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首页> 外文期刊>Canadian Journal of Emergency Medicine >The novel role of paramedics in collaborative emergency centres aligns with their professional identity: A qualitative analysis
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The novel role of paramedics in collaborative emergency centres aligns with their professional identity: A qualitative analysis

机译：护理人员在协作式急救中心中的新颖作用与其专业身份相符：定性分析

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ObjectiveThe Collaborative Emergency Centre (CEC) model of care was implemented in Nova Scotia without an identifiable, directly comparable precedent. It features interprofessional teams working towards the goal of providing improved access to primary health care, and appropriate access to 24/7 emergency care. One important component of CEC functioning is overnight staffing by a paramedic and registered nurse (RN) team consulting with an off-site physician. Our objective was to ascertain the attitudes, feelings and experiences of paramedics working within Nova Scotia’s CECs.MethodsWe conducted a qualitative study informed by the principles of grounded theory. Semi-structured telephone interviews were conducted with paramedics with experience working in a CEC. Analysis involved an inductive grounded approach using constant comparative analysis. Data collection and analysis continued until thematic saturation was reached.ResultsFourteen paramedics participated in the study. The majority were male (n=10, 71%) with a mean age of 44 years and mean paramedic experience of 14 years. Four major themes were identified: 1) interprofessional relationships, 2) leadership support, 3) value to community and 4) paramedic identity.ConclusionsParamedics report largely positive interprofessional relationships in Nova Scotia’s CECs. They expressed enjoyment working in these centres and believe this work aligns with their professional identity. High levels of patient and community satisfaction were reported. Paramedics believe future expansion of the model would benefit from development of continuing education and improved communication between leadership and front-line workers.
机译：目的在新斯科舍省实施了急诊协作中心（CEC）的护理模式，但没有可确定的直接可比的先例。它设有跨专业团队，致力于实现改善获得初级保健的机会以及适当获得24/7急诊服务的目标。 CEC运作的一个重要组成部分是由一名护理人员和注册护士（RN）团队与异地医生进行磋商，为员工提供过夜服务。我们的目标是确定在新斯科舍省CEC内工作的护理人员的态度，感受和经验。方法我们根据扎根理论的原理进行了定性研究。半结构化电话采访是在CEC工作的经验丰富的医护人员进行的。分析涉及使用持续比较分析的归纳接地方法。数据收集和分析一直持续到主题达到饱和为止。结果有14位护理人员参加了研究。多数是男性（n = 10，71％），平均年龄为44岁，平均护理人员经验为14岁。确定了四个主要主题：1）专业间的关系，2）领导支持，3）对社区的价值以及4）护理人员的身份。结论医务人员报告说，新斯科舍省CEC中的专业间关系在很大程度上是积极的。他们表示很高兴在这些中心工作，并相信这项工作符合他们的职业身份。据报道，患者和社区的满意度很高。医护人员认为，该模型的未来扩展将受益于继续教育的发展以及领导层与一线工人之间更好的沟通。

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