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Abstract

Introduction: There is a need for evidence-based pre-employment physical fitness test standards in paramedic organisations. This study aimed to assess the feasibility of implementing an existing, international, standardised pre-employment paramedic physical capacity test, the Ottawa Paramedic Physical Abilities Test (OPPATTM), in the Australian context. Methods: In this mixed-method feasibility study, 12 undergraduate paramedicine students completed two generic predictive tests - a three-minute step test (3MST20) and a grip strength test - and two physical employment tests: the Ottawa Paramedic Physical Abilities Test (OPPATTM) and the New South Wales Ambulance Test (NSWAT) – and a brief perception questionnaire after each test. Physiological data were collected during testing using Hexoskin® devices and analysed descriptively. Qualitative data relating to participant and investigator perceptions of the feasibility of the tests for use in the Australian paramedicine context were analysed through content analysis. Results: Of the 12 participants, six met the criteria to begin all physical tests. Two successfully completed all physical tests, measured by current pre-employment requirements. Participants reported feeling underprepared for the current physical employment standards and were uncertain about the physical capacity demands of the paramedic role. All the physical tests were considered, in part, feasible based on participant performance, cost, time requirements for test setup, and perceived job relatedness criteria; however, the OPPATTM was considered most relevant to the paramedic role. Conclusion: The OPPATTM is adaptable and likely feasible for application in Australian ambulance services as a physical pre-employment test that could be implemented by universities within curricula for student physical preparation. Current student paramedics, however, may not be sufficiently physically prepared for the test. Further work is needed to ensure standardised and appropriate student paramedic preparation, and pre-employment testing specific to the paramedic role, supporting both staff and patient safety.

Author Bio(s)

Samantha Sheridan (corresponding author), MSc, email: ssheridan@csu.edu.au, orcid:0000-0003-0637-8840 1, 2, 7

Rodney P. Pope, PhD, email: rpope@csu.edu.au, orcid:0000-0002-1320-5801 3

Renee MacPhee, PhD, email: rmacphee@wlu.ca, orcid:0000-0001-8791-6270 4

Alex MacQuarrie, PhD, email: smacquar@bond.edu.au, orcid:0000-0003-3969-24815

Steve Fischer, PhD, email: steven.fischer@uwaterloo.ca, orcid:0000-0002-3347-54036

Gavin Buzza, PhD, email: gbuzza@csu.edu.au, orcid: 0000 0001 9396 106X 1

Hannah Stack, MSc, email: hstack@csu.edu.au, orcid:0000-0001-8531-2465 2, 7

Lyndal Bolton, GCert, email: lbolton@csu.edu.au , orcid:0009-0009-1580-4005 2, 7

Jacob Grevell, GCert, email: jgrevell@csu.edu.au, orcid:0000-0002-3454-3084 2, 7

Christopher Tony Sheridan, BSc (Hons), email: csherida@csu.edu.au, orcid:0009-0008-5637-2918 2, 7

Jacinta Buckman, BSc (Hons), email: jacinta.buckman@gmail.com7

Russell Rayner, ASpS PhD, email: rrayner@csu.edu.au, orcid:0000-0002-3621-4452 1

1School of Allied Health, Exercise and Sports Sciences, Charles Sturt University, Locked Bag 5000, Port Macquarie NSW 2444, Australia.

2School of Nursing Paramedicine and Health Sciences, Charles Sturt University, Locked Bag 5000, Port Macquarie NSW 2444, Australia.

3School of Allied Health, Exercise and Sports Sciences, Charles Sturt University, PO Box 789. Albury NSW 2640.

4Wilfrid Laurier University, Departments of Kinesiology & Physical Education and Health Sciences, Bricker Academic Building, BA515, Waterloo, ON N2L 3C5, Canada.

5Healthcare Innovations, Faculty of Health Sciences & Medicine, Bond University, Qld 4229, Australia.

6University of Waterloo, Kinesiology and Health Sciences, Waterloo, Ontario, Canada N2L 3G1.

7Australian Health Practitioner Regulation Agency (Ahpra) Paramedic.

Acknowledgements

The first author acknowledges this study is funded as part of a doctoral research degree program of research by Charles Sturt University. We acknowledge the financial support from Charles Sturt University through its Academic Staff Higher Degree by Research Workload Support Scheme. We would like to acknowledge the OPPATTM Research and Testing team who facilitated this study through the training of our investigators. We would like to acknowledge the Charles Sturt University, Faculty of Science and Health, Technical team, Port Macquarie who facilitated this study with technical equipment support.

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