Enablers and Barriers in Community Paramedicine Programs in Australia and Aotearoa New Zealand: Insights for their evolution

Presentation

Miles, Alecka, Shannon, Brendan, O'Meara, Peter, Long, David and Martin, Angela. 2024. "Enablers and Barriers in Community Paramedicine Programs in Australia and Aotearoa New Zealand: Insights for their evolution." Australasian College of Paramedicine International Conference 2023. Melbourne, Australia 14 - 15 Sep 2023 United Kingdom . SAGE Publications Ltd.
Paper/Presentation Title

Enablers and Barriers in Community Paramedicine Programs in Australia and Aotearoa New Zealand: Insights for their evolution

Presentation TypePresentation
AuthorsMiles, Alecka, Shannon, Brendan, O'Meara, Peter, Long, David and Martin, Angela
Journal or Proceedings TitleParamedicine
Journal Citation21 (3), pp. 142-142
Number of Pages1
Year2024
PublisherSAGE Publications Ltd
Place of PublicationUnited Kingdom
ISSN2753-6386
Web Address (URL) of Paperhttps://journals.sagepub.com/doi/full/10.1177/27536386241236280
Conference/EventAustralasian College of Paramedicine International Conference 2023
Event Details
Australasian College of Paramedicine International Conference 2023
Delivery
In person
Event Date
14 to end of 15 Sep 2023
Event Location
Melbourne, Australia
Event Venue
Crown Conference Centre
Abstract

Aim: This study aims to investigate the enablers and barriers of community paramedicine program implementation and expansion in Australia and Aotearoa New Zealand to inform their ongoing development.
Methods: Participants were enlisted through purposive sampling and snowballing methods. They responded to survey with open-ended responses or participated in an interview to explore the enablers and barriers related to the community paramedicine program they implemented. We employed an iterative process to thematically analyse data using Braun and Clarke’s six step approach. This allowed us to discern themes from the participants' accounts of the enablers and barriers to their program's implementation and delivery.
Results: Data was collected from 36 participants engaged in the delivery and/or implementation of community paramedicine programs in Australia and Aotearoa New Zealand. Four themes were created: (1) interdisciplinary knowledge, focusing on role clarification and refuting misconceptions about paramedics; (2) policy and legislation, highlighting lack of funding and inflexibility of legislation; (3) paramedic culture and leadership, focusing on fixed mindset of paramedic roles and fear of transitioning to non-ambulance roles; (4) health workforce shortages, has contributed to opportunities for paramedics to work more broadly in health. These themes demonstrate the significance of, interprofessional understanding of paramedic roles, health system challenges that hinders wider paramedic contribution to health care, the impact of fixed mindset roles for paramedics on the growth the profession and the opportunity present due to current health workforce shortages.
Conclusion: This study highlights the significance of interprofessional understanding of paramedic roles, health system challenges that hinders wider paramedic contribution to health care, the impact of fixed mindset roles for paramedics on the growth the profession and the opportunity present due to current health workforce shortages. These findings can inform policymakers, health managers and clinicians in the development and implementation of community paramedicine programs.

Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420311. Health systems
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Byline AffiliationsEdith Cowan University
University of Western Sydney
Australasian College of Paramedicine, Australia
Monash University
University College of Southern Queensland
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