scholarly journals Emergency medical services core competencies: a Delphi study

2019 ◽  
Vol 16 ◽  
Author(s):  
Talal AlShammari ◽  
Paul Jennings ◽  
Brett Williams

IntroductionThe emergency medical services (EMS) education in Saudi Arabia has evolved considerably during the past decade and this rapid improvement has seen a disparity of educational approaches. Therefore, a core competency framework which aligns with the requirements of Saudi EMS education should be identified and accommodated. The aim of this study was to obtain professional group consensus on the desirable core competencies for EMS Bachelor degree graduates in Saudi Arabia in order to develop a core competency framework for Saudi Arabian EMS.MethodsA two-round Delphi method using a quantitative survey with a purposeful sampling technique of expert information-rich participants was used. The instrument comprised 40 core competency statements (rated on a 1-10 Likert scale, with 1 being ‘not important at all’ and 10 being ‘extremely important’) and an open-ended question. An international systematic scoping review and local national review informed the items in this study.ResultsAt the end of the second round, the response rate was 70%, and the sample demonstrated diversity in terms of qualifications, expertise and discipline. All core competencies achieved a majority and stability in the first and second rounds. Core competency items achieved the 75% consensus requirement.ConclusionThis study provided consensus on 41 core competencies specific to Saudi EMS industry requirements. However, the findings do not represent a definitive blueprint model for alignment into EMS curricula. Further research and statistical modelling for the core competencies are highly recommended.

2020 ◽  
Vol 9 (3) ◽  
pp. 245-255
Author(s):  
Talal AlShammari ◽  
Paul Jennings ◽  
Brett Williams

PurposeEmergency medical services (EMS) educational standards in Saudi Arabia have developed at an unprecedented rate, and the rapid pace of development has resulted in a considerable disparity of educational approaches. Therefore, an empirically based core competency framework should be developed. The aim was to utilize exploratory factor analysis (EFA) in the reduction and generation of a theoretical Saudi competency model.Design/methodology/approachA purposive sample was utilized in a national quantitative cross-sectional study design of Saudi Red Crescent Authority (SRCA) healthcare workers. The instrument comprised 41 core competency items rated on a Likert scale. EFA alpha factoring with oblique promax rotation was applied to the 41 items.FindingsA total of 450 EMS healthcare providers participated in the study, of whom 422 (93.8 per cent) were male and 28 (6.2 per cent) female. Of the participants, 230 (60 per cent) were aged 29–39 years and 244 (54.2 per cent) had 5–9 years of experience. An EFA of instrument items generated five factors: professionalism, preparedness, communication, clinical and personal with an eigenvalue > 1, representing 67.5 per cent of total variance. Only variables that had a loading value >0.40 were utilized in the factor solution.Originality/valueThe EFA model Saudi ParamEdic Competency Scale (SPECS) has been identified, with 27 core competency items and five overarching factors. The model has considerable similarities to other medical competency frameworks. However, some aspects are specifically unique to the Saudi EMS context. The SPECS model provides an academic blueprint that can be used by paramedic educational programs to ensure empirical alignment with the needs of the industry and community.


2017 ◽  
Vol 2 (1) ◽  
Author(s):  
William Leggio ◽  
Abdulmajeed Mobrad ◽  
James R. Martin ◽  
Osama Samarkandi ◽  
Abdullah Mubarak ◽  
...  

<p>Objective: To identify influences on learning for Saudi male students studying Emergency Medical Services at a college in Riyadh, Saudi Arabia. Previous research on influences on student learning in the Kingdom of Saudi Arabia focused on the historical development of education in Saudi Arabia, English language development, and intrinsic motivations of students and excluded a focus on students studying Emergency Medical Services. Methods: Exploratory sequential mixed-methods study was deployed. Results: Family support was an exceptionally strong predictor of student confidence in both skills and post-graduate EMS employment. Concepts involving application, memorization, motivation, and English language did not present as statically significant. The discovery of the strong influences that a family can have on Saudi EMS student’s confidence is noteworthy, as this was not previously discovered in the literature. Conclusion: This discovery holds practical implications for EMS education and training programs as emphasizes the importance of developing practical ways to include a student’s family as a source of support in ensuring student success and confidence. <strong></strong></p>


2019 ◽  
Vol 16 ◽  
Author(s):  
Talal AlShammari ◽  
Paul Jennings ◽  
Brett Williams

IntroductionInternationally, the development of emergency medical services (EMS) educational standards from a post-employment to pre-employment model has gained considerable momentum. In Saudi Arabia specifically, the evolution to university-based EMS degrees has proceeded swiftly. However, the fast pace of development has contributed to considerable disparities in educational approaches between university programs. Therefore, the development of an empirically-based core competency framework is of considerable importance. The aim of this paper is to utilise confirmatory factor analysis (CFA) through structural equation modelling to confirm the theoretically developed Saudi ParamEdic Competency Scale (SPECS) model.MethodsA national cross-sectional study design with purposive sampling technique was utilised with Saudi Red Crescent Authority healthcare providers. The SPECS instrument included 41 core competency items measured on a self-reported Likert scale. The maximum likelihood method was used with all the one factor congeneric and complete CFA models.ResultsIn total, 477 EMS healthcare professionals contributed to the study: 444 (93.1%) men and 33 (6.9%) women. Of the participants, 282 (59.1%) were 29–39 years of age and 264 (55.3%) had 5 to 9 years’ experience. A CFA of the SPECS model confirmed five congeneric factors within the adequate fit measurement indices: professionalism, preparedness, communication, clinical, and personal. There was one higher order factor titled ‘paramedic competency’.ConclusionThe CFA results support the SPECS as a reliable, valid, unidimensional and psychometrically sound model for operationalisation into Saudi university curricula. The confirmed model is made up of 27 items with five factors and an overarching latent higher order construct. The SPECS model represents an empirically developed blueprint for adoption into Saudi Arabian university programs.


