Defining the end-point of transition to a specialist role in community paramedicine: is feeling comfortable enough?

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Long, David, Devenish, Scott, Tippett, Vivienne and Clark, Michele. 2017. "Defining the end-point of transition to a specialist role in community paramedicine: is feeling comfortable enough?" 2017 Paramedics Australasia International Conference. Melbourne, Australia 23 - 25 Nov 2017 Australia.
Paper/Presentation Title

Defining the end-point of transition to a specialist role in community paramedicine: is feeling comfortable enough?

Presentation TypePresentation
AuthorsLong, David (Author), Devenish, Scott (Author), Tippett, Vivienne (Author) and Clark, Michele (Author)
Journal or Proceedings Title2017 Paramedics Australasia International Conference: Abstracts
Number of Pages1
Year2017
Place of PublicationAustralia
Web Address (URL) of Paperhttp://docs.wixstatic.com/ugd/d3911b_177cebc1ffd4419e9d777460064ea4a9.pdf
Conference/Event2017 Paramedics Australasia International Conference
Event Details
2017 Paramedics Australasia International Conference
Event Date
23 to end of 25 Nov 2017
Event Location
Melbourne, Australia
Abstract

Introduction: Community paramedicine continues to evolve as a stream of paramedic specialisation. However, little is known about the transition from a 'traditional' role to that of an Extended Care Paramedic (ECP) or Community Paramedic (CP). Moreover, defining the end-point of transition is nebulous. Existing studies of work-role transition in paramedicine and cognate health fields commonly reported a subjective sense of work-role 'comfort' to indicate the threshold of transition had been crossed. But is there more to it? This research illuminated the final phase of community paramedicine transition its end-point.

Methods: ECPs (n=25) from two Australian jurisdictions and CPs (n=11) from a Canadian provincial health service, participated in a qualitative study exploring their experiences of transition. The data from the three study sites was pooled and interpreted using constructivist grounded theory methodology.

Results: Participants confirmed a subjective sense of work-role comfort signalled transition. Conceptually however, transition occurred through four core categories which permeated the entire transition experience. Each of the four categories contributed 'ancillary markers' of transition that coalesced to define the end-point of transition; adequate proficiency in the work-role.

Conclusion: The end-point of transition was defined through a complex interplay of personal and group factors. Defining the end-point of transition will assist trainee ECPs/CPs, educators and other stakeholders to more efficiently navigate the transition experience.

Keywordsparamedicine; work role transition; community paramedicine
ANZSRC Field of Research 2020320219. Paramedicine
Public Notes

c. Paramedics Australasia 2017.

Byline AffiliationsQueensland University of Technology
Institution of OriginUniversity of Southern Queensland
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