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Background <p>Paramedics in Germany (“Notfallsanitäterinnen und Notfallsanitäter” in German) are increasingly tasked with performing complex prehospital procedures, including invasive interventions and the administration of emergency medications. This study aimed to evaluate their self-perceived procedural confidence in performing such measures and to analyze differences between paramedics with full training and paramedics with supplementary examination.</p> Methods <p>More than 270 EMS medical directors were informed about the study and asked to distribute the survey link to the paramedics. Participants were then able to assess their own competence in performing invasive medical procedures and administering medications.</p> Results <p>A&#xa0;total of 1074 paramedics participated in the survey. The majority reported a&#xa0;high level of self-confidence. Paramedics with full training showed significantly higher self-assessed confidence in medication administration, while those with supplementary examination reported slightly greater confidence in performing invasive procedures.</p> Conclusion <p>Overall, self-perceived procedural confidence is high but varies depending on the type of training. This highlights the need for tailored education programs that specifically develop both theoretical and practical competencies. Simulation training, clinical rotations, and case-based reflections should be given greater emphasis. Furthermore, standardized frameworks for competence monitoring and assessment are needed.</p>

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Durchführung heilkundlicher Maßnahmen durch Notfallsanitäter (NotSan)

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年2月18日

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  • Bilal Türk,
  • Florian Breuer,
  • Thomas Franke,
  • