Graduates welcome on-road: A culture shift in ambulance preceptorship made clear through retrospective analysis
A cultural shift in ambulance services has improved the experience of university- educated paramedics going on-road for the first time in New South Wales. In the “bad old days”, graduate paramedics reported routine rites of initiation, including barbed humour and contempt for skills gained in a university setting. Those educated in the on-road vocational system believed universities did not provide a tough enough environment for future paramedics. In this study, data were drawn from two projects involving university-educated paramedics who graduated between 1996 and 2011 and whose novice on-road experiences were several years apart. Comparative retrospective analysis of data provided evidence of a change in attitude towards New South Wales graduates, with an increase in support and inclusion. Novices with greater confidence in their own capacity was evidence of an attitudinal shift. Engaged on-road preceptors who won the respect of the novice was evidence of an increase in support. Inclusion had been a painful issue for both early cohorts of graduates and industry. Failure to fit is associated with attrition. Early in their on-road practice, recent novices reported a sense of belonging. The authors suggest that the shift in attitude could be attributed, first, to a critical mass of graduates on-road, including increasing numbers with postgraduate qualifications, and secondly, the stated preference of ambulance services in Australia to employ graduates.
Andrew, N., Ferguson, D., Wilkie, G., Corcoran, T., & Simpson, L. (2009). Developing professional identity in nursing academics: The role of communities of practice. Nurse Education Today, 29(6), 607–611.
Archer, D. (1999). Exploring bullying culture in the para-military organisation. International Journal of Manpower, 20(1/2), 94–105.
Boyle, M., Williams, B., Cooper, J., Adams, B., & Alford, K. (2008). Ambulance clinical placements: A pilot study of students’ experience. BMC Online, 8(19).
Retrieved from http://www.pubmedcentral.nih.gov/ articlerender.fcgi?artid=2330039
Germov, J. (2009). Challenges to medical dominance. In J. Germov (Ed.), Second opinion: An introduction to health sociology (pp. 392–415). Melbourne, Australia: Oxford University Press.
Human Rights Commission. (2011).
Review into the treatment of women in the Australian Defence Force Academy. Retrieved from http:// humanrights.gov.au/defencereview/ ADFA_report/ADFA_2011.pdf
Kenny, G., Pontin, D., & Moore, L. (2004). Negotiating socialisation: The journey of novice nurse academics into higher education. Nurse Education Today, 24(8), 629–637.
Lazarsfeld-Jensen, A. (2010). Starting young: The challenge of developing graduates’ road readiness. Journal of Paramedic Practice, 2(8), 270–274.
Lazarsfeld-Jensen, A., Bridges, D. R., & Loftus, S. (2011). Transitions: Command culture and autonomous paramedic practice. Bathurst, Australia: RIPPLE, Charles Sturt University. Retrieved from http:// csusap.csu.edu.au/~cmcewen/ Documents/TransitionsReport.pdf
Light, D. (1994). A framework for professions in transition. In T. Johnson, G. Larkin, & M. Saks (Eds.), Health professions and the state in Europe (pp. 25–41). London: Routledge.
Michau, R., Roberts, S., Williams, B., & Boyle, M. (2009). An investigation of theory-practice gap in undergraduate paramedic education. BMC Medical Education, 9(1), 23. doi:10.1186/1472-6920-9-23
Shulman, L. S. (1986). Those who understand: Knowledge growth in teaching. Educational Researcher, 15(2), 4.
Shulman, L. S. (1998). Theory, practice, and the education of professionals. Elementary School Journal, 98(5), 511.
Shulman, L. S. (2004). The wisdom of practice: Essays on teaching, learning, and learning to teach.
San Francisco: Jossey-Bass.
Shulman, L. S. (2005a). Pedagogies of uncertainty. Liberal Education, 91(Summer), 18–25.
Shulman, L. S. (2005b, February). The signature pedagogies of the professions of law, medicine, engineering, and the clergy: Potential lessons for the education of teachers. Paper presented at the meeting of the National Research Council Center for Education, Irvine, California.
Waxman, A., & Williams, B. (2006). Paramedic pre-employment education and the concerns of our future: What are our expectations? Journal of Emergency Primary Health Care, 4(4).
Retrieved from http://ro.ecu.edu.au/jephc/vol4/iss4/4
Willis, E., O’Meara, P., Lazarsfeld- Jensen, A., & McCarthy, C. (2009). Paramedic education: Developing depth through networks and evidence-based research. Retrieved from www.altc.edu.au
- There are currently no refbacks.