References

Health Education England. Multi-professional Framework for Advanced Clinical Practice in England. 2017. https://www.hee.nhs.uk/sites/default/files/documents/multi-professionalframeworkforadvancedclinicalpracticeinengland.pdf (accessed 22 July 2024)

Huxley C Paramedics in advanced practice: role, requirements and impact. International Journal for Advancing Practice. 2024; 2:(1) https://doi.org/10.12968/ijap.2024.2.1.32

Nordoff J Patient-centred prescribing, autonomy and concordance. Journal of Paramedic Practice. 2021; 16:4:1-4

Page MJ, McKenzie JE, Bossuyt PM The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Syst Rev. 2021; 10 https://doi.org/10.1186/s13643-021-01626-4

Stott H, Goodenough T, Jagosh J, Gibson A, Harris N, Liddiard C, Proctor A, Schofield B, Walsh N, Booker M, Voss S Understanding paramedic work in general practice in the UK: a rapid realist synthesis. BMC Prim Care. 2024; 25:(1)

Paramedic prescribing

02 August 2024
Volume 6 · Issue 8

Abstract

Deborah Robertson provides an overview of recently published articles that may be of interest to non-medical prescribers. Should you wish to look at any of the papers in more detail, a full reference is provided

Last month, the research round-up provided you with an overview of articles around the subject of medicines adherence. This month, we will review three articles that consider different aspects of paramedic prescribing practice.

The first article looks at the area of paramedics in advanced practice roles and the requirements for practice, as well as their impact. The second article covers the understanding of the paramedic's role in primary care. In our third article we will review patient-centred paramedic prescribing, autonomy, and concordance.

This article, published in the International Journal for Advancing Practice, reviewed the factors influencing UK paramedic advanced practice. The article defines advanced clinical practitioners as ‘individuals who have a high level of expertise, autonomy and complex decision-making skills within a profession’. The article starts by examining the four pillars of advanced practice outlined by Health Education England (2017) as clinical, leadership and management, education, and research. There is a brief review of the history of paramedic clinical development, which is seen to have evolved rapidly over a short space of time with many paramedics now employed as advanced practitioners in a variety of settings including out of hours, walk-in centres, GP surgeries, emergency departments and acute care wards. These professionals have advanced to gain independent prescribing rights to allow them a degree of autonomy within these roles.

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