Mr Curtis Cooper1,2,3, Ms Samantha Slight4, Ms Eliza Farrell5, Dr Dennis Walker6, Professor Clint Moloney6
1St John Ambulance Northern Territory, Winnellie, Australia, 2School of Health and Medical Sciences. University of Southern Queensland, Ipswich, Australia, 3Charles Darwin University, Casuarina, Australia, 4Queensland Health, , Australia, 5Queensland Ambulance Service, West Moreton District, Australia, 6School of Health and Medical Sciences. Centre for Health Research. University of Southern Queensland, Ipswich, Australia
Biography:
Biography to come
Abstract:
Introduction
Managing critically ill paediatric patients (CIPP) requires technical proficiency, clinical reasoning, and emotional resilience. However, limited exposure and variability in training may impact preparedness, particularly among student paramedics. This study aimed to compare self-reported confidence, competence, and comfort (CCC) in paediatric care between student and qualified paramedics, and to identify factors influencing these perceptions.
Methods
A descriptive cross-sectional study was conducted using a self-administered online survey. A total of 175 participants (91 students, 84 paramedics) completed Likert-scale and multiple-choice items assessing CCC, demographics, and paediatric experience. Data were analysed using descriptive statistics, Spearman’s correlation, one-sample t-tests, and principal component analysis. Effect sizes were calculated using Cohen’s d and Hedges’ g, with Fisher’s Exact Tests examining associations between experience and CCC.
Results
Student paramedics reported significantly lower CCC compared to qualified paramedics. Mean confidence (3.13 vs 3.63) and competence (2.75 vs 3.64) were notably lower in students. Positive correlations were observed between CCC domains across both groups. Experience with children and prior paediatric exposure were associated with increased comfort. Among qualified paramedics, years of service positively correlated with confidence and competence.
Conclusion
A clear gap exists in perceived preparedness between student and qualified paramedics in paediatric care. Targeted educational strategies, including simulation-based training and structured mentorship, are recommended to improve preparedness and support safe, effective care in high-acuity paediatric emergencies.