{"id":4052,"date":"2022-06-20T16:45:52","date_gmt":"2022-06-20T20:45:52","guid":{"rendered":"http:\/\/alanbatt.net\/?p=4052"},"modified":"2024-08-07T16:07:05","modified_gmt":"2024-08-07T20:07:05","slug":"developing-the-national-occupational-standard-for-paramedics-in-canada-update-2","status":"publish","type":"post","link":"http:\/\/alanbatt.net\/?p=4052","title":{"rendered":"Developing the National Occupational Standard for Paramedics in Canada \u2013 update 2."},"content":{"rendered":"\n<p>Alan M. Batt, Pierre Poirier, Jeanne Bank, Jennifer\nBolster, Ron Bowles, Cheryl Cameron, Elizabeth Donnelly, Becky Donelon, No\u00ebl\nDunn, Tim Essington, William Johnston, Rene Lapierre, Tyne M. Lunn, Meghan\nLysko, Paige Mason, Mary Osinga, Dugg Steary, Ryan Strum, and Walter Tavares on\nbehalf of the NOSP Development Group, Working Groups and CSA Technical\nCommittee.<\/p>\n\n\n\n<p><em>For publication in\nCanadian Paramedicine, July 2022<\/em><\/p>\n\n\n\n<p><strong>Developing the National\nOccupational Standard for Paramedics<\/strong><\/p>\n\n\n\n<p>PAC has partnered with the CSA Group to manage the\nrenewal of the existing National Occupational Competency Profile (NOCP) and\nincorporate it into a new standard following accredited processes of the\nStandards Council of Canada \u2013 the National Occupational Standard for Paramedics\n(NOSP). Following on from our earlier update in March, in this article we will\nprovide an update on the development of the NOSP to date.<\/p>\n\n\n\n<p><em>Development Group (DG)<\/em><\/p>\n\n\n\n<p>Ryan Strum, Tyne M. Lunn, Mary Osinga and Dr.\nElizabeth Donnelly have joined the Development Group. The DG has reviewed\nmaterials for presentation to the TC and appointments to working groups.<\/p>\n\n\n\n<p><em>Technical Committee (TC)<\/em><\/p>\n\n\n\n<p>The Technical Committee met on two occasions since the\nlast update \u2013 once in March, and once in April. Additional members have been\nadded to the TC representing Indigenous perspectives in paramedicine, and\nprovinces that were not represented. The next TC meeting is provisionally\nscheduled for October 2022.<\/p>\n\n\n\n<p><strong>Development process<\/strong><\/p>\n\n\n\n<p>The development process is collaborative and ensures\nthe inclusion of diverse stakeholders\u2019 and end-users\u2019 views throughout the\nprocess. Each step of the six-step development model (1) is conducted in\ncollaboration between the DG and TC. The development of the NOSP is informed by\nthe principles guiding paramedicine in Canada (2), and will be structured\naccording to the paramedic profile roles (3,4).<\/p>\n\n\n\n<p><strong>Step 1.<\/strong><\/p>\n\n\n\n<p>The DG drafted the purpose, intended uses,\nterminology, and scope of the Standard, along with identifying potential\nstakeholders, rightsholders, and end-users who should be consulted as part of\nthe development of the NOSP. This step involved collaboration with the\nconsultant leading the development of the Canadian Organization of Paramedic\nRegulators (COPR) Paramedic Essential Regulatory Requirements (PERRs) project\nto ensure the projects were aligned with regards to terminology and other\ndevelopmental considerations.