Ambulance clinical placements – A pilot study of students' experience

Boyle, Malcolm; Williams, Brett; Cooper, Jennifer; Adams, Bridget; Alford, Kassie

doi:10.1186/1472-6920-8-19

Cited by 39 publications

(43 citation statements)

References 24 publications

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“…Socialization agents present in the formal phase were other students, lecturers, tutoring staff, on-road paramedics during clinical placement and the hidden and formal university curriculum. The results in this study confirmed the findings of other authors in relation to the presence of an informal curriculum Devenish et al, 2011;Henderson, 2012;Willis et al, 2010) and stigmatization (Boyle, Williams, Cooper, Adams, & Alford, 2008;Lord, McCall, & Wray, 2009;Waxman & Williams, 2006;Williams, Brown, & Winship, 2012;) during clinical placements. Furthermore, a theory-practice gap, which appears to be evident from the results, confirmed similar findings reported in the literature (Michau, Roberts, Williams, & Boyle, 2009;Ross, 2012;Sibson & Mursell, 2010;Tanner, Knights, & Strange, 2010;Willis, Pointon, O'Meara, McCarthy, & Jensen, 2009).…”

Section: Discussionsupporting

confidence: 90%

Experiences in Becoming a Paramedic: The Professional Socialization of University Qualified Paramedics

Devenish¹,

Clark²,

Flemming³

2016

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In this article, the professional socialization of university educated paramedics from the United Kingdom and Australia is discussed using the anticipatory, formal and post-formal phases of socialization. Participants for this research were from universities and ambulance services in Australia and the United Kingdom, and the data were collected and analyzed by qualitative methods. The anticipatory, formal and post-formal phases were deemed to be relevant to the professional socialization of university paramedics. However a fourth phase, called the post-internship phase was identified which better accounted for the paramedic training and practice model. The findings from this research led to the development of a four phase model of professional socialization to describe the experiences of university educated paramedics making the transition from university students to qualified paramedics.

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Section: Discussionsupporting

confidence: 90%

Experiences in Becoming a Paramedic: The Professional Socialization of University Qualified Paramedics

Devenish¹,

Clark²,

Flemming³

2016

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“…An alarming 26% of participants had been threatened and 16% had been physically attacked in the 12 months prior to the study. In contrast with the findings from Boyle et als study, Petzall found no correlation between gender, experience or position on the likelihood of adverse occupational health events occurring (3,4). Other studies examining the experiences of paramedics in the prehospital environment suggest that verbal abuse (5), occupational violence (6)(7)(8)(9)(10)(11)(12)(13)(14) and sexual harassment (5) may occur.…”

Section: Literature Reviewcontrasting

confidence: 53%

“…Boyle et al (2008) conducted one of only a few studies of the experiences of undergraduate students during paramedic clinical placement (3). Fifty five percent of the participants surveyed reported that they were not made to feel welcome during placement, while 57% reported that at least one crew member treated them with disdain.…”

Section: Literature Reviewmentioning

confidence: 99%

Student Perceptions of Adverse Health Events During Ambulance Clinical Placements

Sheen

Boyd

Eastwood

et al. 2012

EDU

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This pilot study intended to augment current literature in the clinical placement field by investigating the frequency and nature of adverse health events experiences by paramedic students undertaking ambulance clinical placements. Supports accessed post event were also reviewed. A purposive sample of fifty-six paramedic students completed the questionnaire. The results indicate that a number of students experience adverse health events while on clinical placement, with fourteen cases of verbal abuse, one case of physical abuse, nine cases of sexualised behavior and seven cases of psychological distress reported. While some case related incidents were flagged by ambulance services and followed up by peer support, students did not initiate any formal support processes themselves. Moreover, no student filed a formal report regarding any of the incidents raised. The results of this pilot study require further investigation. In the interim, the benefits of clinical placements must be weighed against their risks, and processes put in place to minimize the risk to students undertaking clinical placements.

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“…However, an initial research conducted at Monash University evaluating the theory–practice gap for paramedic students found that student to patient exposure during clinical placement was inadequate to meet learning objectives, and that 30% of third‐year students were not engaged in patient management during their clinical placements . Their findings were confirmed by another study, which reported 7% of students with negative experiences with clinical placements and having additional difficulties during the placements, such as not being made to feel welcome at ambulance stations and being poorly treated by the ambulance staff and clinical instructors. Interestingly, the lack of competency, regardless of the number of hours devoted to clinical practice, was uncovered by Willis et al ., which led them to the conclusion that universities at best produce an advanced novice .…”

Section: Discussionmentioning

confidence: 99%

Review article: Paramedic education opportunities and challenges in Australia

Hou

Rego

2012

Emerg Medicine Australasia

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Paramedic education has been undergoing major development in Australia in the past 20 years, with many different educational programmes being developed across all Australian jurisdictions. This paper aims to review the current paramedic education programmes in Australia to identify the similarities and differences between the programmes, and the strengths and challenges in these programmes. A literature search was performed using six scientific databases to identify any systematic reviews, literature reviews or relevant articles on the topic. Additional searches included journal articles and text references from 1995 to 2011. The search was conducted during December 2010 and November 2011. Included in this review are a total of 28 articles, which are focused around five major issues in paramedic education: (i) principle on paramedic programmes and the involvement of industry partners; (ii) clinical placements; (iii) contemporary methods of education; (iv) needs for specific programmes within paramedic education; and (v) articles related to the accreditation process for paramedic programmes. Paramedic programmes across Australian universities vary with many different practices, especially relating to clinical placements in the field. The further advances of the paramedic education programmes should aim to respond to population change and industry development, which would enhance the paramedic profession across Australia.

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Ambulance clinical placements – A pilot study of students' experience

Cited by 39 publications

References 24 publications

Experiences in Becoming a Paramedic: The Professional Socialization of University Qualified Paramedics

Experiences in Becoming a Paramedic: The Professional Socialization of University Qualified Paramedics

Student Perceptions of Adverse Health Events During Ambulance Clinical Placements

Review article: Paramedic education opportunities and challenges in Australia

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