Competence expected from advanced-level paramedics by emergency medical services managers in Finland: a modified Delphi study

被引：0

作者：

Antti Tanninen ^{[1
]}

Anne Kouvonen ^{[5
]}

Hilla Nordquist ^{[2
]}

机构：

[1] Department of Public Health, University of Helsinki, Helsinki

[2] Faculty of Social Sciences, University of Helsinki, Helsinki

[3] Centre for Public Health, Queen’s University Belfast, Belfast

[4] South-Eastern Finland University of Applied Sciences, Kotka

[5] LAB University of Applied Sciences, Lappeenranta

来源：

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine | / 33卷 / 1期

关键词：

Emergency medical services; Emergency nursing; Leadership; Paramedics; Professional competence; Support;

D O I：

10.1186/s13049-025-01384-5

中图分类号：

学科分类号：

摘要：

Background: Competence is a critical attribute for paramedics in emergency medical services (EMSs) because of the complex and diverse demands of the prehospital environment. This study aimed to identify and rank the key competencies expected of advanced-level paramedics as perceived by EMS managers. Methods: The modified Delphi study included three rounds conducted between October 2022 and June 2023. The panel consisted of 44 EMS managers, all working as superiors in EMS organizations across Finland. Results: In Round 1, 44 experts (100% response rate) evaluated 43 claims, with a consensus (≥ 75%) reached on five claims. The open-ended responses generated seven additional claims. In Round 2, 45 claims were reviewed; however, no consensus was reached. In Round 3, the top 15 claims from previous rounds were reevaluated (95% response rate), with assessment of patient conditions via the ABCDE protocol ranking highest. The experts also emphasized patient-centered care, safe environments, and systematic approaches in EMS. Conclusions: This study used the Delphi method to identify essential competencies for advanced-level paramedics, emphasizing patient assessment via the ABCDE protocol. This highlights the importance of core skills and nontechnical competencies such as supervision and well-being, stressing the need for continuous updates in paramedic training. © The Author(s) 2025.

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