PDF(Pubmed)
Abstract：
BACKGROUND: Paramedicine is a dynamic profession which has evolved from a \"treat and transport\" service into a complex network of health professionals working in a diverse range of clinical roles. Research is challenging in the paramedicine context, and internationally, research capacity and culture has developed slowly. International examples of research agendas and strategies in paramedicine exist, however, research priorities have not previously been identified in Ireland.
METHODS: This study was a three round electronic modified Delphi design which aimed to establish the key aspects of the research priorities via end-user consensus. Participants included interested stakeholders involved in prehospital care or research in Ireland. The first round questionnaire consisted of open-ended questions with results coded and developed into themes for the closed-ended questions used in the second and third round questionnaires. A consensus level of 70% was set a priori for second and third rounds.
RESULTS: Research Priorities that reached consensus included Staff Wellbeing, Education and Professionalism and Acute Medical Conditions. Respondents indicated that these three areas should be a priority in the next 2 years. Education, Staffing and Leadership were imperative Key Resources that required change. Education was a Key Processes change deemed imperative to allow the future research to occur. Outcomes that should be included in the future research strategy were Patient Outcomes, Practitioner Development, Practitioner Wellbeing, Alternate Pathways, Evidence-based Practice and Staff Satisfaction.
CONCLUSIONS: The results of this study are similar to previously published international studies, with some key differences. There was a greater emphasis on Education and Practitioner Wellbeing with the latter possibly attributed to the timing of the research in relation to the COVID-19 pandemic. The disseminated findings of this study should inform sustainable funding models to aid the development of paramedicine research in Ireland.
METHODS: This study was a three round electronic modified Delphi design which aimed to establish the key aspects of the research priorities via end-user consensus. Participants included interested stakeholders involved in prehospital care or research in Ireland. The first round questionnaire consisted of open-ended questions with results coded and developed into themes for the closed-ended questions used in the second and third round questionnaires. A consensus level of 70% was set a priori for second and third rounds.
RESULTS: Research Priorities that reached consensus included Staff Wellbeing, Education and Professionalism and Acute Medical Conditions. Respondents indicated that these three areas should be a priority in the next 2 years. Education, Staffing and Leadership were imperative Key Resources that required change. Education was a Key Processes change deemed imperative to allow the future research to occur. Outcomes that should be included in the future research strategy were Patient Outcomes, Practitioner Development, Practitioner Wellbeing, Alternate Pathways, Evidence-based Practice and Staff Satisfaction.
CONCLUSIONS: The results of this study are similar to previously published international studies, with some key differences. There was a greater emphasis on Education and Practitioner Wellbeing with the latter possibly attributed to the timing of the research in relation to the COVID-19 pandemic. The disseminated findings of this study should inform sustainable funding models to aid the development of paramedicine research in Ireland.
摘要：
背景：参数医学是一个充满活力的职业，已经从“治疗和运输”服务发展成为一个复杂的卫生专业人员网络，从事各种临床工作。在参数医学背景下，研究具有挑战性，在国际上,研究能力和文化发展缓慢。国际上存在辅助医学研究议程和战略的例子，然而,爱尔兰以前没有确定研究重点。
方法：本研究是一个三轮电子改进的Delphi设计，旨在通过最终用户共识建立研究重点的关键方面。参与者包括参与爱尔兰院前护理或研究的感兴趣的利益相关者。第一轮问卷由开放式问题组成，结果编码并发展为第二轮和第三轮问卷中使用的封闭式问题的主题。第二轮和第三轮的共识水平为70％。
结果：达成共识的研究重点包括员工福利，教育和专业和急性医疗条件。受访者表示，这三个领域应该是未来两年的优先事项。教育,人员配置和领导力是需要变革的关键资源。教育是一项关键的过程变革，被认为是允许未来研究进行的必要条件。应包括在未来研究策略中的结果是患者结果，从业者发展,从业者福利，替代途径，循证实践与员工满意度。
结论：这项研究的结果与以前发表的国际研究相似，一些关键的差异。人们更加重视教育和从业者的福祉，后者可能归因于与COVID-19大流行有关的研究时间。这项研究的传播结果应为可持续资助模式提供信息，以帮助爱尔兰开展辅助医学研究。
方法：本研究是一个三轮电子改进的Delphi设计，旨在通过最终用户共识建立研究重点的关键方面。参与者包括参与爱尔兰院前护理或研究的感兴趣的利益相关者。第一轮问卷由开放式问题组成，结果编码并发展为第二轮和第三轮问卷中使用的封闭式问题的主题。第二轮和第三轮的共识水平为70％。
结果：达成共识的研究重点包括员工福利，教育和专业和急性医疗条件。受访者表示，这三个领域应该是未来两年的优先事项。教育,人员配置和领导力是需要变革的关键资源。教育是一项关键的过程变革，被认为是允许未来研究进行的必要条件。应包括在未来研究策略中的结果是患者结果，从业者发展,从业者福利，替代途径，循证实践与员工满意度。
结论：这项研究的结果与以前发表的国际研究相似，一些关键的差异。人们更加重视教育和从业者的福祉，后者可能归因于与COVID-19大流行有关的研究时间。这项研究的传播结果应为可持续资助模式提供信息，以帮助爱尔兰开展辅助医学研究。
