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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Netherlands
2017
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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. |
format | Online Article Text |
id | pubmed-5882635 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Springer Netherlands |
record_format | MEDLINE/PubMed |
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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