Opportunities and challenges for multi-professional units in rural areas

Abstract

Purpose The purpose of this paper is to investigate opportunities and challenges for multi-professional paramedic-firefighter units in small municipalities in Finland. Design/methodology/approach The data were collected by means of four focus group interviews conducted with managers (N =12) and a questionnaire comprising open-ended questions for the personnel working in the units (n =73). Data from both sources were analyzed using inductive content analysis. Findings The empirical results suggest that the use of multi-professional units (MPUs) may be one means of providing a better standard of service in rural areas. However, the working practices and different professional backgrounds in MPUs are considered challenging by the personnel. Managers had a broader perspective; during the interviews they raised matters such as citizen characteristics, legal issues like varying working hours, and economic aspects. Both the personnel and the managers agreed on the strengths and weaknesses of the MPU model in principle. Practical implications The results of this study may clarify the opportunities and challenges posed by MPUs in rural areas from the perspectives of personnel and managers. Originality/value The study provides novel information on MPUs comprising paramedics and firefighters, who function at the interface of emergency medical services and rescue services and who have new tasks in rural areas, including home healthcare support and accident prevention.

‘Time is our utmost enemy’: First responders’ experiences of ‘While Waiting For the Ambulance’ assignments in rural environments – A phenomenological study

“…In this study, affected persons in need of emergency help live in a sub-Arctic climate, so in order to reduce the response time, development is needed towards optimally utilising WWFA staff with different professions and knowledge in a rural environment. 5,54,55 Challenges still exist to provide opportunities for new services to step in before the arrival of ambulance care and emergency services, such as supporting home healthcare and accident-prevention strategies. 55 There is room for growth within the WWFA assignment to ensure that there are strategies that bridge the grey zone between relevant organisations, addressing shortcomings and expanding organisational development.…”

“…5,54,55 Challenges still exist to provide opportunities for new services to step in before the arrival of ambulance care and emergency services, such as supporting home healthcare and accident-prevention strategies. 55 There is room for growth within the WWFA assignment to ensure that there are strategies that bridge the grey zone between relevant organisations, addressing shortcomings and expanding organisational development.…”