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      The RESearch PARamedic Experience (RESPARE) study: a qualitative study exploring the experiences of research paramedics working in the United Kingdom

      research-article
      , ,
      British Paramedic Journal
      The College of Paramedics
      paramedic, qualitative, research

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          Abstract

          Background:

          The research paramedic position is a relatively niche role undertaken by a small number of paramedics who support, deliver and promote research. Research paramedic roles provide opportunities to develop talented researchers who are recognised as vital elements of developing a research culture within ambulance services. The benefits of research-active clinicians have been recognised at a national level. The aim of this study was to explore the experience of people who work, or have worked, as research paramedics.

          Methods:

          A generic qualitative approach underpinned by phenomenological concepts was used. Volunteers were recruited via ambulance research leads and social media. Online focus groups allowed participants to discuss their roles with peers who may be geographically distant. Semi-structured interviews expanded on the focus group findings. Data were recorded, transcribed verbatim and analysed using framework analysis.

          Results:

          Eighteen paramedics (66% female, median involvement in research six (interquartile range 2–7) years) representing eight English NHS ambulance trusts participated in three focus groups and five interviews lasting around one hour, in November and December 2021.

          Six key themes were identified: starting as a research paramedic; barriers and facilitators to working as a research paramedic; research careers; opportunities; the community (support and networking); and the value of a clinical identity.

          Conclusions:

          Many research paramedics had similar experiences in terms of starting their career by delivering research for large studies, then building on this experience and the networks they create to develop their own research. There are common organisational and financial barriers to working as a research paramedic. Career progression in research beyond the research paramedic role is not well defined, but often involves building links outside of the ambulance service.

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          Most cited references20

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          Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.

          Qualitative research explores complex phenomena encountered by clinicians, health care providers, policy makers and consumers. Although partial checklists are available, no consolidated reporting framework exists for any type of qualitative design. To develop a checklist for explicit and comprehensive reporting of qualitative studies (in depth interviews and focus groups). We performed a comprehensive search in Cochrane and Campbell Protocols, Medline, CINAHL, systematic reviews of qualitative studies, author or reviewer guidelines of major medical journals and reference lists of relevant publications for existing checklists used to assess qualitative studies. Seventy-six items from 22 checklists were compiled into a comprehensive list. All items were grouped into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. Duplicate items and those that were ambiguous, too broadly defined and impractical to assess were removed. Items most frequently included in the checklists related to sampling method, setting for data collection, method of data collection, respondent validation of findings, method of recording data, description of the derivation of themes and inclusion of supporting quotations. We grouped all items into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. The criteria included in COREQ, a 32-item checklist, can help researchers to report important aspects of the research team, study methods, context of the study, findings, analysis and interpretations.
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            To saturate or not to saturate? Questioning data saturation as a useful concept for thematic analysis and sample-size rationales

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              • Record: found
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              Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised controlled trial.

              Mechanical chest compression devices have the potential to help maintain high-quality cardiopulmonary resuscitation (CPR), but despite their increasing use, little evidence exists for their effectiveness. We aimed to study whether the introduction of LUCAS-2 mechanical CPR into front-line emergency response vehicles would improve survival from out-of-hospital cardiac arrest.
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                Author and article information

                Contributors
                Journal
                Br Paramed J
                BPJ
                British Paramedic Journal
                The College of Paramedics
                1478-4726
                01 March 2023
                01 March 2023
                01 March 2023
                01 March 2024
                : 7
                : 4
                : 14-22
                Affiliations
                [1]North East Ambulance Service NHS Foundation Trust; Newcastle University ORCID iD: https://orcid.org/0000-0002-4502-5821
                [2]North East Ambulance Service NHS Foundation Trust ORCID iD: https://orcid.org/0000-0002-7873-3111
                [3]North East Ambulance Service NHS Foundation Trust ORCID iD: https://orcid.org/0000-0002-9601-1083
                Author notes
                [*]Corresponding author: Graham McClelland, HW.334, Henry Wellcome Building, Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne NE2 4HH, UK. Email: graham.mcclelland@ 123456neas.nhs.uk
                Article
                BPJ-2023-7-4-14
                10.29045/14784726.2023.3.7.4.14
                9983065
                36875828
                d6da6636-a825-47ce-82cc-5c896c22eb2e
                © 2023 The Author(s)

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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                Categories
                Original Research

                paramedic,qualitative,research
                paramedic, qualitative, research

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