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The bargaining of professionalism in emergency care practice: NHS paramedics and higher education

Over the past 2 decades, as part of reforms to the National Health Service and with it organizational changes to ambulance work in the UK, paramedic education has undergone a process of academisation and a shift from in-house, apprenticeship weeks-long occupational training, to university-based unde...

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Autores principales: Givati, Assaf, Markham, Chris, Street, Ken
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Netherlands 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5882635/
https://www.ncbi.nlm.nih.gov/pubmed/29127541
http://dx.doi.org/10.1007/s10459-017-9802-1
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author Givati, Assaf
Markham, Chris
Street, Ken
author_facet Givati, Assaf
Markham, Chris
Street, Ken
author_sort Givati, Assaf
collection PubMed
description Over the past 2 decades, as part of reforms to the National Health Service and with it organizational changes to ambulance work in the UK, paramedic education has undergone a process of academisation and a shift from in-house, apprenticeship weeks-long occupational training, to university-based undergraduate programs. While the professional regulation and standardization of Allied Health Professionals’ education in high-income countries has captured scholarly attention, the study of paramedic practice is still in its infancy and there is a need to explore its evolvement in relation to the fluid societal–political circumstances affecting its provision and demand. Based on interviews with front-line paramedics, paramedic educators and paramedic science students in the South of England, this article examines how the reforms to paramedic education have impacted the professionalization of paramedics and their discourse of professionalism. Framed within to the ‘new’ sociology of professions, the case of British paramedics demonstrates the complex nature of the relationship between the university and professional practice. It appears that universities, the providers of paramedic education, are caught between two opposing discourses of professionalism: on the one hand, that of providing a platform for students’ socialization and engagement with professionalism ‘from within’ practice which is based on students’ common goals and mutual experiences, and, on the other hand, serving as a conduit for managerial/organizational strategies of professionalism which appear to undermine the role of university socialization.
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spelling pubmed-58826352018-04-05 The bargaining of professionalism in emergency care practice: NHS paramedics and higher education Givati, Assaf Markham, Chris Street, Ken Adv Health Sci Educ Theory Pract Article Over the past 2 decades, as part of reforms to the National Health Service and with it organizational changes to ambulance work in the UK, paramedic education has undergone a process of academisation and a shift from in-house, apprenticeship weeks-long occupational training, to university-based undergraduate programs. While the professional regulation and standardization of Allied Health Professionals’ education in high-income countries has captured scholarly attention, the study of paramedic practice is still in its infancy and there is a need to explore its evolvement in relation to the fluid societal–political circumstances affecting its provision and demand. Based on interviews with front-line paramedics, paramedic educators and paramedic science students in the South of England, this article examines how the reforms to paramedic education have impacted the professionalization of paramedics and their discourse of professionalism. Framed within to the ‘new’ sociology of professions, the case of British paramedics demonstrates the complex nature of the relationship between the university and professional practice. It appears that universities, the providers of paramedic education, are caught between two opposing discourses of professionalism: on the one hand, that of providing a platform for students’ socialization and engagement with professionalism ‘from within’ practice which is based on students’ common goals and mutual experiences, and, on the other hand, serving as a conduit for managerial/organizational strategies of professionalism which appear to undermine the role of university socialization. Springer Netherlands 2017-11-10 2018 /pmc/articles/PMC5882635/ /pubmed/29127541 http://dx.doi.org/10.1007/s10459-017-9802-1 Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Article
Givati, Assaf
Markham, Chris
Street, Ken
The bargaining of professionalism in emergency care practice: NHS paramedics and higher education
title The bargaining of professionalism in emergency care practice: NHS paramedics and higher education
title_full The bargaining of professionalism in emergency care practice: NHS paramedics and higher education
title_fullStr The bargaining of professionalism in emergency care practice: NHS paramedics and higher education
title_full_unstemmed The bargaining of professionalism in emergency care practice: NHS paramedics and higher education
title_short The bargaining of professionalism in emergency care practice: NHS paramedics and higher education
title_sort bargaining of professionalism in emergency care practice: nhs paramedics and higher education
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5882635/
https://www.ncbi.nlm.nih.gov/pubmed/29127541
http://dx.doi.org/10.1007/s10459-017-9802-1
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