TY - JOUR
T1 - Defining two novel sub models of the Anglo-American paramedic system
T2 - A Delphi study
AU - Makrides, Timothy
AU - Ross, Linda
AU - Gosling, Cameron
AU - Acker, Joseph
AU - O'Meara, Peter
N1 - Includes bibliographical references
Funding Information:
An acknowledgment of gratitude to all the paramedic leaders and academics who participated in the conduct of this study.
Publisher Copyright:
© 2021 College of Emergency Nursing Australasia
Copyright © 2021 College of Emergency Nursing Australasia. Published by Elsevier Ltd. All rights reserved.
PY - 2022/9
Y1 - 2022/9
N2 - IntroductionWhile brief and fragmented accounts of the differences between systems have been noted in the literature, until recently there has been a lack of research that explores and identifies new sub-models of paramedicine within the Anglo-American paramedic system.MethodsA Delphi method was used to gain consensus among international paramedic experts regarding two new models of paramedicine known as the Directive and Professionally Autonomous paramedic systems. Following the development of a preliminary definition, a set of questions were established for experts aimed at defining the new sub-models; the responses were reviewed and amended based on feedback before being re-distributed to an expanded group of participants for further rounds of questions. Rounds continued until consensus was achieved.ResultsConsensus was achieved for both statements regarding the Professionally Autonomous paramedic system definition in round 2, 85.7% (n = 18). Following analysis and revision of the definition, the additional two statements regarding the Directive paramedic system achieved consensus in round 3, 100% (n = 19).ConclusionThis Delphi study was the first study to explore a standardised definition for two newly identified sub-models of the Anglo-American paramedic system with the overall results used to help inform high performing system design for modern Anglo-American paramedic systems into the future.
AB - IntroductionWhile brief and fragmented accounts of the differences between systems have been noted in the literature, until recently there has been a lack of research that explores and identifies new sub-models of paramedicine within the Anglo-American paramedic system.MethodsA Delphi method was used to gain consensus among international paramedic experts regarding two new models of paramedicine known as the Directive and Professionally Autonomous paramedic systems. Following the development of a preliminary definition, a set of questions were established for experts aimed at defining the new sub-models; the responses were reviewed and amended based on feedback before being re-distributed to an expanded group of participants for further rounds of questions. Rounds continued until consensus was achieved.ResultsConsensus was achieved for both statements regarding the Professionally Autonomous paramedic system definition in round 2, 85.7% (n = 18). Following analysis and revision of the definition, the additional two statements regarding the Directive paramedic system achieved consensus in round 3, 100% (n = 19).ConclusionThis Delphi study was the first study to explore a standardised definition for two newly identified sub-models of the Anglo-American paramedic system with the overall results used to help inform high performing system design for modern Anglo-American paramedic systems into the future.
KW - Allied Health Personnel
KW - Consensus
KW - Delphi Technique
KW - Emergency Medical Technicians
KW - Humans
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U2 - 10.1016/j.auec.2021.11.001
DO - 10.1016/j.auec.2021.11.001
M3 - Article
C2 - 34838505
SN - 2588-994X
VL - 25
SP - 229
EP - 234
JO - Australasian Emergency Care
JF - Australasian Emergency Care
IS - 3
ER -