Experiences in Becoming a Paramedic: The Professional Socialization of University Qualified Paramedics

Devenish, A. S.; Clark, M. J.; Flemming, Ml.

doi:10.4236/ce.2016.76081

Cited by 27 publications

(48 citation statements)

References 51 publications

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“…While there has been some attention to socialisation and perceptions of students (10,34), and one paper on external views of paramedics (33), there has been limited consideration of how paramedics navigate professionalism. Works by Devenish explore how new practitioners transition into professional roles and the challenges they face balancing culture and professional values (63)(64)(65). Margolis identifies some unexpected confusion among academic leaders which suggests clinicians themselves may not have a clear view of the process or framework of professionalisation (11).…”

Section: Paramedics and Professionalismmentioning

confidence: 99%

Professionalism and Professionalisation in the Discipline of Paramedicine

Reed

Cowin

O’Meara

et al. 2019

Australasian Journal of Paramedicine

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BackgroundProfessionalisation was cited as one of the key drivers for the recent addition of paramedics to the National Accreditation and Regulation Scheme (NRAS) making paramedics the fifteenth health profession in the NRAS. Self-regulation inherently shifts the basis of establishing professional identity and the formal authority for determining professional standards. This has increased discussion of professionalism in paramedicine, however, professionalisation and professionalism are often poorly defined concepts with a myriad of interpretations. MethodA scoping review was conducted to determine the available literature about professionalism and professionalisation in paramedicine. The review utilised 10 academic databases augmented with Google and Google Scholar to capture grey literature; 2740 results were refined to 53 sources for review.ResultsSeveral works on paramedic professionalisation explore elements such as autonomy and occupational characteristics. Others consider the process of professionalisation for United Kingdom (UK) and Australian paramedics. Education is discussed as a key factor in professionalism, while the increasing scope and diversity of roles in paramedicine is explored as indicative of professionalisation. Several UK papers relate professionalisation and culture to change processes within paramedicine and paramedic organisations. DiscussionAcademic work on professionalisation and professionalism in paramedicine appears sporadic and may benefit from explorations of a wider range of theories. Paramedicine has been described as constantly and rapidly developing around its practitioners rather than being a stable profession where practitioners enter with clear expectations of their ongoing identity. Further work is needed to understand the process of professionalisation that paramedicine is undergoing within its cultural and professional context.

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Section: Paramedics and Professionalismmentioning

confidence: 99%

Professionalism and Professionalisation in the Discipline of Paramedicine

Reed

Cowin

O’Meara

et al. 2019

Australasian Journal of Paramedicine

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show abstract

“…As such, it could be a contributing factor to the types of communication that occur in the clinical setting. Although professional socialization has been widely studied in such areas as medicine, nursing, and other allied health professions, there is a lack of such work in the paramedic field (Devenish et al, ). Thus, any conclusions regarding the reasons for the disparity shown between studies would require further research.…”

Section: Discussionmentioning

confidence: 99%

Exploration of difficult conversations among Australian paramedics

Williams

Beovich

Flemming³

et al. 2017

Nursing & Health Sciences

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Previous studies indicate that healthcare professionals find it challenging to engage in difficult conversations regarding concerning behavior of colleagues. As a result, these conversations are often avoided. The inability to have these difficult conversations is associated with poorer patient outcomes, staff commitment, discretionary effort, and employee satisfaction. This descriptive study used an online questionnaire to examine responses of paramedics employed by Ambulance Victoria (Australia) regarding difficult conversations between colleagues about concerning behavior of co-workers. The results suggest that, like other healthcare professions, many paramedics find it challenging to raise these concerns. To the best knowledge of the authors, this is the first study of its type to be undertaken within the paramedic profession and provides a platform for further research within this and other health professions.

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“…Further, this employment and blame culture exacerbates difficulties experienced by paramedics in managing the complex ethical, conflict and interpersonal communication challenges that are as much a part of the paramedic environment as technical skills such as resuscitation and suturing. 11,16 Indeed, some of literature noted that the paramedic profession -historically rooted in provision of emergency medical care -was rapidly evolving into a psychosocial care profession, an evolution that is not easily accommodated by those trained and experienced in a different paradigm of the profession. 11,14 As a result, there was evidence to suggest that a disproportionately large number of paramedics suffer from or are at risk of experiencing job-related burnout.…”

Section: Literature Reviewsmentioning

confidence: 99%

“…11,16 Indeed, some of literature noted that the paramedic profession -historically rooted in provision of emergency medical care -was rapidly evolving into a psychosocial care profession, an evolution that is not easily accommodated by those trained and experienced in a different paradigm of the profession. 11,14 As a result, there was evidence to suggest that a disproportionately large number of paramedics suffer from or are at risk of experiencing job-related burnout. 17,18 Similar to the literature in the field of paramedicine, the review of the relevant social work literature did not produce a strong evidence base related to complaints about social workers, but instead helped to identify key issues about the evolution of the profession itself that informed subsequent phases of this research.…”

Section: Literature Reviewsmentioning

confidence: 99%

Understanding Complaints to Regulators About Paramedics in the UK and Social Workers in England: Findings from a Multi-Method Study

Austin¹,

Gaag²,

Gallagher³

et al. 2018

Journal of Medical Regulation

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Within the regulatory community, there has been increasing interest in the issue of proportionality in regulation — that is, using the right amount and right types of regulatory interventions to achieve the primary mandate of the regulatory community in order to serve and to protect. The Health and Care Professions Council (HCPC) in the United Kingdom, one of the largest health-care regulatory bodies in the world, recently commissioned a study examining the disproportionately large number of complaints against paramedics in the UK and social workers in England. The objective of the study was to examine the nature of, and to better understand the reasons behind, this disproportionality, and to identify options and opportunities from a regulatory perspective that could be taken to address this issue. The study involved a systematic multi-methods research approach involving four key interrelated research elements:A systematic literature reviewA Delphi consultation with international expertsInterviews (n=26) and four focus groups (n=23) with UK experts, including service users and caregiversA review of a random sample (n=284) of fitness-to-practice cases over two years across the three stages of the process (initial complaint, Investigating Committee Panel, and final hearing) Findings from this study highlight the evolving nature of both professions and the influence of a binary model of complaints adjudication that may not be sufficiently nuanced to balance public protection with practitioners' learning needs. A non-binary option for understanding complaints against practitioners is suggested in this paper, offering a process that involves and engages both employers and practitioners in a more meaningful manner.

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Experiences in Becoming a Paramedic: The Professional Socialization of University Qualified Paramedics

Cited by 27 publications

References 51 publications

Professionalism and Professionalisation in the Discipline of Paramedicine

Professionalism and Professionalisation in the Discipline of Paramedicine

Exploration of difficult conversations among Australian paramedics

Understanding Complaints to Regulators About Paramedics in the UK and Social Workers in England: Findings from a Multi-Method Study

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