ArticleJournal of multidisciplinary healthcare2021
The Definition of Paramedicine: An International Delphi Study.
Article in Journal of multidisciplinary healthcare, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prevalence of anxiety, depression, and post-traumatic stress disorder among paramedic students: a systematic review and meta-analysis.Social psychiatry and psychiatric epidemiology · 2025Pooled it
- The prevalence and effect of poor sleep amongst paramedics: a systematic review.Occupational medicine (Oxford, England) · 2025Pooled it
- Improving sleep health in paramedics through an app-based intervention: a randomised waitlist control pilot trial.BMC public health · 2024Trial
- Ethical challenges and action alternatives: Case reflections in ambulance care.Nursing ethics · 2026Article
- Supporting paramedic sleep and fatigue: a qualitative exploration of education considerations from the early-career paramedic perspective.BMC health services research · 2026Article
- Paramedics' views on the skills, knowledge and attributes required for effective preceptorship: a cross-sectional study.BMC medical education · 2026Article
- From external rewards to intrinsic drive: A self-determination theory analysis of paramedic motivations for postgraduate education.Health SA = SA Gesondheid · 2026Article
- Interventions to improve mental well-being and sleep in paramedics: A scoping review.PloS one · 2026Article
- Nursing Assistant in Italy: The Principle of Delegation of Health Activities and Liability Profiles.Nursing reports (Pavia, Italy) · 2025Article
- Safety and compliance among newly qualified paramedics in a pre-hospital clinical trial of an investigational medicinal product: a post-hoc analysis of the PACKMaN randomised controlled trial.British paramedic journal · 2025Article
- A Modified Delphi Process to Develop Consensus Definitions of Time-Dependent Care by Paramedic Services Systems.Prehospital and disaster medicine · 2025Article
- The evolving role of paramedicine educators: A scoping review.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2025Review
- Exploring alternative paramedic roles: a multinational mixed-methods survey.BMC medical education · 2025Article
- Competence expected from advanced-level paramedics by emergency medical services managers in Finland: a modified Delphi study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Assessing Paramedic Confidence and Competence in Responding to Individuals with Neurodiversity: A Scoping Review.Health services insights · 2025Review
- The impact of shift work on paramedics and their practice: Protocol for a simulated paramedic shift work study.PloS one · 2025Article
- Physician Deserts: Navigating the Texas Terrain of Provider Supply and Demand with GIS Mapping.Healthcare (Basel, Switzerland) · 2024Article
- Community paramedicine in dementia care.Journal of the American Geriatrics Society · 2024Article
- Factors influencing non-conveyance care encounters in the ambulance service, registered nurses experiences - a qualitative study.BMC nursing · 2024Article
- Exploring paramedic professional identity.British paramedic journal · 2023Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAlthough paramedicine is an integral element of healthcare systems, there is a lack of universal consensus on its definition. This study aimed to derive a global consensus definition of paramedicine.
methodsKey attributes pertaining to paramedicine were identified from existing definitions within the literature. Utilising text analysis, common attribute themes were identified and six initial domains were developed. These domains formed the basis for a four-round Delphi study with a panel of 58 global experts within paramedicine to develop an international consensus definition.
resultsResponse rates across the study varied from 96.6% (round 1) to 63.8% (round 4). Participant feedback on appropriate attributes to include in the definition reflected the high level of specialized clinical care inherent within paramedicine, and its status as an essential element of healthcare systems. In addition, the results highlighted the extensive range of paramedicine capabilities and roles, and the diverse environments within which paramedics work.
conclusionDelphi methodology was utilized to develop a global consensus definition of paramedicine. This definition is as follows: paramedicine is a domain of practice and health profession that specialises across a range of settings including, but not limited to, emergency and primary care. Paramedics work in a variety of clinical settings such as emergency medical services, ambulance services, hospitals and clinics as well as non-clinical roles, such as education, leadership, public health and research. Paramedics possess complex knowledge and skills, a broad scope of practice and are an essential part of the healthcare system. Depending on location, paramedics may practice under medical direction or independently, often in unscheduled, unpredictable or dynamic settings. We believe that the generation and provision of this consensus definition is essential to enable the further development and maturation of the discipline of paramedicine.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.