<\/p>\n\n\n\n<p>The TC provided input and feedback on this step. The\nNOSP <strong>will <\/strong>outline the core\nactivities performed by paramedics, and the core competencies required to enact\nprofessional, patient-oriented practice in diverse contexts. It <strong>will not<\/strong> consider, or outline\ncompetencies related to service leadership, education, research, policy, or\nother roles that paramedics may fulfil. It<strong>\nwill not <\/strong>provide curriculum guidance or career pathway options. These will\nbe outlined in future documents.<\/p>\n\n\n\n<p><strong>Step 2.<\/strong><\/p>\n\n\n\n<p>The DG identified a number of contexts of paramedic\npractice in Canada for consideration in the Standard, via a systems thinking\napproach (5). The TC provided input and feedback on this step. These contexts\nare now being explored through 15 pan-Canadian working groups \u2013 see Table 1.<\/p>\n\n\n\n<p>Table 1. Contexts of practice in Canada<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"\"><tbody><tr><td>\n  <strong>Working Group<\/strong>\n  <\/td><td>\n  <strong>Lead member(s)<\/strong>\n  <\/td><\/tr><tr><td>\n  <strong>Contexts of practice working groups<\/strong>\n  <\/td><\/tr><tr><td>\n  Prehospital\n  \/ Out-of-Hospital Emergency Care\n  <\/td><td>\n  Jennifer\n  Doyle, No\u00ebl Dunn\n  <\/td><\/tr><tr><td>\n  Community,\n  Public Health and Primary Care\n  <\/td><td>\n  Amber\n  Hultink, Ryan Strum\n  <\/td><\/tr><tr><td>\n  Emergency\n  Department\n  <\/td><td>\n  Sean\n  Teed\n  <\/td><\/tr><tr><td>\n  Rural,\n  Remote and Isolated\n  <\/td><td>\n  Mathieu\n  Grenier\n  <\/td><\/tr><tr><td>\n  Culturally\n  Proficient Care \n  <\/td><td>\n  Tyne\n  M. Lunn\n  <\/td><\/tr><tr><td>\n  Military\n  Practice\n  <\/td><td>   Jean   Sebastian Morin, William Johnston   <\/td><\/tr><tr><td>\n  Substance\n  Use and Mental Health\n  <\/td><td>\n  Dr.\n  Polly Ford Jones, Jennifer Bolster\n  <\/td><\/tr><tr><td>\n  Critical\n  Care and Interfacility transfer\n  <\/td><td>\n  Sean\n  Hackett, Mary Osinga\n  <\/td><\/tr><tr><td>\n  Industrial\n  Paramedicine\n  <\/td><td>\n  Jodi\n  Bender\n  <\/td><\/tr><tr><td>\n  Palliative\n  and End-of-Life Care\n  <\/td><td>\n  Cheryl\n  Cameron\n  <\/td><\/tr><tr><td>\n  Special\n  Operations\n  <\/td><td>\n  Jay\n  Walker, Dugg Steary\n  <\/td><\/tr><tr><td>\n  Correctional\n  and Remand Practice\n  <\/td><td>\n  Sheldon\n  Thunstrom\n  <\/td><\/tr><tr><td>\n  <strong>Focused working groups:<\/strong>\n  <\/td><\/tr><tr><td>\n  Indigenous\n  Paramedic and Communities Engagement\n  <\/td><td>\n  Jeff\n  Gunner\n  <\/td><\/tr><tr><td>\n  Interprofessional\n  Perspectives\n  <\/td><td>\n  Dr.\n  Elizabeth Donnelly\n  <\/td><\/tr><tr><td>\n  Patient,\n  Caregiver, and Public Engagement\n  <\/td><td>\n  Paige\n  Mason, Jeanne Bank\n  <\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>A total of 146 applicants were appointed to 15 working\ngroups. Members were appointed with considerations of inclusion, diversity,\nequity and accessibility (IDEA), including geographical representation across\nCanada.<\/p>\n\n\n\n<p>Central to the development of the NOSP is a conscious\neffort to engage with stakeholders, rightsholders, and end-users with considerations\nof IDEA. As part of our commitment to this effort, we have established three\nfocused working groups: Indigenous Communities Working Group, Interprofessional\nPerspectives Working Group, and a Patient, Caregiver, and Public Engagement\nWorking Group.