Investigating first-year graduate paramedics' reason for current work location: A cross-sectional, data linkage study.


Journal

The Australian journal of rural health
ISSN: 1440-1584
Titre abrégé: Aust J Rural Health
Pays: Australia
ID NLM: 9305903

Informations de publication

Date de publication:
Oct 2021
Historique:
revised: 27 06 2021
received: 28 02 2021
accepted: 20 07 2021
pubmed: 8 9 2021
medline: 26 11 2021
entrez: 7 9 2021
Statut: ppublish

Résumé

This study aims to describe the demographic and employment characteristics of first-year graduates from a Victorian-based paramedicine course and investigate factors that influenced their choice in place of practice. Cross-sectional study using data from the Nursing and Allied Health Graduate Outcomes Tracking study. Victoria, Australia. First-year graduates (2019) from the Monash University range of paramedicine programs. Variables of interest included principal place of practice and the reasons for working in the current location. Over half of the 2018 paramedicine course graduates responded to the 2019 Graduate Outcomes Survey. Nearly all were registered as paramedics (including double registrants as nurses), and over a fifth were from a rural background; however, less than that were working in a rural area. Of those with complete data, the most cited reasons for current work location were 'spouse/partner's employment or career', 'opportunity for career advancement' and 'scope of practice within the role'. This study provides important insight into the factors associated with rural practice location amongst paramedicine graduates, specifically rural origin or personal, lifestyle and professional influences. The study adds to the sparse literature about paramedic practice location decision-making and highlights the need for further systematic longitudinal research examining the 'where' and 'why'.

Identifiants

pubmed: 34490966
doi: 10.1111/ajr.12786
doi:

Types de publication

Journal Article

Langues

eng

Pagination

678-687

Informations de copyright

© 2021 National Rural Health Alliance Ltd.

