• Experts' perspectives on professionalism in paramedic practice: findings from a Delphi process

      Gallagher, Ann; Snook, Verity; Horsfield, Claire; Rutland, Stuart; Vyvyan, Emma; Juniper, Joan; Collen, Andy (2016-09)
      Abstract published with permission. This article reports findings from a Delphi process which aimed to enable an expert panel to reach consensus in the following areas: the meaning of ‘professionalism’ in the context of UK paramedic practice; enablers of professionalism in paramedic practice; interventions or approaches likely to promote or sustain paramedic professionalism; and values that underpin paramedic professionalism. The research project was the Consensus towards Understanding and Sustaining Professionalism in Paramedic Practice (CUSPPP) project. The Delphi panel consisted of 12 experts from education, leadership, management and senior clinical roles, as well as a service user. The data from each of the three rounds were distilled to statements using a basic content analysis and subjected to team review. Statements that achieve 75% (where participants agreed or strongly agreed on a Likert scale) were considered to have reached consensus. The data highlight the view that responsibility for paramedic professionalism goes beyond individuals, with organisations having a key role in providing support and debriefing opportunities and demonstrating the value of human rather than material resources. Further research relating to the topic of paramedic professionalism is necessary, and a crucial component of this is to also capture the views and experiences of service users and the general public.
    • Paramedic independent prescribing: a qualitative study of early adopters in the UK

      Stenner, Karen; Van Even, Suzanne; Collen, Andy (2021-05-01)
      Paramedics working in advanced practice roles in the UK can now train to prescribe medicine. This is anticipated to benefit patient access to medicines and quality of care where there is a national shortage of doctors, particularly in primary care. Abstract published with permission.
    • Professionalism in paramedic practice: the views of paramedics and paramedic students

      Gallagher, Ann; Vyvyan, Emma; Juniper, Joan; Snook, Verity; Horsfield, Claire; Collen, Andy; Rutland, Stuart (2016-09)
      Abstract published with permission. Paramedic practice is complex and involves decision-making in situations that are often complex and pressured. A high level of professionalism is required to respond appropriately. There has been little previous research in this area. The aim of the Consensus towards Understanding and Sustaining Professionalism in Paramedic Practice project was to develop an in-depth understanding of professionalism in paramedic practice (CUSPPP). This article reports findings from the qualitative component of the CUSPPP project. Interviews were conducted with clinical managers, specialist paramedics and student paramedics. A favourable ethical opinion was obtained from the University of Surrey Ethics Committee. Data were analysed thematically and three themes identified are discussed in this article: components of paramedic professionalism; professionalism enablers; and professionalism inhibitors. Components of paramedic professionalism include: the conduct of paramedics; the role of regulation; professional education; and values for paramedic practice. Paramedic professionalism enablers and inhibitors relate to three levels: individual, organisational and regulatory/societal levels. On-going education and interventions that promote paramedics’ well-being should be discussed with ambulance trusts and collaboration established to promote the development of educational materials and further research.