Show simple item record

dc.contributor.authorPilbery, Richard
dc.contributor.authorGreen, Jonathan
dc.contributor.authorHall, Helen
dc.contributor.authorWhitley, Gregory Adam
dc.date.accessioned2019-10-10T13:02:02Z
dc.date.available2019-10-10T13:02:02Z
dc.date.issued2016-09
dc.identifier.citationPilbery, R. et al, 2016. Addressing the challenges of paramedic recruitment and engagement in AIRWAYS-2. Emergency Medicine Journal : EMJ, 33 (9), e12.en_US
dc.identifier.issn1472-0205
dc.identifier.issn1472-0213
dc.identifier.doi10.1136/emermed-2016-206139.38
dc.identifier.urihttp://hdl.handle.net/20.500.12417/338
dc.description.abstractAIRWAYS-2 is an NIHR-funded study to determine the best initial approach to advanced airway management during out of hospital cardiac arrest (OHCA). Four NHS ambulance trusts are taking part in AIRWAYS-2: East Midlands, South Western, Yorkshire and East of England. One of the key challenges has been the need to recruit approximately 1300 study paramedics for the trial. The three main challenges in engaging and recruiting paramedics to participate in AIRWAYS-2 have been: ▸ Concerns relating to the potential results of the trial and what this will mean for the continuation of intubation for paramedics ▸ Concerns relating to the restriction on paramedic choice of advanced airway in OHCA and potential skill erosion ▸ Provision of training over large geographical areas at a time when morale is low and many ambulance trusts have recruitment and retention issues. How have these challenges been overcome? ▸ Communication: Identifying the most appropriate communication methods in each Trust e.g. face to face, email, internal trust operational updates ▸ Delivery of key messages: Emphasising why the trial is important and needed, and that its goal is not to remove intubation from paramedic practice. Obtaining the engagement of senior operational management to allay fears over impacts on service performance ▸ Valuing study paramedics: Paying clinicians overtime to attend training sessions, which contributes to their own continuing professional development ▸ Equity and opportunity: Delivery of multiple training sessions throughout each of the four ambulance trusts. Key achievements By November 2015, research paramedics had delivered nearly 350 training sessions and recruited in excess of 1300 paramedics to AIRWAYS-2. Conclusion The research paramedics leading AIRWAYS-2 have collaboratively, and successfully, overcome the main challenges relating to recruiting and engaging the paramedics in their Trusts. This should contribute to achieving the target patient sample size for the trial. https://emj.bmj.com/content/emermed/33/9/e12.1.full.pdf This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ http://dx.doi.org/10.1136/emermed-2016-206139.38
dc.language.isoenen_US
dc.subjectEmergency Medical Servicesen_US
dc.subjectResearchen_US
dc.subjectOut-of-Hospital Cardiac Arrest (OHCA)en_US
dc.subjectParamedicsen_US
dc.subjectAirway Managementen_US
dc.titleAddressing the challenges of paramedic recruitment and engagement in AIRWAYS-2en_US
dc.source.journaltitleEmergency Medicine Journal : EMJen_US
dcterms.dateAccepted2019-09-10
rioxxterms.versionNAen_US
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden_US
rioxxterms.licenseref.startdate2019-09-10
rioxxterms.typeConference Paper/Proceeding/Abstracten_US
refterms.panelUnspecifieden_US
refterms.dateFirstOnline2016-09
html.description.abstractAIRWAYS-2 is an NIHR-funded study to determine the best initial approach to advanced airway management during out of hospital cardiac arrest (OHCA). Four NHS ambulance trusts are taking part in AIRWAYS-2: East Midlands, South Western, Yorkshire and East of England. One of the key challenges has been the need to recruit approximately 1300 study paramedics for the trial. The three main challenges in engaging and recruiting paramedics to participate in AIRWAYS-2 have been: ▸ Concerns relating to the potential results of the trial and what this will mean for the continuation of intubation for paramedics ▸ Concerns relating to the restriction on paramedic choice of advanced airway in OHCA and potential skill erosion ▸ Provision of training over large geographical areas at a time when morale is low and many ambulance trusts have recruitment and retention issues. How have these challenges been overcome? ▸ Communication: Identifying the most appropriate communication methods in each Trust e.g. face to face, email, internal trust operational updates ▸ Delivery of key messages: Emphasising why the trial is important and needed, and that its goal is not to remove intubation from paramedic practice. Obtaining the engagement of senior operational management to allay fears over impacts on service performance ▸ Valuing study paramedics: Paying clinicians overtime to attend training sessions, which contributes to their own continuing professional development ▸ Equity and opportunity: Delivery of multiple training sessions throughout each of the four ambulance trusts. Key achievements By November 2015, research paramedics had delivered nearly 350 training sessions and recruited in excess of 1300 paramedics to AIRWAYS-2. Conclusion The research paramedics leading AIRWAYS-2 have collaboratively, and successfully, overcome the main challenges relating to recruiting and engaging the paramedics in their Trusts. This should contribute to achieving the target patient sample size for the trial. https://emj.bmj.com/content/emermed/33/9/e12.1.full.pdf This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ http://dx.doi.org/10.1136/emermed-2016-206139.38en_US


This item appears in the following Collection(s)

Show simple item record