2018 ◽  
Vol 4 (4) ◽  
pp. 245-258 ◽  
Author(s):  
Talal AlShammari ◽  
Paul A. Jennings ◽  
Brett Williams

1996 ◽  
Vol 11 (4) ◽  
pp. 254-260 ◽  
Author(s):  
Lawrence H. Brown ◽  
Terry W. Copeland ◽  
John E. Gough ◽  
Herbert G. Garrison ◽  
Kathleen A. Dunn

AbstractIntroduction:Many state and local emergency medical services (EMS) systems may wish to modify provider levels and their scope of practice to align their systems with the recommendations of the National Emergency Medical Services Education and Practice Blueprint. To determine any changes that may be needed in a typical EMS system, the knowledge and skills of EMS providers in one rural area of North Carolina were compared with the knowledge and skills recommended in the National Emergency Medical Services Education and Practice Blueprint.Methods:A survey listing 175 items of patient care-oriented knowledge and skills described in the National Emergency Medical Services Education and Practice Blueprint was developed. EMS providers from five rural eastern North Carolina counties were asked to identify on the survey those items of knowledge and skills they believed they possessed. The skills and knowledge selected by the respondents at the five different North Carolina levels of certification were compared with the knowledge and skills listed for comparable provider levels delineated by the National Emergency Medical Services Education and Practice Blueprint. The proportions of the recommended skills reported to be possessed by the respondents were compared to determine which North Carolina certification levels best correlate with the Blueprint.Results:One hundred forty-five EMS providers completed the survey. The proportion of recommended skills and knowledge reported to be possessed by Emergency Medical Technicians (EMTs) ranked significantly lower than did the skills and knowledge reported to be possessed by respondents at other levels in five of the 10 Blueprint elements. The proportion of recommended skills and knowledge reported to be possessed by EMT-Defibrillator-level personnel ranked lower than did those reported to be possessed by respondents at other levels in seven of the 10 Blueprint elements. The proportion of recommended skills and knowledge reported to be possessed by EMT-Intermediates ranked lower than did those reported to be possessed by respondents at other levels in nine of the 10 Blueprint elements. The proportion of recommended skills and knowledge reported to be possessed by EMT-Advanced Intermediates ranked lower than were the skills and knowledge reported to be possessed by respondents at other levels in two of the 10 Blueprint elements. Finally, the proportion of recommended skills and knowledge reported to be possessed by EMT-Paramedics ranked lower than were those reported to be possessed by respondents at other levels in one of the 10 Blueprint elements.Conclusion:In North Carolina, combining the EMT and EMT-Defibrillator levels and eliminating the EMT-Intermediate level would create three levels of certification, which would be more consistent with levels recommended by the Blueprint. The results of this study should be considered in any effort to revise the levels of EMS certification in North Carolina and in planning the training curricula for bridging those levels. Other states may require similar action to align with the National Emergency Medical Services Education and Practice Blueprint.


2016 ◽  
Vol 35 (6) ◽  
pp. 348-351 ◽  
Author(s):  
Sabina Fattah ◽  
Anne Siri Johnsen ◽  
Stephen J.M. Sollid ◽  
Torben Wisborg ◽  
Marius Rehn ◽  
...  

2016 ◽  
Vol 37 (5) ◽  
pp. 575-578 ◽  
Author(s):  
Daifallah Alrazeeni ◽  
Sikender Sheikh ◽  
Abdulmajeed Mobrad ◽  
Mazen Al Ghamdi ◽  
Nabeel Abdulqader ◽  
...  

Author(s):  
Hassan N. Moafa ◽  
Sander Martijn Job van Kuijk ◽  
Dhafer M. Alqahtani ◽  
Mohammed E. Moukhyer ◽  
Harm R. Haak

The purpose of this study was to explore differences in characteristics of missions dispatched by Emergency Medical Services (EMS) between rural and urban areas of Riyadh province in Saudi Arabia (SA). It also aimed at identifying weaknesses related to utilization and Response Time (RT). The study retrospectively evaluated 146,639 completed missions in 2018 by measuring the utilization rate in rural and urban areas. The study shows there are six times more ambulance crews available for rural areas compared to urban. There were 22.1 missions per 1000 urban inhabitants and 11.2 missions per 1000 in rural areas. The median RT for high urgent trauma cases was 20.2 min in rural compared to 15.2 min in urban areas (p < 0.001). In urban areas, the median RT for high urgent medical cases was 16.1 min, while it was 15.2 min for high urgent trauma cases. Around 62.3% of emergency cases in urban and 56.5% in rural areas were responded to within 20.00 min. Women utilized EMS less frequently. The RT was increased in urban areas compared to previous studies. The RT in the central region of SA has been identified as equal, or less than 20.00 min in 62.4% of all emergency cases. To further improve adherence to the 20′ target, reorganizing the lowest urgent cases in the rural areas seems necessary.


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