O'Meara, PF and Tourle, V and Stirling, C and Walker, J and Pedler, D, Extending the paramedic role in rural Australia: a story of flexibility and innovation, Rural and Remote Health, 12, (2) Article 1978. ISSN 1445-6354 (2012) [Refereed Article]
Copyright 2012 PF O'Meara, V Tourle, C Stirling, J Walker, D Pedler
Official URL: http://www.rrh.org.au/articles/showarticlenew.asp?...
Introduction:This article identifies trends in the evolving practice of rural paramedics and describes key characteristics, roles and expected outcomes for a Rural Expanded Scope of Practice (RESP) model.
Methods: A multiple case study methodology was employed to examine the evolution of rural paramedic practice. Paramedics, volunteer ambulance officers and other health professionals were interviewed in four rural regions of south-eastern Australia where innovative models of rural paramedic practice were claimed to exist. The research team collected and thematically analysed the data using the filter of a sociological framework throughout 2005 and 2006.
Results: The study found that paramedics are increasingly becoming first line primary healthcare providers in small rural communities and developing additional professional responsibilities throughout the cycle of care. Conclusions: Adoption of the RESP model would mean that paramedics undertake four broad activities as core components of their new role: (1) rural community engagement; (2) emergency response; (3) situated practice; and (4) primary health care. The model’s key feature is a capacity to integrate existing paramedic models with other health agencies and health professionals to ensure that paramedic care is part of a seamless system that provides patients with well-organized and high quality care. This expansion of paramedics’ scope of practice offers the potential to improve patient care and the general health of rural communities.
|Item Type:||Refereed Article|
|Keywords:||ambulance, paramedic, expanded scope, rural workforce|
|Research Division:||Medical and Health Sciences|
|Research Group:||Public Health and Health Services|
|Research Field:||Health and Community Services|
|Objective Group:||Specific Population Health (excl. Indigenous Health)|
|Objective Field:||Rural Health|
|Author:||Stirling, C (Associate Professor Christine Stirling)|
|Deposited By:||Health Sciences B|
|Downloads:||15 View Download Statistics|
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