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Paramedic clinical practice guideline development in Australia and New Zealand : A qualitative descriptive analysis
Maria, Sonja Colbeck, Marc Wilkinson-Stokes, Matt Moon, Adam Thomson, Michelle Ballard, Joel Parker, Lachlan Watson, Fraser Oswald, James
Maria, Sonja
Colbeck, Marc
Wilkinson-Stokes, Matt
Moon, Adam
Thomson, Michelle
Ballard, Joel
Parker, Lachlan
Watson, Fraser
Oswald, James
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.
Keywords
clinical practice guidelines, paramedicine, project management, evidence-based practice
Date
2024
Type
Journal article
Journal
Australasian Emergency Care
Book
Volume
27
Issue
4
Page Range
259-267
Article Number
ACU Department
School of Nursing, Midwifery and Paramedicine
Faculty of Health Sciences
Faculty of Health Sciences
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY 4.0
File Access
Open
Notes
© 2024 The Author(s). Published by Elsevier Ltd on behalf of College of Emergency Nursing Australasia. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).