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首页> 外文期刊>BMC Emergency Medicine >A qualitative assessment of practitioner perspectives post-introduction of the first Continuous Professional Competence (CPC) guidelines for emergency medical technicians in Ireland
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A qualitative assessment of practitioner perspectives post-introduction of the first Continuous Professional Competence (CPC) guidelines for emergency medical technicians in Ireland

机译：对爱尔兰急诊医疗技术人员的第一份持续专业能力（CPC）指南引入后，对从业人员观点的定性评估

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Background In November 2013, the Irish Regulator for emergency medical technicians (EMTs) introduced the first mandatory requirement for registrants to demonstrate evidence of continuous professional development (CPD)/continuous professional competence (CPC). This qualitative study assessed the experience of practitioners with CPC-related materials provided to them by the Regulator in addition to identifying perceived or encountered practical challenges and suggested improvements six months following introduction of the requirement. Methods Five fora were utilised, comprising two distinct groupings: a group of student EMTs (n?=?62) and four discrete groups of qualified EMTs (total n?=?131) all of whom had commenced the newly-introduced CPC process. All 193 volunteers were members of the Civil Defence (an auxiliary/voluntary organisation) and represented a nationwide distribution of personnel. Responses were categorised as ‘perceived’ challenges to CPC, relating to student EMTs, and ‘experienced’ challenges to CPC, relating to qualified EMTs. Responses also included suggestions from both groups of EMTs on how to improve the current system and guidance material. Audio/visual recordings were made, transcribed and then analysed using NVivo (version 10). A coding framework was developed which identified unifying themes. Results All participants agreed that CPC for pre-hospital practitioners was a welcomed initiative believing that CPC activities would help ensure that EMTs maintain or enhance their skills and be better enabled to provide quality care to the patients they might encounter. Two specific areas were identified by both groups as being challenging: 1) the practicalities of completing CPC and 2) the governance and administration of the CPC process. Challenging practicalities included: ability of voluntary EMTs to gain access to operational placements with paramedics and advanced paramedics; the ability to experience the number of patient contacts required and the definition of what constitutes a ‘patient contact’. With regard to the governance and administration of CPC, it was suggested that in order to enhance the process, the Regulator should provide: an outline of the CPC audit process; examples of cases studies and reflective practice; templates for portfolios; and should establish a central hub for CPC information. Conclusion These groups of Irish EMTs appeared keen to participate in continuous professional competence activities. In addition, these EMTs identified areas that, in their opinion, required clarification by the Regulator related to the practicalities of CPC and the governance and administration of CPC. More information, dissemination of sample requirements and further effective engagement with the Regulator could be used to refine the current CPC requirements for EMTs.
机译：背景技术2013年11月，爱尔兰紧急医疗技术人员监管机构（EMT）引入了对注册人的第一项强制性要求，以证明其具有持续专业发展（CPD）/持续专业能力（CPC）的证据。这项定性研究评估了从业人员使用监管机构提供给他们的与CPC相关的材料的经验，此外还发现了遇到或遇到的实际挑战，并提出了引入要求后六个月的改进建议。方法利用五个论坛，包括两个不同的组：一组学生EMT（n = 62）和四个独立的合格EMT组（n = 131），所有这些人均已开始新引入的CPC过程。所有193名志愿者都是民防组织（一个辅助/自愿组织）的成员，代表了全国范围的人员分布。回答被归类为与学生EMT相关的CPC的“感知”挑战，与合格的EMT相关的CPC的“体验”挑战。回应还包括两组EMT提出的有关如何改进当前系统和指导材料的建议。进行了音频/视频录制，转录，然后使用NVivo（版本10）进行了分析。制定了确定统一主题的编码框架。结果所有参与者都认为院前医师的CPC值得欢迎，认为CPC活动将有助于确保EMT保持或增强其技能，并能够更好地为可能遇到的患者提供优质的护理。两组均确定了两个具有挑战性的领域：1）完成CPC的实用性和2）CPC过程的治理和管理。具有挑战性的实践包括：自愿性EMT能够获得具有医护人员和高级医护人员的手术位置的能力;体验所需的患者联系人数量的能力以及“患者联系人”的定义。关于CPC的治理和管理，建议为了加强该过程，监管机构应提供：CPC审核过程的概述;案例研究和反思实践的例子;投资组合模板;并应建立一个CPC信息的中央枢纽。结论这些爱尔兰的EMT团体似乎热衷于参加持续的职业能力活动。此外，这些EMT认为，监管机构需要澄清与CPC的实用性以及CPC的治理和管理有关的领域。更多信息，样本要求的传播以及与监管机构的进一步有效合作可用于完善当前EMT的CPC要求。

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