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.
CONCLUSIONS: 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.
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.
CONCLUSIONS: 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.
摘要：
背景：这项由澳大利亚辅助医学学院临床实践指南（CPG）工作组进行的合作研究旨在研究澳大利亚和新西兰救护车服务中的CPG开发实践。
方法：采用定性的描述性设计，该研究利用主题分析从与11位积极参与CPG发展的专家的访谈中提取见解。这项研究采用了名词主义和建构主义的方法，认识到个人经验与护理人员领域CPG发展的现实之间的复杂联系。
结果：关键发现揭示了CPG开发实践中的显著异质性，强调缺乏正式培训和对现有指导方针的严重依赖。该研究强调了项目管理灵活性方面的挑战，有限的研究能力，以及外部协商和资源利用的不一致。
结论：研究建议采用项目管理框架，投资培训，并利用证据评估方法，如等级。它强调需要多学科团队和证据综合方面的正式专业知识，倡导有针对性的培训计划。筹资挑战突出了专门预算和资源分配合作努力的重要性。知识翻译和实施问题强调了证据评估和知识翻译培训计划在克服这些挑战方面的重要性。
方法：采用定性的描述性设计，该研究利用主题分析从与11位积极参与CPG发展的专家的访谈中提取见解。这项研究采用了名词主义和建构主义的方法，认识到个人经验与护理人员领域CPG发展的现实之间的复杂联系。
结果：关键发现揭示了CPG开发实践中的显著异质性，强调缺乏正式培训和对现有指导方针的严重依赖。该研究强调了项目管理灵活性方面的挑战，有限的研究能力，以及外部协商和资源利用的不一致。
结论：研究建议采用项目管理框架，投资培训，并利用证据评估方法，如等级。它强调需要多学科团队和证据综合方面的正式专业知识，倡导有针对性的培训计划。筹资挑战突出了专门预算和资源分配合作努力的重要性。知识翻译和实施问题强调了证据评估和知识翻译培训计划在克服这些挑战方面的重要性。
