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

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


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.

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Item Type: Conference or Workshop Item (Commonwealth Reporting Category E) (Speech)
Refereed: No
Item Status: Live Archive
Additional Information: c. Paramedics Australasia 2017.
Faculty/School / Institute/Centre: No Faculty
Faculty/School / Institute/Centre: No Faculty
Date Deposited: 11 Jan 2021 04:50
Last Modified: 10 Feb 2021 06:16
Uncontrolled Keywords: paramedicine; work role transition; community paramedicine
Fields of Research (2008): 11 Medical and Health Sciences > 1103 Clinical Sciences > 110399 Clinical Sciences not elsewhere classified
Fields of Research (2020): 32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320219 Paramedicine

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