References

Rozelle, NSW: Ambulance Service of New South Wales; 2014

Right care, right time: after-hours GP services now available for referrals.Rozelle, NSW: Ambulance Service of New South Wales; 2015

, 2014. Doncaster, Victoria: Ambulance Victoria; 2014

Bridgwater: Class Professional Publishing; 2013

Boychuk Duchscher JE Transition shock: The initial stage of role adaptation for newly graduated Registered Nurses. J Adv Nurs. 2009; 65:(5)1103-13 https://doi.org/10.1111/j.1365-2648.2008.04898.x

Carney CJ Prehospital Care–a UK perspective. Br Med Bull. 1999; 55:(4)757-66

Clark MJ, Fitzgerald G Older people's use of ambulance services: a population based analysis. J Accid Emerg Med. 1999; 16:(2)108-11 https://doi.org/10.1136/emj.16.2.108

Clark MJ, Purdie J, Fitzgerald GJ Determinants of pre-hospital care non-usage for patients with emergency care needs. Pre-hospital Immediate Care. 2000; 4:(2)90-6

Colbeck M Australasian consultant paramedic: A future direction?. Australasian Journal of Paramedicine. 2014; 11:(5)1-2

, 3rd edn. Bridgwater: College of Paramedics; 2014

Council of Ambulance Authorities. 2010. http//caa.net.au/~caanet/images/documents/accreditation_resources/PEPAP_Guidelines_Reviewed_MAY_2010.pdf (accessed 20 September 2015)

Dawson D University educated ambulance paramedics: Job ready or not? Paper presented at the Australian College of Ambulance Professionals (ACAP) 2008 National Conference, Southbank, Melbourne. Journal of Emergency Primary Health Care. 2008; 6:(3)1-66

Donaghy J Equipping the student for workplace changes in paramedic education. Journal of Paramedic Practice. 2010; 2:(11)524-8 https://doi.org/10.12968/jpar.2010.2.11.80045

Downing A, Wilson R Older people's use of accident and emergency services. Age Ageing. 2004; 34:(1)24-30 https://doi.org/10.1093/ageing/afh214

Edwards D Paramedic preceptor: work readiness in graduate paramedics. Clin Teach. 2011; 8:(2)79-82 https://doi.org/10.1111/j.1743-498X.2011.00435.x

Fields J The Politics and economics of educational change. Australian Journal of Emergency Care. 1994; 1:(1)14-5

Gregory P The reality shock. Journal of Paramedic Practice. 2013; 5:(1) https://doi.org/jpar.2013.5.1.5

Lazarsfeld-Jensen A Starting young: the challange of developing graduates' road readiness. Journal of Paramedic Practice. 2010; 2:(8)368-72 https://doi.org/10.12968/jpar.2010.2.8.78011

Lord B The development of a degree qualification for paramedics at Charles Sturt University. Journal of Emergency Primary Health Care. 2003; 1:(1–2)1-5

Lord B, McCall M, Wray N Factors affecting the education of pre-employment paramedic students during the clinical practicum. Journal of Emergency Primary Health Care. 2009; 7:(4)1-9

Marks PJ, Daniel TD, Afolabi O, Spiers G, Nguyen-Van-Tam JS Emergency (999) calls to the ambulance service that do not result in the patient being transported to hospital: an epidemiological study.2002 https://doi.org/10.1136/emj.19.5.449

Mikolaizak AS, Simpson PM, Tiedemann A, Lord SR, Close JC Systematic review of non-transportation rates and outcomes for older people who have fallen after ambulance service call-out. Australas J Ageing. 2013; 32:(3)147-57 https://doi.org/10.1111/ajag.12023

O'Brien K, Moore A, Hartley P, Dawson D Lessons about work readiness from final year paramedic students in an Australian university. Australasian Journal of Paramedicine. 2013; 10:(4)1-13

2014. http//hdl.handle.net/1959.9/316231 (accessed 20 September 2015)

