Exploring paramedicine models of care : A novel macro analysis using the RESPIGHT framework

Journal article

Weber, Anthony, Devenish, Anthony and Lam, Louisa. (2025). Exploring paramedicine models of care : A novel macro analysis using the RESPIGHT framework. Australian Journal of Rural Health. 33(1), p. Article e13215. https://doi.org/10.1111/ajr.13215
AuthorsWeber, Anthony, Devenish, Anthony and Lam, Louisa
Abstract

Objective
To evaluate the alignment of undergraduate paramedicine curricula in Australia with the RESPIGHT model, focusing on diverse aspects such as emergency response, community engagement and governance.

Design
Deductive thematic analysis was conducted to assess the alignment of curricula from 16 Australian universities with the RESPIGHT framework.

Setting
The study reviewed undergraduate pre-registration paramedicine programmes across Australian universities.

Participants
The study included a comprehensive analysis of curricula from 16 universities offering undergraduate paramedicine programmes.

Main Outcome Measure
The degree of alignment of paramedicine curricula with the RESPIGHT categories: emergency response, community engagement, situated practice, primary healthcare, integration with health services, governance, leadership and treatment and transport.

Results
The analysis revealed varying degrees of alignment across the RESPIGHT categories, with notable discrepancies in areas such as community engagement and governance. Some universities demonstrated strong alignment in emergency response and treatment, while others showed weaker integration with primary healthcare and community engagement.

Conclusion
The study highlights significant disparities in the preparedness of paramedicine students for the broad scope of practice required in modern healthcare. The findings underscore the need for curriculum reform to better prepare students for community care models and the evolving healthcare landscape, ensuring a more comprehensive and integrated approach to paramedicine education in Australia.

Keywordscommunity engagement; curriculum alignment; emergency response; paramedicine education; primary healthcare
Year2025
JournalAustralian Journal of Rural Health
Journal citation33 (1), p. Article e13215
PublisherJohn Wiley & Sons, Inc.
ISSN1038-5282
Digital Object Identifier (DOI)https://doi.org/10.1111/ajr.13215
PubMed ID39757790
Scopus EID2-s2.0-85214134429
Page range1-8
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online06 Jan 2025
Publication process dates
Accepted17 Dec 2024
Deposited03 Jun 2025
Additional information

© 2025 National Rural Health Alliance Ltd.

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Luo, Yuan-hui, Li, Hui, Plummer, Virginia, Cross, Wendy M., Lam, Louisa, Guo, Yu-fang, Yin, Yi-zhen and Zhang, Jing-ping. (2019). An evaluation of a positive psychological intervention to reduce burnout among nurses. Archives of Psychiatric Nursing. 33(6), pp. 186-191. https://doi.org/10.1016/j.apnu.2019.08.004
A systematic review of prevalence and risk factors of postpartum depression in Chinese immigrant women
Chen, Jiarui, Cross, Wendy M., Plummer, Virginia, Lam, Louisa and Tang, Siyuan. (2019). A systematic review of prevalence and risk factors of postpartum depression in Chinese immigrant women. Women and Birth. 32(6), pp. 487-492. https://doi.org/10.1016/j.wombi.2018.11.019
Effectiveness of mitigation interventions on occupational violence against emergency service workers : A mixed methods systematic review protocol
Drew, Peter, Tippett, Vivienne and Devenish, Scott. (2018). Effectiveness of mitigation interventions on occupational violence against emergency service workers : A mixed methods systematic review protocol. JBI Evidence Synthesis. 16(5), pp. 1081-1086. https://doi.org/10.11124/JBISRIR-2017-003412
Rote learning : the ugly duckling of student paramedic education?
Long, David, Hobbs, Lisa and Devenish, Anthony. (2018). Rote learning : the ugly duckling of student paramedic education? Irish Journal of Paramedicine. 3(2), pp. 1-3. https://doi.org/10.32378/ijp.v3i2.97
Newly qualified graduate nurses’ experiences of workplace incivility in Australian hospital settings
Mammen, Bindu, Hills, Danny J. and Lam, Louisa. (2018). Newly qualified graduate nurses’ experiences of workplace incivility in Australian hospital settings. Collegian. 25(6), pp. 591-599. https://doi.org/10.1016/j.colegn.2018.08.003
Burnout and its association with resilience in nurses : A cross-sectional study
Guo, Yu-fang, Luo, Yuan-hui, Lam, Louisa, Cross, Wendy, Plummer, Virginia and Zhang, Jing-ping. (2018). Burnout and its association with resilience in nurses : A cross-sectional study. Journal of Clinical Nursing. 27(1-2), pp. 441-449. https://doi.org/10.1111/jocn.13952
Workplace aggression experiences and responses of Victorian nurses, midwives and care personnel
Hills, Danny, Lam, Louisa and Hills, Sharon. (2018). Workplace aggression experiences and responses of Victorian nurses, midwives and care personnel. Collegian. 25(6), pp. 575-582. https://doi.org/10.1016/j.colegn.2018.09.003
The efficacy of different modes of analgesia in postoperative pain management and early mobilization in postoperative cardiac surgical patients : A systematic review
Nachiyunde, Brenda and Lam, Louisa. (2018). The efficacy of different modes of analgesia in postoperative pain management and early mobilization in postoperative cardiac surgical patients : A systematic review. Annals of Cardiac Anaesthesia. 21(4), pp. 363-370. https://doi.org/10.4103/aca.ACA_186_17
Positive psychotherapy for depression and self-efficacy in undergraduate nursing students : A randomized, controlled trial
Guo, Yu-Fang, Zhang, Xia, Plummer, Virginia, Lam, Louisa, Cross, Wendy and Zhang, Jing-Ping. (2017). Positive psychotherapy for depression and self-efficacy in undergraduate nursing students : A randomized, controlled trial. International Journal of Mental Health Nursing. 26(4), pp. 375-383. https://doi.org/10.1111/inm.12255
Female nurses’ burnout symptoms : No association with the Hypothalamic-Pituitary-Thyroid (HPT) axis
Guo, Yufang, Lam, Louisa, Luo, Yuanhui, Plummer, Virginia, Cross, Wendy, Li, Hui, Yin, Yizhen and Zhang, Jingping. (2017). Female nurses’ burnout symptoms : No association with the Hypothalamic-Pituitary-Thyroid (HPT) axis. Psychoneuroendocrinology. 77, pp. 47-50. https://doi.org/10.1016/j.psyneuen.2016.11.020
Exploring resilience in Chinese nurses : A cross-sectional study
Guo, Yu-Fang, Cross, Wendy, Plummer, Virginia, Lam, Louisa, Luo, Yuan-Hui and Zhang, Jing-Ping. (2017). Exploring resilience in Chinese nurses : A cross-sectional study. Journal of Nursing Management. 25(3), pp. 223-230. https://doi.org/10.1111/jonm.12457