ORCID Profile
0000-0002-0278-4318
Current Organisation
Ambulance Tasmania
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Publisher: Informa UK Limited
Date: 22-07-2019
DOI: 10.1080/13561820.2019.1635095
Abstract: Interprofessional learning (IPL) is a dynamic process. It incorporates adult learning principles and requires active participation. Contemporary paramedic care typically involves collaboration with other health-care professionals. However, little is known about how paramedics work and construct meaning within this interprofessional milieu. Rural areas, where professional collaboration is well illustrated, provide an opportune setting from which to conduct the examination of IPL and paramedic care. Twenty-six participants took part in this investigation. Participants were paramedics and other professionals involved in collaboration in rural locations across the state of Tasmania, Australia. Rural Tasmania provided a erse range of paramedic practice for investigation, including traditional (pre-hospital) care, extended care, volunteer services, and hospital-based practices. A grounded theory approach was adopted, and semi-structured interviews used to collect critical incidents in which participants described effective and less effective episodes of collaboration. Memos were kept during the research process. Analysis of data followed a process of initial and then focused coding from which the main concepts could be determined. From 75 episodes of collaboration, three main concepts emerged to create a theory of IPL and paramedic care. Relationships included reciprocity and respect, as well as professional acknowledgment. Cooperation recognized professionals as interdependent practitioners adopting open communication. Operational barriers identified contextual features under which professionals work, with constituent categories of protecting turf, and workplace culture. The findings provide new insight into IPL and paramedic care. Hierarchy, professional dominance, and gender disparity emerged as barriers to IPL. Knowledge and skills were shared between professions and this influenced how in iduals interacted within interprofessional teams. A successful collaboration produced a clinical environment where patient care was informed by contributions from all team members.
Publisher: SAGE Publications
Date: 2015
Abstract: Critical Incident Technique (CIT) is a research method which has been used to investigate activities across many fields including psychology, medicine, nursing, counselling, education, learning and marketing. This paper explores this potential by investigating the use of CIT as a research method for the paramedic and pre-hospital environment. A search using the term ‘Critical Incident Technique'was conducted using the University of Tasmania ‘Megasearch’ facility. Some 2935 papers were then filtered to include one or more of the terms ambulance, pre-hospital, paramedic, transport, retrieval, emergency medical service/s (EMS), emergency medical technician/s (EMT) and emergency. Using these terms, four research articles used CIT as a methodological approach. Searching CINAHL, SCOPUS and MEDLINE via PubMed in idually, contributed one further article. A further search with the same terms was conducted using ‘Google Scholar’, and identified a further seven relevant papers. Although Critical Incident Technique has been used as a research method since 1954, its use in the examination and study of paramedic work (pre-hospital care) was limited and quite new. An analysis of the articles indicated five distinct themes relating to how CIT was used: physical dimensions of job performance (equipment and technology), teamwork and communication (how team members work and communicate), psychological dimensions of work (how paramedics felt about their work), student learning and experience and patient care. CIT is a research method that has been used effectively to inform various psychological and physical dimensions of paramedic work. Paramedic work is about caring for those who require pre-hospital care, and further consideration of the application of CIT in pre-hospital research may increase our understanding of this work to improve service delivery and patient outcomes.
No related grants have been discovered for Peter Mulholland.