Brisbane: Queensland Ambulance Service; 2015

Roberts K, Jewkes F, Whalley H, Hopkins D, Porter K A review of emergency equipment carried and procedures performed by UK front line paramedics on paediatric patients. Emerg Med J. 2005; 22:(8)572-6 https://doi.org/10.1136/emj.2004.022533

Schroth L, Khawaja R Globalization of healthcare. Front Health Serv Manage. 2006; 24:(2)19-30

Sibson L, Mursell I Mentorship for paramedic practice: bridging the gap. Journal of Paramedic Practice. 2010; 2:(6)270-4 https://doi.org/10.12968/jpar.2010.2.6.48809

Snooks HA, Dale J, Hartley-Sharpe C, Halter M On-scene alternatives for emergency ambulance crews attending patients who do not need to travel to the accident and emergency department: a review of the literature. Emerg Med J. 2004; 21:(2)212-15 https://doi.org/10.1136/emj.2003.005199

Thompson S The percieved concerns of newly qualified paramedics commencing their careers: a pilot study. Journal of Paramedic Practice. 2015; 7:(2)74-8 https://doi.org/10.12968/jpar.2015.7.2.74

Tippett V Projecting futures for paramedic professionals.Brisbane: Australian and New Zealand College of Paramedicine; 2014

Wallis J, Ross L, Boyle M London swoops on Australian paramedics. Australasian Journal of Paramedicine. 2015; 12:(1)1-1

Waxman A, Williams B Paramedic pre-employment education and the concerns of our future: What are our expectations?. Journal of Emergency Primary Health Care. 2006; 4:(4)1-10

Williams JHatfield: Personal communication with Scott Devenish; 2010

Woodward D, Drager N, Beaglehole R, Lipson D Globalization and health: a framework for analysis and action. Bull World Health Organ. 2001; 79:(9)875-81 https://doi.org/10.1590/S0042-96862001000900014

Woollard M Emergency calls not requiring an urgent ambulance response: expert consensus. Prehosp Emerg Care. 2003; 7:(3)384-91

Wray N, McCall L ‘They don't know much about us’: Educational reform impacts on students' learning in the clinical environment. Adv Health Sci Educ Theory Pract. 2009; 14:(5)665-76 https://doi.org/10.1007/s10459-008-9146-y

professional
role evolution

Australian paramedic graduates transitioning into UK NHS ambulance services: what are the potential challenges?

02 December 2015
Features
02 December 2015
Volume 5 · Issue 3

Abstract

With United Kingdom (UK) Ambulance National Health Service (NHS) Trusts and Foundation Trusts actively recruiting Australian paramedic graduates, this article seeks to stimulate discussion by identifying differences existing between the two ambulance systems, as well as highlighting potential challenges that Australian graduates may face when transitioning to the UK ambulance service. It also identifies similarities between Australian and UK ambulance systems, which may assist new graduates to overcome the transition shock. This article suggests that transition shock is not solely related to Australian graduates moving to the UK, and may well be present for graduates moving to comparable international ambulance services in Canada, the Middle East, Ireland and South Africa.

United Kingdom (UK) ambulance services are actively recruiting Australian paramedic graduates (Wallis et al, 2015). In this article, we seek to stimulate discussion by briefly examining the differences and some similarities between the two systems with a view to highlighting potential challenges that Australian graduates may encounter when transitioning into UK Ambulance National Health Service (NHS) Trusts and Foundation Trusts. These challenges may not be unique to Australian graduates transitioning to the UK, and may be applicable to other graduates moving to international ambulance services based on the Anglo-American model of practice.

University paramedic programmes in Australia and the UK commenced as early as 1994 in Australia (Fields, 1994; Lord, 2003) and 1998 in the UK (Carney, 1999). The transition of paramedic education and training from an apprenticeship in-house vocational model to a pre-employment university model increasingly means that new entrants to the profession must first gain a bachelor's degree before applying to an ambulance service for employment.

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Ambulance
Australian
Globalisation
Graduates
Transition
UK