Recognition of Medical Direction in Emergency Medical Service Personnel in Jeju

Lee, Sung Kgun; Kim, Woo Jeong

doi:10.14257/ijbsbt.2015.7.6.09

Cited by 1 publication

(2 citation statements)

References 5 publications

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“…Related topics have been examined in the UK, partially in terms of medical officers seeking approval from NHS Ambulance Trusts to practice in the prehospital environment (Robertson-Steel et al , 2000; Porter, 2005). The two recent papers from South Korea illustrated the link between the need for medical direction and limited education amongst providers in under-developed EMS systems (Lee and Kim, 2015; Kim et al , 2015).…”

Section: Evidence From the Literaturementioning

confidence: 99%

“…The papers from South Korea (Kim et al , 2015; Lee and Kim, 2015) implied that medical direction was needed because their EMS personnel lack the education to adequately assess patients or make decisions to institute some clinical interventions without direction. Supporting this argument, the paramedic literature from developed countries such as the UK, Australia and New Zealand, take the position that the solution to poor decision-making is through paramedic professionalization using extended educational preparation and stronger professional accountability.…”

Section: Future Directionsmentioning

confidence: 99%

See 1 more Smart Citation

Clinical leadership in paramedic services: a narrative synthesis

O’Meara

Wingrove

Nolan³

2017

IJHG

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Purpose In North America, delegated practice “medical direction” models are often used as a proxy for clinical quality and safety in paramedic services. Other developed countries favor a combination of professional regulatory boards and clinical governance frameworks that feature paramedics taking lead clinician roles. The purpose of this paper is to bring together the evidence for medical direction and clinical governance in paramedic services through the prism of paramedic self-regulation. Design/methodology/approach This narrative synthesis critically examines the long-established North American Emergency Medical Services medical direction model and makes some comparisons with the UK inspired clinical governance approaches that are used to monitor and manage the quality and safety in several other Anglo-American paramedic services. The databases searched were CINAHL and Medline, with Google Scholar used to capture further publications. Findings Synthesis of the peer-reviewed literature found little high quality evidence supporting the effectiveness of medical direction. The literature on clinical governance within paramedic services described a systems approach with shared responsibility for quality and safety. Contemporary paramedic clinical leadership papers in developed countries focus on paramedic professionalization and the self-regulation of paramedics. Originality/value The lack of strong evidence supporting medical direction of the paramedic profession in developed countries challenges the North American model of paramedics practicing as a companion profession to medicine under delegated practice model. This model is inconsistent with the international vision of paramedicine as an autonomous, self-regulated health profession.

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Section: Evidence From the Literaturementioning

confidence: 99%

Section: Future Directionsmentioning

confidence: 99%