<\/p>\n\n\n\n<p><strong>Indigenous Paramedic and\nCommunities Engagement<\/strong><\/p>\n\n\n\n<p>The NOSP is being developed with acknowledgement and\nconsideration of the Truth and Reconciliation Commission&#8217;s Calls to Action, in\nparticular related to health (#18 to 24), and professional development and training\nfor public servants (#57) [ref]. To this end, Jeff Gunner joined the TC as an\nIndigenous paramedic service representative to provide a critical strategic\nperspective. Jeff will also lead the Indigenous Paramedic and Communities\nEngagement working group, where he will liaise with Indigenous and First\nNations paramedics and communities from across Canada.<\/p>\n\n\n\n<p><strong>Patient, Caregiver, and\nPublic Engagement<\/strong><\/p>\n\n\n\n<p>Paige Mason will lead the development, implementation\nand evaluation of the patient, caregiver, and public engagement strategy for\nthe NOSP. Patients, caregivers, and members of the public will be engaged and\nrecruited through the development process with considerations of equity,\ndiversity, inclusion, and accessibility, including geographical representation across\nCanada.<\/p>\n\n\n\n<p><strong>Interprofessional\nPerspectives<\/strong><\/p>\n\n\n\n<p>Led By Dr. Elizabeth Donnelly, this working group will\nsolicit input from nurses, physicians, and allied health professionals on their\nperspectives of paramedic work, competencies, and roles.<\/p>\n\n\n\n<p><strong>Next steps<\/strong><\/p>\n\n\n\n<p>The DG will support working groups in the conduct of\ndata collection over a several month-long period, expected to complete in\nOctober 2022. The DG will then analyse the data and prepare a summary for the\nTC.<\/p>\n\n\n\n<p>An in-person NOSP event will be held at the Paramedicine\nAcross Canada Expo 2022 from the 7<sup>th<\/sup> to 11<sup>th<\/sup> September in\nSaskatoon, SK. Details on the format of this event will be provided closer to\nthe date and will feature on the PACE 2022 website (pac-expo.ca).<\/p>\n\n\n\n<p><strong>Contact the development\ngroup<\/strong><\/p>\n\n\n\n<p>If you wish to contact the DG, please contact us via\nthis form:<a href=\"https:\/\/forms.gle\/zQUbNodND7LjSQ4t7.W\"> <\/a><a href=\"https:\/\/forms.gle\/zQUbNodND7LjSQ4t7.W\">https:\/\/forms.gle\/zQUbNodND7LjSQ4t7<\/a>. We will provide regular\nupdates on the development of the NOSP in Canadian Paramedicine, and via social\nmedia.<\/p>\n\n\n\n<p><strong>References<\/strong><\/p>\n\n\n\n<p>1.&nbsp;&nbsp; &nbsp;&nbsp;&nbsp; Batt A, Williams B, Rich J, Tavares W. A Six-Step Model for\nDeveloping Competency Frameworks in the Healthcare Professions. Frontiers in\nMedicine. 2021;8:2601.<\/p>\n\n\n\n<p>2.&nbsp;&nbsp; &nbsp;&nbsp;&nbsp; Tavares W, Allana A, Beaune L, Weiss D, Blanchard I. Principles\nto Guide the Future of Paramedicine in Canada. Prehospital Emergency Care. 2021\nAug 10;0(0):1\u201311.<\/p>\n\n\n\n<p>3.&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; Paramedic\nAssociation of Canada. Canadian Paramedic Profile: Paramedic Roles. Ottawa:\nParamedic Association of Canada; 2016.<\/p>\n\n\n\n<p>4.&nbsp;&nbsp; &nbsp;&nbsp;&nbsp; Tavares W, Bowles R, Donelon B. Informing a Canadian paramedic\nprofile: Framing concepts, roles and crosscutting themes. BMC Health Services\nResearch. 2016;16(1):1\u201316.<\/p>\n\n\n\n<p>5.&nbsp;&nbsp; &nbsp;&nbsp;&nbsp; Batt AM, Williams B, Brydges M, Leyenaar M, Tavares W. New ways\nof seeing: supplementing existing competency framework development guidelines\nwith systems thinking. Advances in Health Sciences Education. 