References

Ball L Setting the scene for the paramedic in primary care: a review of the literature.. Emerg Med J. 2005; 22:(12)896-900

Blaber AMaidenhead: McGraw Hill/Open University Press; 2008

Brown GT Collaborative research between clinicians and academics: Necessary conditions, advantages and potential difficulties.. Australian Occupational Therapy Journal. 1994; 41:(1)19-26

Department of Health. Research Governance Framework for Health and Social Care Second edition.. 2005a. http//www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4108962 (accessed 2 August 2012)

Emergency Health Services. 2012. http//emergency.medicine.dal.ca/ehsprotocols/protocols/index.cfm (accessed 2 August 2012)

Health Professions Council. 2007. http//www.hpc-uk.org/assets/documents/1000051CStandards_of_Profciency_Paramedics.pdf (accessed 2 August 2012)

Jensen JL, Petrie DA, Cain E The Canadian Pre-hospital Evidence-based Protocols Project: Knowledge Translation in Emergency Medical Services Care.. Acad Emerg Med. 2009; 16:(7)668-73

Lyon R, Egan G, Gowens P Issues around conducting pre-hospital research on out-of-hospital cardiac arrest: lessons from the TOPCAT study.. Emerg Med J. 2010; 27:(8)637-8

Mason S, O’Keeffe C, Coleman P Effectiveness of emergency care practitioners working within existing emergency service models of care.. Emerg Med J. 2007; 24:(4)239-43

National Association of EMS Physicians. 2012. http//www.naemsp.org/Documents/EMSResearchAgenda%20Final%20Paper.pdf (accessed 2 August 2012)

National Institute of Health Research(NIHR). 2012. http//www.nihrtcc.nhs.uk/cat/eligibility (accessed 2 August)

Washington DC: The National Academies Press; 2007

Osterwalder JJ Insufficient quality of research on pre-hospital medical emergency care—where are the major problems and solutions?. Swiss Med Wkly. 2004; 134:(27–8)389-94

Saver JS, Kidwell C, Eckstein M Physician Investigator Phone Elicitation of Consent in the field: A novel method to obtain explicit informed consent for pre-hospital clinical research.. Prehosp Emerg Care. 2006; 10:(2)182-5

Schmidt TA, Nelson M, Daya M Emergency Medical Service Providers’ Attitudes and Experiences Regarding Enrolling Patients in Clinical Research Trials.. Prehosp Emerg Care. 2009; 13:(2)160-8

2012. http//eprints.lincoln.ac.uk/5089/ (accessed 2 August)

Siriwardena N, Donohoe R, Stephenson J Supporting research and development in ambulance services: research for better health care in pre-hospital settings.. Emerg Med J. 2009; 27:(4)324-6

Siriwardena AN, Shaw D, Donohoe R Development and pilot of clinical performance indicators for English ambulance services.. Emerg Med J. 2010; 27:(4)327-31

Refections in the research pool—a paramedic experience in clinical research and the Master of Emergency Health degree.. 2009. http//www.jephc.com/uploads/GS990342.pdf (accessed 2 August 2012)

Thompson J Ethical Challenges of Informed consent in pre-hospital research.. CJEM. 2003; 5:(2)108-14

Towards A National Research Agenda for the Ambulance and Pre-hospital Sector in Australia.. 2003. http//www.jephc.com/full_article.cfm?content_id=38 (accessed 2 August 2012)

UK Clinical Research Collaboration. 2007. http//www.ukcrc.org/publications/reports (accessed 2 August 2012)

University of Portsmouth. 2012. http//www.port.ac.uk/courses/coursetypes/undergraduate/FdscParamedicScience/ (accessed 2 August 2012)

The need for a professional body for UK paramedics.. 2006. http//www.jephc.com/uploads/990158.pdf (accessed 2 August 2012)

Paramedic education: developing depth through networks and evidence-based research—refections twelve months on.. 2009. http//www.jephc.com/uploads/EW990357.pdf (accessed 2 August 2012)

Integrating clinical research into paramedic practice:current trends and influences

09 September 2012
Volume 4 · Issue 9

Abstract

This article aims to evaluate some of the major influencing factors on the integration of research into paramedic practice. It looks at national research and development policies, the paramedic role, training developments, the influence of the College of Paramedics and the HPC, research funding bodies, support of organisational structures and ambulance culture. It also looks at the collaborative research between ambulance services and academic institutions and how these influencing factors impact on the integration of research into practice in the pre-hospital setting. Strategies are proposed to overcome some of the barriers to the integration of clinical and research practice by the paramedic. These focus on changing national policy to promote greater clinician involvement in research and greater communication between UK universities and research networks to make academic research careers more accessible to university-trained paramedics. The development of roles within ambulance trusts to incorporate both clinical practice and research engagement is also discussed as well as a focus on increasing the College of Paramedics’ representation of the profession to enable more paramedics to access opportunities to become actively involved in research.

As a practising paramedic on the health professionals council (HPC) register and a masters student of clinical research at the University of Southampton, the author is interested in current influencing factors on the integration of clinical research into paramedic practice. This article looks at national research and development policies, the paramedic role, training developments, the influence of the College of Paramedics and the HPC, research funding bodies, support of organisational structures, ambulance culture, collaborative research between ambulance services and academic institutions, as well as how these factors impact on the integration of research into practice in the pre-hospital setting. Finally, this article will then suggest strategies for overcoming some of the barriers to the integration of clinical and research practice by the paramedic.

Several current UK national health policies are focused on the promotion of clinical research in healthcare. In the white paper entitled Equity and Excellence: Liberating the NHS (Department of Health (DH), 2010a) the promotion and conduct of research is described as a core National Health Service (NHS) role. The Health and Social Care Act passed by Parliament on 27 March 2012 places duties on the Secretary of State, the board and clinical commissioning groups to have regard for the need to promote research within the health service (DH, 2012a). The research governance Framework for Health and Social Care (DH, 2005a) states that ‘all service and academic staff, no matter how senior or junior, have a role to play in the conduct of research.’

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