1. School of Biomedical Sciences – Paramedicine The Transition from Nursing to Paramedicine – A Longitudinal Study Tania Johnston & Joe Acker @TaniaOzCan @AckerJoe Future of Health is in Your Hands Research Conference 3/12/15 Port Macquarie, NSW

2. School of Biomedical Sciences – Paramedicine Today’s presentation Graduate Diploma course Our research project Preliminary findings Next steps I’ve been waiting for over 10min. When can I get something for this cold? It isn’t going to get better on it’s own!

3. School of Biomedical Sciences – Paramedicine

4. CSU Paramedic Courses UndergraduatePost Graduate Grad Cert Intensive Care Paramedic Grad Cert Leadership and Management Grad Diploma of Clinical Practice (Paramedicine) Future - Masters

6. School of Biomedical Sciences – Paramedicine Graduate Diploma of Clinical Practice (Paramedicine) Pharmacology Medical Emergencies Residential School Clinical Placement Major Incident Management Paediatrics Paramedic Systems Paramedicine as a Discipline

7. School of Biomedical Sciences – Paramedicine Nurses becoming Paramedics - Background RNs function as generalists in rural areas Demonstrated need & desire for emergency skills Challenging to obtain and maintain resuscitation skills Rural nursing offers task autonomy & variability

8. School of Biomedical Sciences – Paramedicine Our study Method 3 year longitudinal study, mixed methods Surveys & focus groups Data analysis SPSS Student Survey 1: Motivation Expectations Post Grad Survey 2: Reality Future Plans

9. School of Biomedical Sciences – Paramedicine Survey 1 (57 questions): demographics, motivation & expectations 1. Seek change 7. Lack of rural opportunity to specialise 2. Burned out 8. Less stress 3. More autonomy 9. Pay 4. More independ- ence 10. Work culture, leadership 5. Career diversity/adva ncement 11. Environ- ment 6. Bored 12. Skill Variability

10. School of Biomedical Sciences – Paramedicine Preliminary results Survey #1 was administered in 2013, 2014, and 2015 We are reporting interim results from 2013/2014 today We had a 100% response rate, n=40 though a few questions were missing responses Reported results are descriptive & frequency counts using SPSS

11. School of Biomedical Sciences – Paramedicine Demographic Information (Gender)

12. School of Biomedical Sciences – Paramedicine Demographic Information (Age)

13. School of Biomedical Sciences – Paramedicine Demographic Information (Employment Status)

14. School of Biomedical Sciences – Paramedicine Demographic Information (Current Nursing Area)

15. Survey 1 key results: Seek change (87% A or SA) Lack of rural opportunity to specialise (77% D or SD) Burned out (73% D or SD) Less stress (80% D or SD) More autonomy (64% A or SA) Pay (77% D or SD) More independ- ence (75% A or SA) Culture, leadership (balanced) Career diversity/ advancement (balanced) Environment (75% A or SA) Bored (balanced) Skill Variability (72% A or SA) A – agree, SA – strongly agree, D – disagree, SD – strongly disagree

16. Seek change (87% A or SA) Lack of rural opportunity to specialise (77% D or SD) Burned out (73% D or SD) Less stress (80% D or SD) A – agree, SA – strongly agree, D – disagree, SD – strongly disagree

17. More autonomy (64% A or SA) Pay (77% D or SD) More independ- ence (75% A or SA) Culture, leadership (balanced) A – agree, SA – strongly agree, D – disagree, SD – strongly disagree

18. Career diversity/enhanc ement (balanced) Environ- ment (75% A or SA) Bored (balanced) Skill variability (72% A or SA) A – agree, SA – strongly agree, D – disagree, SD – strongly disagree

19. School of Biomedical Sciences – Paramedicine Summary Interested in a change AutonomyIndependenceEnvironment

20. School of Biomedical Sciences – Paramedicine Next steps…

21. School of Biomedical Sciences – Paramedicine Thank you! Contact: Tania Johnston and Joe Acker Bachelor of Clinical Practice (Paramedicine) tjohnston@csu.edu.au jacker@csu.edu.au Tel: +61 2 6582 9323