The lived experience of dual-qualified emergency nurse-paramedics working for Australian jurisdictional ambulance services: a phenomenological study

Background: To better align with the evolving needs of the community, Australian ambulance services are increasingly required to develop innovative care models. The dual-qualified emergency nurse-paramedic has skills and knowledge that align with these models yet is underutilised as a flexible workforce group available to meet specific needs. This research explored the lived experience of dual-qualified emergency nurse-paramedics working for Australian jurisdictional ambulance services to gain their perspectives. Method: A descriptive phenomenological approach, informed by the works of Husserl was adopted for this study. Individual interviews were conducted with dual-qualified emergency nurse-paramedics (N = 13). Data was analysed according to Colaizzi. Results: Participants described frustration with the current lack of acknowledgement of, and potential to therefore apply their knowledge, skills and experience. They voiced a desire for dual regulatory support and for an emergency nurse-paramedic role to be established. Beneficiaries of such a role were perceived to include the health system, ambulance services, the community, and the individual practitioner, whilst barriers included regulatory and organisational challenges. Conclusion: The introduction of an emergency nurse-paramedic role in Australian jurisdictional ambulance services is timely and could contribute to improving care and health service delivery.