Regulation and registration as drivers of continuous professional competence for Irish pre-hospital practitioners: a discussion paper

Knox, Shane; Dunne, Suzanne S.; Hughes, Mary; Cheeseman, Sandra; Dunne, Colum P.

doi:10.1007/s11845-016-1412-z

Cited by 6 publications

(4 citation statements)

References 30 publications

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“…They further suggest that for professionalism to exist paramedics must believe that their work is unique, requiring it to be underpinned by a unique body of knowledge and educational processes (46). Bowles, Newton and Hodge, and Knox et al highlight the importance of education in building professionalism (37,47,48). The challenge of incorporating professionalism into curricula is discussed given the transient, situational and subjective nature of professionalism.…”

Section: Paramedic Professionalismmentioning

confidence: 99%

“…The challenge of incorporating professionalism into curricula is discussed given the transient, situational and subjective nature of professionalism. It is noted that while foundational education lays the groundwork for core professional practice, continuing education is a significant driver in professionalisation (48). If viewed in the context of Burford et al, professionalism is the capacity to make situational decisions based against a social and professional context.…”

Section: Paramedic Professionalismmentioning

confidence: 99%

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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: Paramedic Professionalismmentioning

confidence: 99%

Section: Paramedic Professionalismmentioning

confidence: 99%

Professionalism and Professionalisation in the Discipline of Paramedicine

Reed

Cowin

O’Meara

et al. 2019

Australasian Journal of Paramedicine

View full text Add to dashboard Cite

show abstract

“…Continuing competency mechanisms vary across jurisdictions and practitioner groups in the same jurisdiction. These mechanisms include mandatory CPD standards required to renew registration [ 166 – 168 ], certification and recertification programs run by a range of non-government bodies [ 122 , 169 – 171 ], maintenance of certification programs run by specialist colleges [ 172 – 177 ], and revalidation programs run in partnership between regulators and employers [ 131 , 178 , 179 ]. Requiring participation in CPD is the most common mechanism used by regulators to assure the continuing competence of registrants.…”

Section: Resultsmentioning

confidence: 99%

Design, delivery and effectiveness of health practitioner regulation systems: an integrative review

Leslie,

Bourgeault,

Carlton

et al. 2023

Hum Resour Health

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Background Health practitioner regulation (HPR) systems are increasingly recognized as playing an important role in supporting health workforce availability, accessibility, quality, and sustainability, while promoting patient safety. This review aimed to identify evidence on the design, delivery and effectiveness of HPR to inform policy decisions. Methods We conducted an integrative analysis of literature published between 2010 and 2021. Fourteen databases were systematically searched, with data extracted and synthesized based on a modified Donabedian framework. Findings This large-scale review synthesized evidence from a range of academic (n = 410) and grey literature (n = 426) relevant to HPR. We identified key themes and findings for a series of HPR topics organized according to our structures–processes–outcomes conceptual framework. Governance reforms in HPR are shifting towards multi-profession regulators, enhanced accountability, and risk-based approaches; however, comparisons between HPR models were complicated by a lack of a standardized HPR typology. HPR can support government workforce strategies, despite persisting challenges in cross-border recognition of qualifications and portability of registration. Scope of practice reform adapted to modern health systems can improve access and quality. Alternatives to statutory registration for lower-risk health occupations can improve services and protect the public, while standardized evaluation frameworks can aid regulatory strengthening. Knowledge gaps remain around the outcomes and effectiveness of HPR processes, including continuing professional development models, national licensing examinations, accreditation of health practitioner education programs, mandatory reporting obligations, remediation programs, and statutory registration of traditional and complementary medicine practitioners. Conclusion We identified key themes, issues, and evidence gaps valuable for governments, regulators, and health system leaders. We also identified evidence base limitations that warrant caution when interpreting and generalizing the results across jurisdictions and professions. Themes and findings reflect interests and concerns in high-income Anglophone countries where most literature originated. Most studies were descriptive, resulting in a low certainty of evidence. To inform regulatory design and reform, research funders and governments should prioritize evidence on regulatory outcomes, including innovative approaches we identified in our review. Additionally, a systematic approach is needed to track and evaluate the impact of regulatory interventions and innovations on achieving health workforce and health systems goals.

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“…The second group of papers reported that continuing professional development (CPD) was generally appreciated and valued [44][45][46][47]. CPD is now increasingly widespread and mandatory in the health and care professions [48].…”

Section: Education and Trainingmentioning

confidence: 99%

Recent research into healthcare professions regulation: a rapid evidence assessment

Browne

Bullock

Poletti

et al. 2021

BMC Health Serv Res

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Background and aims Over the last decade, regulators have taken significant steps towards tackling perceptions that regulatory systems are burdensome. There has been much international research activity in the regulation of health and care professionals. This article reports a review of studies on health professions regulation between January 2011 and March 2020. Its chief object was to provide robust and up-to-date evidence to assist regulators in policy development and implementation. The main objectives of this study were to: Identify and retrieve research in the field of health and care professions regulation in English since 2011; Evaluate the published research, exploring its utility to regulators and practitioners, and drawing out any key messages; Draw conclusions concerning the scope and limitations of the research literature and identify areas for further research. Methods We undertook a rapid evidence assessment (REA) of the international literature on health and care professions regulation, including reviewing ten UK regulators’ websites to identify issues of concern and strategic priorities. We retrieved 3833 references, using a four-stage screening process to select the 81 most relevant. Results Results are reported within six key themes: harm prevention and patient safety; fitness to practise; quality assurance of education and training; registration including maintenance of registers; guidelines and standards and relations with regulatory bodies. Conclusions Regulation of professionals in health and care is comparatively undeveloped as a field of academic study. Consequently, the published evidence is diffuse and small-scale. Most work presents relatively weak data of low relevance to regulators, mainly reporting or describing the current position. Few studies are able to show the impact of regulation or demonstrate a causal link between regulation and its effects. To inform their research and policy agendas health and social care regulators need to commission, interpret and apply the scholarly literature more effectively; academics need to engage with regulators to ensure that their research provides high-quality evidence with practical relevance to the regulators’ agendas. Further study is needed to explore how effective academic collaborations between regulators and researchers may be created and sustained.

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Regulation and registration as drivers of continuous professional competence for Irish pre-hospital practitioners: a discussion paper

Abstract: Background The Regulatory Body responsible for the registration of Irish pre-hospital practitioners, the

Cited by 6 publications

References 30 publications

Professionalism and Professionalisation in the Discipline of Paramedicine

Professionalism and Professionalisation in the Discipline of Paramedicine

Design, delivery and effectiveness of health practitioner regulation systems: an integrative review

Recent research into healthcare professions regulation: a rapid evidence assessment

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