinician, health and social advocate, team member, educator, professional and reflective practitioner. Crosscutting themes including patient safety, adaptability, compassion and communication appear to exist in all roles.

Conclusions: The paramedic profession is experiencing a shift that appears to deviate or at least place a tension on traditional views or models of practice. Underlying and evolving notions of practice are resulting in intended or actual clinical and professional boundaries that may require the profession to re-think how it is defined and/or shaped. Until these framing concepts, roles and crosscutting themes are fully understood, tested and operationalized, tensions between guiding frameworks and actual or intended practice may persist.

No MeSH data available.


Graphic representation of conceptual model that emerged from our data; moving from the outer circle in are framing concepts, crosscutting themes and roles paramedics at all levels or specialization are to embody
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC5015210&req=5

Fig1: Graphic representation of conceptual model that emerged from our data; moving from the outer circle in are framing concepts, crosscutting themes and roles paramedics at all levels or specialization are to embody

Mentions: Our results are represented visually in Fig. 1 illustrate our conceptual model and the relationship between findings. The center represents each of the distinct and interacting roles (as described above) that together constitute the paramedic. Working outward, the next ring highlights the crosscutting themes in which all roles are to function within. The most outer ring provides the context for the inner ring and centre, to describe the setting which all of these findings appear to exist.Fig. 1


Informing a Canadian paramedic profile: framing concepts, roles and crosscutting themes
Graphic representation of conceptual model that emerged from our data; moving from the outer circle in are framing concepts, crosscutting themes and roles paramedics at all levels or specialization are to embody
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC5015210&req=5

Fig1: Graphic representation of conceptual model that emerged from our data; moving from the outer circle in are framing concepts, crosscutting themes and roles paramedics at all levels or specialization are to embody
Mentions: Our results are represented visually in Fig. 1 illustrate our conceptual model and the relationship between findings. The center represents each of the distinct and interacting roles (as described above) that together constitute the paramedic. Working outward, the next ring highlights the crosscutting themes in which all roles are to function within. The most outer ring provides the context for the inner ring and centre, to describe the setting which all of these findings appear to exist.Fig. 1

View Article: PubMed Central - PubMed

ABSTRACT

Background: Paramedicine is a rapidly evolving health profession with increasing responsibilities and contributions to healthcare. This rapid growth has left the profession with unclear professional and clinical boundaries. Existing defining frameworks may no longer align with the practice of paramedicine or expectations of the public. The purpose of this study was to explore the roles paramedics in Canada are to embody and that align with or support the rapid and ongoing evolution of the profession.

Methods: We used a concurrent mixed methods study design involving a focused discourse analysis (i.e., analysis of language used to describe paramedics and paramedicine) of peer reviewed and grey literature (Phase 1) and in-depth one-on-one semi-structured interviews with key informants in Canadian paramedicine (Phase 2). Data from both methods were analyzed simultaneously throughout and after being merged using inductive thematic analysis.

Results: Saturation was reached after 99 national and international grey and peer reviewed publications and 20 in depth interviews with stakeholders representing six provinces, seven different service/agency types, 11 operational roles and seven provider roles. After merging both data sets three framing concepts, six roles and four crosscutting themes emerged that may be significant to both present-day practice and aspirational. Framing concepts, which provide context, include variable contexts or practice, embedded relationships and a health and social continuum. Roles include clinician, health and social advocate, team member, educator, professional and reflective practitioner. Crosscutting themes including patient safety, adaptability, compassion and communication appear to exist in all roles.

Conclusions: The paramedic profession is experiencing a shift that appears to deviate or at least place a tension on traditional views or models of practice. Underlying and evolving notions of practice are resulting in intended or actual clinical and professional boundaries that may require the profession to re-think how it is defined and/or shaped. Until these framing concepts, roles and crosscutting themes are fully understood, tested and operationalized, tensions between guiding frameworks and actual or intended practice may persist.

No MeSH data available.