2021 May 18;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Alan M. Batt, Pierre Poirier, Jeanne Bank, Jennifer Bolster, Ron Bowles, Cheryl Cameron, Elizabeth Donnelly, Becky Donelon, No\u00ebl Dunn, Tim Essington, William Johnston, Rene Lapierre, Tyne M. Lunn, Meghan Lysko, Paige Mason, Mary Osinga, Dugg Steary, Ryan Strum, and Walter Tavares on behalf of the NOSP Development Group, Working Groups and CSA Technical Committee. For [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2128,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"saved_in_kubio":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[76,66],"tags":[],"class_list":["post-4052","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-nosp"],"uagb_featured_image_src":{"full":["http:\/\/alanbatt.net\/wp-content\/uploads\/2018\/04\/PAC-Logo-385pxWide.jpg",384,70,false],"thumbnail":["http:\/\/alanbatt.net\/wp-content\/uploads\/2018\/04\/PAC-Logo-385pxWide-150x70.jpg",150,70,true],"medium":["http:\/\/alanbatt.net\/wp-content\/uploads\/2018\/04\/PAC-Logo-385pxWide-300x55.jpg",300,55,true],"medium_large":["http:\/\/alanbatt.net\/wp-content\/uploads\/2018\/04\/PAC-Logo-385pxWide.jpg",384,70,false],"large":["http:\/\/alanbatt.net\/wp-content\/uploads\/2018\/04\/PAC-Logo-385pxWide.jpg",384,70,false],"1536x1536":["http:\/\/alanbatt.net\/wp-content\/uploads\/2018\/04\/PAC-Logo-385pxWide.jpg",384,70,false],"2048x2048":["http:\/\/alanbatt.net\/wp-content\/uploads\/2018\/04\/PAC-Logo-385pxWide.jpg",384,70,false],"kubio-fullhd":["http:\/\/alanbatt.net\/wp-content\/uploads\/2018\/04\/PAC-Logo-385pxWide.jpg",384,70,false]},"uagb_author_info":{"display_name":"Alan","author_link":"http:\/\/alanbatt.net\/?author=1"},"uagb_comment_info":0,"uagb_excerpt":"Alan M. Batt, Pierre Poirier, Jeanne Bank, Jennifer Bolster, Ron Bowles, Cheryl Cameron, Elizabeth Donnelly, Becky Donelon, No\u00ebl Dunn, Tim Essington, William Johnston, Rene Lapierre, Tyne M. Lunn, Meghan Lysko, Paige Mason, Mary Osinga, Dugg Steary, Ryan Strum, and Walter Tavares on behalf of the NOSP Development Group, Working Groups and CSA Technical Committee. For&hellip;","_links":{"self":[{"href":"http:\/\/alanbatt.net\/index.php?rest_route=\/wp\/v2\/posts\/4052","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/alanbatt.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/alanbatt.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/alanbatt.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/alanbatt.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4052"}],"version-history":[{"count":2,"href":"http:\/\/alanbatt.net\/index.php?rest_route=\/wp\/v2\/posts\/4052\/revisions"}],"predecessor-version":[{"id":4056,"href":"http:\/\/alanbatt.net\/index.php?rest_route=\/wp\/v2\/posts\/4052\/revisions\/4056"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/alanbatt.net\/index.php?rest_route=\/wp\/v2\/media\/2128"}],"wp:attachment":[{"href":"http:\/\/alanbatt.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4052"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/alanbatt.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4052"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/alanbatt.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4052"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}