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Record W3194920842 · doi:10.1136/emermed-2021-999.36

PP36 Supporting paramedics on the frontlines amidst the COVID-19 pandemic: exploring impactful leadership approaches in Canada

2021· article· en· W3194920842 on OpenAlexaffabout
Lindsey Boechler, Stefanie Cormack, Polly Ford-Jones, Cheryl Cameron, J Chris Smith, Patrick Suthers

Bibliographic record

VenueEmergency Medicine Journal · 2021
Typearticle
Languageen
FieldMedicine
TopicHealthcare Systems and Public Health
Canadian institutionsCanadian Virtual UniversityHumber PolytechnicSaskatchewan Polytechnic
Fundersnot available
KeywordsThematic analysisMedicinePandemicAnxietyHealth careMental healthQualitative researchNursingCoronavirus disease 2019 (COVID-19)PsychiatryPolitical scienceSociologyDisease

Abstract

fetched live from OpenAlex

Background Paramedics are experiencing numerous policy and protocol changes in addition to facing enhanced risk of personal exposure during the COVID-19 pandemic. The COVID-19 outbreak offers an opportunity to capture the experiences of paramedics during substantial and rapid changes to workplace policy, protocols, and professional roles in the healthcare system. To date, this ongoing multi-jurisdictional study has captured a better understanding of the lived experiences of Canadian paramedics throughout the COVID-19 outbreak and provided insight to which leadership approaches have been most impactful throughout such unprecedented circumstances. Method Data was collected through an online survey, consisting of quantitative and qualitative questions. Survey responses (n=428) were received between April 2, 2020 and August 1, 2020. The study, theoretically grounded in a phenomenological approach, employed inductive thematic analysis to code the data. The survey remains open and has expanded to include England for further data collection as the pandemic continues to evolve. Results Major themes identified encompassed both professional and personal elements. Although some participants praised organizational leadership and how professional needs had been met throughout the first wave of the COVID-19 outbreak, other respondents expressed weariness to change management approaches and further need for clear communication strategies. Many participants also expressed increased stress, exhaustion and anxiety negatively impacting their mental health. Conclusions Early results confirmed a need for paramedics to adapt professional approaches to overcome barriers presented by COVID-19. Although most respondents noted confidence in their ability to provide patient care to those exhibiting symptoms, many noted concern regarding changes to standard of care for patients. In this presentation, we will discuss preliminary results from our study, and share recommendations pertaining to leadership and change management impacting paramedic practice.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.009
metaresearch head score (Gemma)0.011
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Research integrity, Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.523
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0090.011
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.002
Insufficient payload (model declined to judge)0.0080.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.736
GPT teacher head0.442
Teacher spread0.294 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2021
Admission routes2
Has abstractyes

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