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Cited by 73Innovations in Medical EducationHealth and Medical EducationHealthcare Education and Workforce Issues

The bargaining of professionalism in emergency care practice: NHS paramedics and higher education

Open access
Givati, Assaf, Markham, Chris, Street, Ken·2018·Advances in Health Sciences Education
DOI 10.1007/s10459-017-9802-1PMC PMC5882635
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Abstract

Over the past 2 decades, as part of reforms to the National Health Service and with it organizational changes to ambulance work in the UK, paramedic education has undergone a process of academisation and a shift from in-house, apprenticeship weeks-long occupational training, to university-based undergraduate programs. While the professional regulation and standardization of Allied Health Professionals' education in high-income countries has captured scholarly attention, the study of paramedic practice is still in its infancy and there is a need to explore its evolvement in relation to the fluid societal-political circumstances affecting its provision and demand. Based on interviews with front-line paramedics, paramedic educators and paramedic science students in the South of England, this article examines how the reforms to paramedic education have impacted the professionalization of paramedics and their discourse of professionalism. Framed within to the 'new' sociology of professions, the case of British paramedics demonstrates the complex nature of the relationship between the university and professional practice. It appears that universities, the providers of paramedic education, are caught between two opposing discourses of professionalism: on the one hand, that of providing a platform for students' socialization and engagement with professionalism 'from within' practice which is based on students' common goals and mutual experiences, and, on the other hand, serving as a conduit for managerial/organizational strategies of professionalism which appear to undermine the role of university socialization.

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  • Paramedics more often require both broader and deeper competencies to perform their daily clinical work, with wide variations in the complexity of patient encounters.

    “Consequently, paramedics more often require both broader and deeper competencies to perform their daily clinical work, with wide variations in the complexity of patient encounters [12, 13].”

    From Paramedics’ perceptions of job demands and resources in Finnish emergency medical services: a qualitative study (2022) · cites this paper as [13]

    The Introduction (page unavailable) describes paramedic work as involving unpredictable encounters and an expanded medical role. The Findings and Discussion (pages unavailable) describe broader training, complex interventions, and increased job complexity. They do not establish the claimed wide variation in the complexity of individual patient encounters. (LLM, conf=0.83)

    Experimental — accuracy not yet measured

  • An increasing number of paramedic professionals hold a university-level degree.

    “Therefore, an increasing number of paramedic professionals hold a university-level degree [13–15].”

    From Paramedics’ perceptions of job demands and resources in Finnish emergency medical services: a qualitative study (2022) · cites this paper as [13]

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Authors
Givati, A., Markham, C., & Street, K.
Affiliations
University of Portsmouth (GB)
Corresponding author
Givati, Assaf
ORCID
Venue
Advances in Health Sciences Education
Publisher
Springer Science and Business Media LLC
Published
2017-11-10
Volume
23
Issue
2
Pages
353-369
ISSN
  • 1382-4996 (ISSN-L)
  • 1573-1677
DOI
10.1007/s10459-017-9802-1
PMC
PMC5882635
OpenAlex
W2767828759
Cited by
73
References
59
Citations by year
2026: 5 · 2025: 8 · 2024: 8 · 2023: 5 · 2022: 16 · 2021: 17 · 2020: 5 · 2019: 5 · 2018: 3 · 2017: 1
FWCI
3.59
Type
journal article
Language
en
Open access
Licence
Locations
  • Advances in Health Sciences Education (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
University of Portsmouth
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
  • Health Sciences › Health Professions › General Health Professions › Health and Medical Education
  • Health Sciences › Nursing › Leadership and Management › Healthcare Education and Workforce Issues
Keywords
paramedic education, academization, professionalization, National Health Service, managerialism in higher education, occupational training, United Kingdom
MeSH terms
Professionalism, Certification, Clinical Competence, Emergency Medical Technicians, England, United Kingdom, Humans, Health Knowledge, Attitudes, Practice, State Medicine, Universities, Qualitative Research

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