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Identifying Features of a System of Practice to Inform a Contemporary Competency Framework for Paramedics in Canada
Alan M Batt1,2, Meghan Lysko3, Jennifer L Bolster2,4
1Faculty of Health Sciences, Queen's University, 99 University Avenue, Kingston, ON K7L 3N6, Canada.
Healthcare (Basel, Switzerland)
|May 10, 2024
Summary
A systems-thinking approach was used to map Canadian paramedic practice, revealing its complexity. This detailed map will inform a new national competency framework for paramedics, ensuring more accurate representation of their diverse roles.
Area of Science:
- Health Systems Research
- Professional Practice Analysis
- Educational Framework Development
Background:
- Paramedic practice is complex, variable, and context-dependent, leading to incomplete definitions.
- Inaccurate representations of paramedic practice can negatively impact education, assessment, and care delivery.
- Developing a national competency framework requires a comprehensive understanding of professional practice.
Purpose of the Study:
- To identify, explore, and represent the professional practice of paramedics in Canada.
- To develop a detailed systems map of paramedic practice.
- To inform the creation of a national competency framework for paramedics.
Main Methods:
- A systems-thinking approach was employed to analyze paramedic practice.
- Methods included rich pictures, diagramming, and systems mapping.
- Explored influences at multiple system levels (microsystem to chronosystem).
Main Results:
- A multi-layered systems map of Canadian paramedic practice was developed.
- Practice involves patients, caregivers, and diverse collaborative teams.
- Enacted across varied geographical, cultural, social, and technical contexts, influenced by policy and regulation.
Conclusions:
- The developed systems map provides a detailed representation of paramedic practice.
- This map is foundational for creating a representative and contemporary national competency framework.
- Informs future competency development for Canadian paramedics.
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