The Definition of Paramedicine: An International Delphi Study.
The Definition of Paramedicine: An International Delphi Study.
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DOI：
10.2147/jmdh.s347811
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发表时间：
2021
影响因子：
3.3
通讯作者：
Olaussen A
中科院分区：
文献类型：
--
作者：
Williams B;Beovich B;Olaussen A
虽然辅助医学是卫生保健系统的一个组成部分，但对其定义缺乏普遍共识。本研究旨在得出全球共识的辅助医学定义。从文献中的现有定义中确定了与辅助医学相关的关键属性。利用文本分析，确定了共同的属性主题，并开发了六个初始域。这些领域构成了由58名全球辅助医学专家组成的小组进行的四轮德尔菲研究的基础，以制定一个国际共识的定义。整个研究的有效率从96.6%（第1轮）到63.8%（第4轮）不等。与会者对定义中应包括的适当属性的反馈反映了辅助医学固有的高水平专科临床护理及其作为卫生保健系统基本要素的地位。此外，研究结果强调了护理人员的能力和角色的广泛范围，以及护理人员工作的不同环境。采用德尔菲法制定全球共识的辅助医学定义。这一定义如下：辅助医学是实践和卫生专业的一个领域，专门从事包括但不限于急诊和初级保健在内的一系列环境。护理人员在各种临床环境中工作，如紧急医疗服务、救护车服务、医院和诊所，以及非临床角色，如教育、领导、公共卫生和研究。护理人员拥有复杂的知识和技能，广泛的实践范围，是医疗保健系统的重要组成部分。根据地点的不同，护理人员可以在医疗指导下或独立进行实践，通常是在计划外、不可预测或动态的环境中。我们认为，这一共识定义的产生和提供对于辅助医学学科的进一步发展和成熟至关重要。
Although paramedicine is an integral element of healthcare systems, there is a lack of universal consensus on its definition. This study aimed to derive a global consensus definition of paramedicine. Key attributes pertaining to paramedicine were identified from existing definitions within the literature. Utilising text analysis, common attribute themes were identified and six initial domains were developed. These domains formed the basis for a four-round Delphi study with a panel of 58 global experts within paramedicine to develop an international consensus definition. Response rates across the study varied from 96.6% (round 1) to 63.8% (round 4). Participant feedback on appropriate attributes to include in the definition reflected the high level of specialized clinical care inherent within paramedicine, and its status as an essential element of healthcare systems. In addition, the results highlighted the extensive range of paramedicine capabilities and roles, and the diverse environments within which paramedics work. Delphi methodology was utilized to develop a global consensus definition of paramedicine. This definition is as follows: paramedicine is a domain of practice and health profession that specialises across a range of settings including, but not limited to, emergency and primary care. Paramedics work in a variety of clinical settings such as emergency medical services, ambulance services, hospitals and clinics as well as non-clinical roles, such as education, leadership, public health and research. Paramedics possess complex knowledge and skills, a broad scope of practice and are an essential part of the healthcare system. Depending on location, paramedics may practice under medical direction or independently, often in unscheduled, unpredictable or dynamic settings. We believe that the generation and provision of this consensus definition is essential to enable the further development and maturation of the discipline of paramedicine.