References
The paramedic kairotope theory: methodology and rationale
Abstract
Scene management is an important, yet under–researched aspect of paramedic practice. Using a grounded theory methodology, this qualitative inquiry acquired data from in-depth interviews with paramedics working in rural, suburban, and urban settings in Ontario, Canada to generate a theory of expertise in scene management. The methodology and rationale comprise an effective approach for exploring this area of paramedic practice.
Expertise among health professionals is a widely researched area of study. One particularly important reason for this emphasis is that a common occupational characteristic of fully recognized professions is continuing development of domain specific knowledge from within the professions. The importance of this point is emphasized by Goodwin (1994), who describes expert level knowledge as a crucial element for distinguishing one profession from another.
Efforts to identify the general nature of expertise have been extensive (Polanyi, 1966; Larkin et al, 1980; Dreyfus and Dreyfus, 1986; Perkins and Salomon, 1989; Schmidt et al. 1990; Bereiter and Scardamalia, 1993; Ericsson and Charness, 1994; Guthrie, 1995; Tiberius et al. 1998; Guest et al. 2001). However, much of this literature suggests that expertise is in fact very domain-specific and this has led to considerable research into expertise within specific disciplines.
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