Evaluating changes in the emergency medical services workforce: A preliminary multistate study

Kurth, Jordan D.; Powell, Jonathan R.; Gage, Christopher B.; Fauvel, Alix Delamare; Crowe, Remle P.; Cash, Rebecca E.; Panchal, Ashish R.

doi:10.1002/emp2.12975

Cited by 11 publications

(4 citation statements)

References 10 publications

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“…This is likely due to a combination of factors, including low pay, poor working conditions, and limited opportunities for professional development and advancement. A multistate review study by Kurth et al (2023) found that one in four certified EMS clinicians in the United States left the workforce over a four-year period. While the rate of new EMS clinicians entering the field was high enough to offset these losses, resulting in an overall 8% increase in the EMS workforce, the findings highlight the magnitude of the problem.…”

Section: Workforce Shortagesmentioning

confidence: 99%

“…The EMS workforce shortage has the potential to have a significant impact on public health and safety, as it can lead to longer patient response times and poorer outcomes. Addressing the shortage will require a comprehensive approach that includes improving pay and working conditions, investing in EMS education and training, and creating opportunities for professional development and advancement [6].…”

Section: Workforce Shortagesmentioning

confidence: 99%

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Addressing Challenges in EMS Department Operations: A Comprehensive Analysis of Key Issues and Solution

Basnawi

2023

Emergency Care and Medicine

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Background: Emergency medical services (EMS) are essential in providing timely medical attention and transportation to people in need during times of crisis. Effective EMS operations are crucial for delivering prompt and effective healthcare. However, the landscape of EMS operations is constantly evolving, posing a number of challenges that require rigorous research and innovative solutions. Objectives: To highlight the key challenges facing EMS departments in their daily operations and discuss potential solutions. Methods: A narrative literature review was conducted. Relevant studies were identified by searching electronic databases, such as PubMed, MEDLINE, CINAHL, and Google Scholar. Results: The main challenges facing EMS departments include an increasing demand for services, limited resources, aging infrastructure, technological advancements, and regulatory compliance. Operational-level solutions that can be used to address these challenges include investing in technology, cross-training personnel, developing contingency plans, and partnering with other organizations. Conclusion: EMS departments today face a variety of challenges. However, there are a number of approaches that can be taken to address these challenges. By investing in technology, cross-training personnel, developing contingency plans, and partnering with other organizations, EMS departments can improve their operations and provide the best possible care to patients.

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Section: Workforce Shortagesmentioning

confidence: 99%

Section: Workforce Shortagesmentioning

confidence: 99%

Addressing Challenges in EMS Department Operations: A Comprehensive Analysis of Key Issues and Solution

Basnawi

2023

Emergency Care and Medicine

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“…At present, the WHO forecasts a shortfall of 5.9 million nurses by the year 2030 and emphasises the importance of retaining experienced nurses in the workforce [ 1 ]. Today, the turnover rate in the ambulance service, a part of the EMS, ranges between 20 and 30% [ 2 , 3 ]. Being a newly employed nurse in a new context such as the ambulance service, with unpredictable care environments and a great variety of patient symptoms and illnesses, can evoke both excitement and nervousness [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Being a newly employed nurse in a new context such as the ambulance service, with unpredictable care environments and a great variety of patient symptoms and illnesses, can evoke both excitement and nervousness [ 4 ]. Without sufficient support, nervousness and emotional distress represent a potential risk for turnover [ 2 ]. Consequently, gaining a better understanding of the transitional experiences of Registered Nurses (RN) and specialist nurses (SN) in the ambulance service is crucial for developing support and increasing the retention of new RNs as they enter their new professional roles.…”

Section: Introductionmentioning

confidence: 99%

Newly employed nurses’ transition into their new role in the ambulance service– a qualitative study

Jepsen,

Lindström,

Wihlborg

et al. 2024

BMC Nurs

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Background Nurses are essential to ensure safe and high-quality care worldwide. The World Health Organization (WHO) forecasts a shortfall of 5.9 million nurses by the year 2030, and in the ambulance service, the turnover rate ranges between 20% and 30%. With this study, we seek to increase knowledge by exploring the transition of newly employed experienced nurses into their roles in the ambulance service using the Meleis theory of transition. Through understanding transition, support for newly employed nurses can be developed, turnover rates can decrease, and in the long term, patient safety may increase. Design The study employed a qualitative approach. Methods Eighteen newly employed experienced nurses were individually interviewed four times during their first six months of employment. Deductive qualitative content analysis was used to analyse the data. The reporting of this research adheres to the COREQ checklist. Results The results show that the transition process for newly employed nurses in the ambulance service encompassed all five aspects of Meleis’ transition theory: Awareness, Engagement, Change and Difference, Time Span, and Critical Points. The transition period varied among the participants, and it was also observed that not all nurses went through a transition in line with Meleis’ theory. Additionally, there were findings that nurses highlighted the impact of the ambulance service culture on their transition. Conclusions The findings provide a more profound insight into how newly employed nurses with previous experience as nurses navigate their roles and transition into a new profession in a new context. An ambulance service where the organisation is aware of the newly employed nurses’ transition processes and what the transition entails can develop and promote a supportive and permissive culture within the ambulance service. For newly employed nurses who are adequately supported, health transitions are more likely to occur, which may increase retention and in the long term increase patient safety. The insights gained from the study can empower ambulance organisations to improve their introduction programmes and offer enhanced support for newly employed experienced nurses entering the ambulance service.

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The impact of COVID-19 on acute myocardial infarction care

Benziger,

Johnson,

Garcia

et al. 2025

COVID-19 and the Cardiovascular System

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Evaluating changes in the emergency medical services workforce: A preliminary multistate study

Cited by 11 publications

References 10 publications

Addressing Challenges in EMS Department Operations: A Comprehensive Analysis of Key Issues and Solution

Addressing Challenges in EMS Department Operations: A Comprehensive Analysis of Key Issues and Solution

Newly employed nurses’ transition into their new role in the ambulance service– a qualitative study

The impact of COVID-19 on acute myocardial infarction care

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