Specialist paramedics in critical care: developing professional competence
Journal of Paramedic Practice · 2026-07-02 · Qualitative study
Abstract
Background: Specialist paramedics in critical care (SP-CCs) deliver high-acuity prehospital care within complex and unpredictable environments. While specialist education programmes aim to support this role, there is limited evidence exploring how such programmes contribute to the development of professional competence. Aim: To explore the experiences of SP-CCs enrolled in a regional air ambulance education programme in developing professional competence. Methods: A qualitative service evaluation was undertaken using semi-structured interviews with SP-CCs who had completed the education programme. Data were analysed using deductive thematic analysis informed by adult learning theory and conceptual models of professional competence. Findings: Three overarching themes were identified: defining a learning and development framework; encouraging individual professional development; and the realisation of professional competence. Experiential learning was the primary mechanism supporting competence development, with leadership emerging as the keystone professional attribute. Conclusion: SP-CC education is optimised when expectations are clearly defined, experiential learning opportunities are embedded, and leadership development is explicitly supported.
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Tags
Critical care & advanced paramedics · Helicopter & air ambulance · Clinician perspective
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