Brown Joseph James Hudson, Ortega Marishona, Whitley Gregory Adam
School of Health and Care Science University of Lincoln Lincoln UK.
Libraries and Learning Skills University of Lincoln Lincoln UK.
Health Sci Rep. 2025 Mar 18;8(3):e70552. doi: 10.1002/hsr2.70552. eCollection 2025 Mar.
Ambulance practice placements overseen by paramedic practice educators form an essential aspect of training for student paramedics; however, this approach, adapted from other healthcare professions, is a relatively new model for paramedicine and evidence regarding its application in prehospital contexts is limited. Therefore, this rapid evidence review aimed to explore student paramedic and paramedic practice educator experiences of ambulance practice placements.
EBSCOhost was used to search the Cumulative Index to Nursing and Allied Health Literature Complete and MEDLINE databases from inception to March 2024. Screening and data extraction was performed by one reviewer and verified by the second. Included studies were appraised using the Critical Appraisal Skills Programme qualitative checklist and thematic synthesis of results undertaken.
Of 134 records screened, seven were included in the review, representing 131 participants from the United Kingdom, Australia and New Zealand. Four themes were identified, including practice educator training and support, student-practice educator relationships, organization and communication, and operational factors.
Outdated workplace practices, personal factors, education-industry barriers and unpredictable working environments impacted student paramedic and paramedic practice educator experiences of ambulance practice placements. Better communication is needed between universities and ambulance services to improve the consistency of ambulance practice placements for student paramedics and paramedic practice educators.
由护理人员实习教育者监督的救护车实习安排是护理专业学生培训的一个重要方面；然而，这种从其他医疗保健专业借鉴而来的方法，对于护理医学来说是一种相对较新的模式，并且关于其在院前环境中的应用的证据有限。因此，这项快速证据审查旨在探索护理专业学生和护理人员实习教育者在救护车实习安排中的经历。
使用EBSCOhost检索从创刊到2024年3月的护理及相关健康文献累积索引完整版和MEDLINE数据库。由一名评审员进行筛选和数据提取，并由第二名评审员进行核实。使用批判性评估技能计划定性清单对纳入的研究进行评估，并对结果进行主题综合分析。
在筛选的134条记录中，有7条被纳入审查，代表来自英国、澳大利亚和新西兰的131名参与者。确定了四个主题，包括实习教育者培训与支持、学生与实习教育者的关系、组织与沟通以及操作因素。
过时的工作场所做法、个人因素、教育与行业障碍以及不可预测的工作环境影响了护理专业学生和护理人员实习教育者在救护车实习安排中的经历。大学和救护车服务部门之间需要更好的沟通，以提高护理专业学生和护理人员实习教育者救护车实习安排的一致性。
