Challenges and changes with COVID-19: Canadian paramedics' experiences
Bibliographic record
Abstract
Background: Healthcare systems, practitioners and communities have experienced momentous change and strain because of the COVID-19 pandemic. Although paramedics are an essential component of the public health emergency response, the literature has focused primarily on the views of physicians, nurses and hospital administrators. Aims: This research sought to improve the understanding of the lived experiences of paramedics throughout the initial stages of the COVID-19 outbreak. Methods: The perspectives of paramedics were captured through an online survey consisting predominantly of open-ended questions. Findings: Three main themes describing the experiences of paramedics arose: challenges with change management; changes in day-to-day operations; and implications for mental health. Conclusion: This study has offered insights for future pandemic response in terms of information dissemination, practitioner involvement in policy and operational changes, and mental health and wellbeing support needs during and beyond a pandemic.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.012 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.023 | 0.007 |
| Scholarly communication | 0.005 | 0.002 |
| Open science | 0.002 | 0.006 |
| Research integrity | 0.003 | 0.005 |
| Insufficient payload (model declined to judge) | 0.004 | 0.000 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
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".