Clinical courage

Mallinson, Tom

doi:10.12968/jpar.2020.12.11.429

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…It stands to reason that paramedics are well-acquainted not only in working in austere environments or remote communities, but also in developing risk management models as they navigate challenging decisions in the out-of-hospital setting. 11 …”

Section: Paramedics In the Wider Clinical Workforcementioning

confidence: 99%

Addressing the challenges facing the paramedic profession in the United Kingdom

Eaton

2023

British Medical Bulletin

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Background The paramedic profession within the United Kingdom has been evolving at pace over the last 20 years. While they are most associated with their work in ambulance services, paramedics are now found throughout a range of clinical and academic settings. Sources of data Literature Review. Areas of agreement Despite emergence of the paramedic across the healthcare workforce, the understanding and awareness of the professional role and capabilities is poor. This could be due to a lack of representation within senior leadership roles and within health and social care policy. Areas of controversy Understanding of the paramedic professional identity, from a philosophical and sociological perspective, remains incomplete. Growing points A challenge for the future is to explore how the paramedic role can continue to develop across a range of clinical settings, while retaining its sui generis professional identity. Areas timely for developing research Research to establish perspectives of and about the paramedic profession may assist in developing an understanding of identity and its place within the wider healthcare workforce.

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Section: Paramedics In the Wider Clinical Workforcementioning

confidence: 99%

Addressing the challenges facing the paramedic profession in the United Kingdom

Eaton

2023

British Medical Bulletin

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Awareness and use of prone position for awake patients with suspected COVID-19

Gander¹,

Trestrail²,

Pugh³

2022

Journal of Paramedic Practice

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Introduction: Evidence is growing that prone positioning may be a simple, safe, and effective technique to improve oxygenation in awake patients with COVID-19 who are unresponsive to initial therapy. However, there is little evidence about its use in the prehospital environment. This study explores clinician awareness and experiences of this in a large ambulance service in south east England. Methods: An online survey was distributed to 3377 operational ambulance clinicians working for the South East Coast Ambulance Service NHS Foundation Trust to assess their awareness of using the prone position for patients with suspected COVID-19 and their experiences of its use in their practice. Results: A total of 278 respondents completed the survey, of whom 229 were aware of the use of the prone position for awake patients with COVID-19 and 18 had attempted to use it in their practice. Ten reported improvements in clinical observations and patient comfort, and six patients showed clinical improvement only. There were no reports of deterioration. The most common reason for not attempting prone positioning was the absence of formal training or guidance. Conclusion: Ambulance clinicians are aware of the use of the prone position for patients with COVID-19 and a small number have used it. The majority of clinicians who were aware of the procedure did not use it because of the lack of guidance or concerns over patient safety. When attempted, prone positioning in prehospital practice may be an example of practice borne of ‘clinical courage’. Further research is needed before the prone position can be routinely used in prehospital practice.

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Clinical courage

Cited by 2 publications

References 2 publications

Addressing the challenges facing the paramedic profession in the United Kingdom

Addressing the challenges facing the paramedic profession in the United Kingdom

Awareness and use of prone position for awake patients with suspected COVID-19

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