Paramedic clinical practice guideline development in Australia and New Zealand: A qualitative descriptive analysis

IF 2.1 4区 医学 Q2 EMERGENCY MEDICINE Australasian Emergency Care Pub Date : 2024-07-12 DOI:10.1016/j.auec.2024.06.003
Sonja Maria , Marc Colbeck , Matt Wilkinson-Stokes , Adam Moon , Michelle Thomson , Joel Ballard , Lachlan Parker , Fraser Watson , James Oswald
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Abstract

Background

This collaborative study by The Australasian College of Paramedicine's Clinical Practice Guidelines (CPG) Working Group aimed to examine CPG development practices in Australian and New Zealand ambulance services.

Methods

Employing a qualitative descriptive design, the research utilised thematic analysis to extract insights from interviews with eleven experts actively involved in CPG development. The study embraced a nominalist and constructivist approach, recognising the intricate connection between individual experiences and the realities of CPG development in the paramedic field.

Results

Key findings revealed significant heterogeneity in CPG development practices, emphasising a lack of formal training and a substantial reliance on existing guidelines. The study highlighted challenges in project management flexibility, limited research capacity, and inconsistencies in external consultations and resource utilisation.

Conclusion

The study recommends adopting project management frameworks, investing in training, and utilising evidence evaluation methodologies like GRADE. It emphasises the need for multidisciplinary teams and formal expertise in evidence synthesis, advocating for targeted training programs. Funding challenges highlight the importance of dedicated budgets and collaborative efforts for resource allocation. Knowledge translation and implementation issues underscore the significance of training programs for evidence evaluation and knowledge translation in overcoming these challenges.
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澳大利亚和新西兰辅助医务人员临床实践指南的制定:定性描述分析。
背景:澳大利亚辅助医疗学院临床实践指南(CPG)工作组开展的这项合作研究旨在考察澳大利亚和新西兰救护车服务部门的 CPG 制定实践:这项由澳大利亚辅助医疗学院临床实践指南(CPG)工作组开展的合作研究旨在考察澳大利亚和新西兰救护车服务部门的 CPG 开发实践:研究采用了定性描述设计,利用主题分析法从与 11 名积极参与 CPG 开发的专家的访谈中提取见解。研究采用了一种唯名论和建构主义方法,承认个人经验与辅助医疗领域 CPG 开发的现实之间存在着错综复杂的联系:主要研究结果表明,在 CPG 开发实践中存在很大的差异,强调了缺乏正规培训和对现有指南的严重依赖。研究强调了项目管理灵活性方面的挑战、有限的研究能力以及外部咨询和资源利用方面的不一致:研究建议采用项目管理框架,投资于培训,并利用 GRADE 等证据评估方法。研究强调,在证据综合方面需要多学科团队和正规的专业知识,提倡开展有针对性的培训计划。资金方面的挑战凸显了专项预算和资源分配合作的重要性。知识转化和实施问题强调了证据评估和知识转化培训计划在克服这些挑战方面的重要性。
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来源期刊
Australasian Emergency Care
Australasian Emergency Care Nursing-Emergency Nursing
CiteScore
3.30
自引率
5.60%
发文量
82
审稿时长
37 days
期刊介绍: Australasian Emergency Care is an international peer-reviewed journal dedicated to supporting emergency nurses, physicians, paramedics and other professionals in advancing the science and practice of emergency care, wherever it is delivered. As the official journal of the College of Emergency Nursing Australasia (CENA), Australasian Emergency Care is a conduit for clinical, applied, and theoretical research and knowledge that advances the science and practice of emergency care in original, innovative and challenging ways. The journal serves as a leading voice for the emergency care community, reflecting its inter-professional diversity, and the importance of collaboration and shared decision-making to achieve quality patient outcomes. It is strongly focussed on advancing the patient experience and quality of care across the emergency care continuum, spanning the pre-hospital, hospital and post-hospital settings within Australasia and beyond.
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