The work environment of paramedics is rapidly becoming more technology-oriented, and new innovations are constantly being introduced. The aim of this study was to determine the roles Finnish advanced level paramedics identify for themselves within technological development processes in their experience and what kinds of technological development in pre-hospital emergency care are needed. This qualitative study utilised essay material written by experienced advanced level paramedics (n = 20), which was analysed using inductive content analysis. The paramedics identified direct and indirect roles and clear obstacles. The roles were related to expertise, their own professional skills, supporting development and implementation. The obstacles to participation in technological developed were perceived as the employer's unwillingness to involve grassroots level paramedics, lack of training or expertise, and overall unrecognised role. Technological development was seen to be needed regarding information and communication technology, treatment tools, and equipment. Further, nationally homogenous technological development that supports the quality and safety of nursing work and the integration of digitalization into education were also seen as needed. Paramedics can be innovative and active technology developers with extensive expertise in the technology of their field. Employers and technology developers should be encouraged to enable user-oriented product development and to involve paramedics in development work.

中文翻译：

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从高级护理人员的角度看技术发展在院前急救中的作用和需求

护理人员的工作环境正在迅速变得更加以技术为导向，并且不断引入新的创新。本研究的目的是确定芬兰高级护理人员根据其经验在技术开发过程中所扮演的角色，以及院前急救护理需要什么样的技术开发。这项定性研究利用了由经验丰富的高级护理人员 (n = 20) 撰写的论文材料，并使用归纳内容分析对这些材料进行了分析。护理人员确定了直接和间接的角色并清除了障碍。这些角色与专业知识、他们自己的专业技能、支持开发和实施相关。参与技术开发的障碍被认为是雇主不愿意让基层护理人员参与、缺乏培训或专业知识以及整体作用未被认识到。人们认为信息和通信技术、治疗工具和设备方面需要技术发展。此外，还需要支持护理工作质量和安全的全国同质技术发展以及将数字化融入教育。护理人员可以是创新且积极的技术开发人员，在其领域的技术方面拥有丰富的专业知识。应鼓励雇主和技术开发商实现以用户为导向的产品开发，并让护理人员参与开发工作。