Fitness-to-practise concerns and preventative strategies

Gallagher, Ann; Zasada, Magdalena; Jago, Robert; Austin, Zubin; Banks, Sarah; Lucas, Grace; Gaag, Anna van der

doi:10.12968/jpar.2018.10.4.163

Cited by 8 publications

(4 citation statements)

References 14 publications

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“…Of the seven articles in the psychological wellness theme, three were focused on critical incidents [ 221 – 223 ], and one each on inclusivity (LGBTQ2) [ 224 ], mental health matters [ 225 ], rural paramedicine [ 226 ], and the “national EMS memorial” [ 227 ]. Of the six articles in the Operational Safety theme, there were two articles on paramedic fitness [ 228 , 229 ], and one each on ambulance stretchers [ 230 ], lift injuries [ 231 ], scene safety [ 232 ], and firefighting [ 233 ]. Transport/ Destination: Effective and appropriate use of air and ground resources, and transfer of care to hospitals and other health centers.…”

Section: Resultsmentioning

confidence: 99%

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Looking back to inform the future: a review of published paramedicine research

Cavanagh

Blanchard

Weiss

et al. 2023

BMC Health Serv Res

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Objective Paramedicine has evolved in ways that may outpace the science informing these changes. Examining the scholarly pursuits of paramedicine may provide insights into the historical academic focus, which may inform future endeavors and evolution of paramedicine. The objective of this study was to explore the existing discourse in paramedicine research to reflect on the academic pursuits of this community. Methods We searched Medline, Embase, CINAHL, Google Scholar and Web of Science from January, 2006 to April, 2019. We further refined the yield using a ranking formula that prioritized journals most relevant to paramedicine, then sampled randomly in two-year clusters for full text review. We extracted literature type, study topic and context, then used elements of qualitative content, thematic, and discourse analysis to further describe the sample. Results The initial search yielded 99,124 citations, leaving 54,638 after removing duplicates and 7084 relevant articles from nine journals after ranking. Subsequently, 2058 articles were included for topic categorization, and 241 papers were included for full text analysis after random sampling. Overall, this literature reveals: 1) a relatively narrow topic focus, given the majority of research has concentrated on general operational activities and specific clinical conditions and interventions (e.g., resuscitation, airway management, etc.); 2) a limited methodological (and possibly philosophical) focus, given that most were observational studies (e.g., cohort, case control, and case series) or editorial/commentary; 3) a variety of observed trajectories of academic attention, indicating where the evolution of paramedicine is evident, areas where scope of practice is uncertain, and areas that aim to improve skills historically considered core to paramedic clinical practice. Conclusions Included articles suggest a relatively narrow topic focus, a limited methodological focus, and observed trajectories of academic attention indicating where research pursuits and priorities are shifting. We have highlighted that the academic focus may require an alignment with aspirational and direction setting documents aimed at developing paramedicine. This review may be a snapshot of scholarly activity that reflects a young medically directed profession and systems focusing on a few high acuity conditions, with aspirations of professional autonomy contributing to the health and social well-being of communities.

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Section: Resultsmentioning

confidence: 99%

“…Of the six articles in the Operational Safety theme, there were two articles on paramedic fitness [ 228 , 229 ], and one each on ambulance stretchers [ 230 ], lift injuries [ 231 ], scene safety [ 232 ], and firefighting [ 233 ].…”

Section: Resultsmentioning

confidence: 99%

Looking back to inform the future: a review of published paramedicine research

Cavanagh

Blanchard

Weiss

et al. 2023

BMC Health Serv Res

View full text Add to dashboard Cite

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“…The main focus of this article is the data from the interviews and focus groups relating to social work. Further details of other aspects of the study, including the findings relating to paramedics, can be found in the research report and related articles (Banks et al 2019;Gallagher et al 2018;Austin et al 2018;van der Gaag et al 2018)…”

Section: Aims and Approachmentioning

confidence: 99%

Exploring the Context of Fitness to Practise Concerns About Social Workers in England: Explanations Beyond Individuals

Gallagher

Banks

Jago

et al. 2020

Ethics and Social Welfare

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“…The disproportionately high rate of concerns lodged against social workers and paramedics led HCPC to commission research on this topic in 2016, on which this article draws. Here we focus specifically on social workers (for details of findings about paramedics see Gallagher et al, 2018;Lucas et al 2019;van der Gaag et al, 2018).…”

Section: Social Work Referrals Compared With Other Professionsmentioning

confidence: 99%

Social Workers under the Spotlight: An Analysis of Fitness to Practise Referrals to the Regulatory Body in England, 2014–2016

Banks

Zasada

Jago

et al. 2019

The British Journal of Social Work

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This article examines the nature of, and reasons for, the disproportionately high rates of fitness to practise referrals of social workers in England to the Health and Care Professions Council (HCPC), compared with other professions regulated by HCPC during 2014–2016. In 2014–2015, the rate of referrals for social workers was 1.42 per cent of registrants, compared with an average for the sixteen professions regulated by HCPC of 0.66 per cent. Drawing on published statistics and unique analysis of a sample of 232 case files undertaken as part of a research project in 2016–2017, the article highlights relatively high rates of inappropriate referrals from ‘members of the public’ (mainly service users) particularly in relation to child placements and contact. A detailed picture is offered of the variety of referrals dealt with at each stage of the fitness to practise process (from initial triage to final hearings), with recommendations for how to prevent inappropriate referrals, whilst focusing concern on the most serious cases of incompetence and misconduct. This research is of significance at a time of increasing pressure for social workers, social services and service users under conditions of austerity and managerialism; on-going concerns about standards in social work; and recent changes in social work regulation.

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Fitness-to-practise concerns and preventative strategies

Cited by 8 publications

References 14 publications

Looking back to inform the future: a review of published paramedicine research

Looking back to inform the future: a review of published paramedicine research

Exploring the Context of Fitness to Practise Concerns About Social Workers in England: Explanations Beyond Individuals

Social Workers under the Spotlight: An Analysis of Fitness to Practise Referrals to the Regulatory Body in England, 2014–2016

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