Références

The Council of Ambulance Authorities, Australia The factors affecting the supply of health services and medical professionals in rural areas: Submission to the Senate Standing Committee on Community Affairs [Internet]. Senate Printing Unit, Parliament House, Canberra. 2011. https://www.aph.gov.au/Parliamentary_Business/Committees/Senate/Community_Affairs/Completed_inquiries/2010-13/rurhlth/report/index. Accessed February 27, 2020.
Department of Health & Human Services Geographical profiles and planning products [Internet]. Victoria State Government. Department of Health & Human Services. 2015. https://www2.health.vic.gov.au:443/about/reporting-planning-data/gis-and-planning-products/geographical-profiles. Accessed April 5, 2020
National Rural Health Alliance INC The paramedic workforce in rural, regional & remote Australia - fact sheet [Internet]. National Rural Health Alliance INC. 2019. https://www.ruralhealth.org.au/sites/default/files/publications/paramedic-fact-sheet.pdf. Accessed April 8, 2020.
Stirling C, O’Meara P, Pedler D, Tourle V, Walker J. Engaging rural communities in health care through a paramedic expanded scope of practice. Rural Remote Health. 2007;7(4):9.
O’Meara P, Duthie S. Paramedicine in Australia and New Zealand: A comparative overview. Aust J Rural Health. 2018;26(5):363-368.
O’Meara P. Would a prehospital practitioner model improve patient care in rural Australia? Emerg Med J. 2003;20(2):199-203.
O’Meara P, Tourle V, Stirling C, Walker J, Pedler D. Extending the paramedic role in rural Australia: a story of flexibility and innovation. Rural Remote Health [Internet]. 2012;12(2):1978.
Swain AH, Al-Salami M, Hoyle SR, Larsen PD. Patient satisfaction and outcome using emergency care practitioners in New Zealand. Emerg Med Australas. 2012;24(2):175-180.
Walker J, DeWitt D, Pallant J, Cunningham C. Rural origin plus a rural clinical school placement is a significant predictor of medical students’ intentions to practice rurally: a multi-university study. Rural Remote Health. 2012;12(1):1908.
Brown L, Smith T, Wakely L, Little A, Wolfgang R, Burrows J. Preparing graduates to meet the allied health workforce needs in rural Australia: Short-term outcomes from a longitudinal study. Educ Sci. 2017;7(2):15.
McGirr J, Seal A, Barnard A, et al. The Australian Rural Clinical School (RCS) program supports rural medical workforce: evidence from a cross-sectional study of 12 RCSs. Rural Remote Health. 2019;19(1):4971.
Kensington M, Rankin J, Gilkison A, et al. ‘Living the rural experience-preparation for practice’: The future proofing of sustainable rural midwifery practice through midwifery education. Nurse Educ Pract. 2018;31:143-150.
Sutton K, Depczynski J, Smith T, et al. A data linkage study of destinations of nursing and allied health graduates from two Australian universities to inform rural placement models. Aust J Rural Health. 2021;29(2):191-200. AJRH-10-2020-0216.R1.
Wright JR, Bourke L, Waite CJ, et al. A short-term rural placement can change metropolitan medical students’ knowledge of, and attitudes to, rural practice. Med J Aust. 2014;201(2):106-108.
Young L, Kent L, Walters L. The John Flynn Placement Program: Evidence for repeated rural exposure for medical students. Aust J Rural Health. 2011;19(3):147-153.
O’Meara P, Tourle V, Madigan V, Lighton D. Getting in touch with paramedic student career intentions. Health Educ J. 2012;71(3):376-385.
Rural Health Webmaster Team. Nursing and Allied Health Graduate Outcome Tracking (NAHGOT) Study [Internet]. NAHGOT - Rural Health. 2020. https://www.monash.edu/medicine/srh/research/projects/nahgot. Accessed February 3, 2021
METeor - Australian Institute of Health and Welfare. Remoteness classification (ASGS-RA) N [Internet]. 2011. https://meteor.aihw.gov.au/content/index.phtml/itemId/531713. Accessed April 25, 2020.
Social Research Centre Pty Ltd and Commonwealth of Australia. Quality Indicators for Learning and Teaching (QILT) [Internet]. 2016. https://www.qilt.edu.au/. Accessed September 1, 2020.
Bohensky MA, Jolley D, Sundararajan V, et al. Data Linkage: A powerful research tool with potential problems. BMC Health Serv Res. 2010;10(1):346.
Beauchamp A, Tonkin AM, Kelsall H, et al. Validation of de-identified record linkage to ascertain hospital admissions in a cohort study. BMC Med Res Methodol. 2011;11(1):42. https://bmcmedresmethodol.biomedcentral.com/articles/10.1186/1471-2288-11-42
Smith T, Sutton K, Beauchamp A, et al. Profile and rural exposure for nursing and allied health students at two Australian Universities: A retrospective cohort study. Aust J Rural Health. 2021;29(1):21-33.
Dolea C, Stormont L. Principles to guide the formulation of national policies to improve retention of health workers in remote and rural areas, Evidence-based recommendations to improve attraction, recruitment and retention of health workers in remote and rural areas. In: McManus J, ed. Increasing Access to Health Workers in Remote and rural Areas Through Improved Retention: Global Policy Recommendations. World Health Organization; 2010:13-34.
StataCorp LLC. Stata: Software for Statistics and Data Science [Internet]. 2020. https://www.stata.com/. Accessed April 3, 2020.
Australian Health Practitioner Regulation Agency. Paramedicine Board of Australia - Registration [Internet]. Paramedicine Board | AHPRA. 2019. https://www.paramedicineboard.gov.au/Registration.aspx. Accessed April 5, 2020.
Playford D, Moran M, Thompson S. Factors associated with rural work for nursing and allied health graduates 15-17 years after an undergraduate rural placement through the University Department of Rural Health program. Rural Remote Health. 2020;20(1):7. https://www.rrh.org.au/journal/article/5334
Boyle MJ, Wallis J. The glut of graduate paramedics - What do we do with them? Australas J Paramed. 2015;12(5):1.
Bamberry L. Multiple job holders in Australia: Motives and personal impact. Aust Bull Labour. 2012;38(4):293. https://ideas.repec.org/a/fli/journl/35019.html
Rivard MK, Cash RE, Chrzan K, Panchal AR. The impact of working overtime or multiple jobs in emergency medical services. Prehosp Emerg Care. 2020;24(5):657-664.
Acker JJ, Johnston TM, Lazarsfeld-Jensen A. Industrial paramedics, out on site but not out of mind. Rural Remote Health. 2014;14(4):2856.
Schofield D, Fletcher S, Fuller J, Birden H, Page S. Where do students in the health professions want to work? Hum Resour Health. 2009;7(1):74.
Campbell D, Shepherd I, McGrail M, et al. Procedural skills practice and training needs of doctors, nurses, midwives and paramedics in rural Victoria. Adv Med Educ Pract. 2015;6:183-194.
O’Meara P, Wingrove G, Nolan M. Frontier and remote paramedicine practitioner models. Rural Remote Health. 2018;18(3):8.

Auteurs

Nicola Ivec (N)

Faculty of Medicine, Nursing, and Health Sciences, Monash University, Clayton, Victoria, Australia.

Alison Beauchamp (A)

Monash Rural Health, Warragul, Victoria, Australia.

Keith Sutton (K)

Monash Rural Health, Warragul, Victoria, Australia.

Eleanor Mitchell (E)

Monash Rural Health, Bairnsdale, Victoria, Australia.

Peter O'Meara (P)

Faculty of Medicine, Nursing and Health Sciences, School of Primary Allied Health Care, Monash University, Melbourne, Victoria, Australia.

Kelly-Ann Bowles (KA)

Faculty of Medicine, Nursing and Health Sciences, School of Primary Allied Health Care, Monash University, Melbourne, Victoria, Australia.

Brett Williams (B)

Faculty of Medicine, Nursing and Health Sciences, School of Primary Allied Health Care, Monash University, Melbourne, Victoria, Australia.

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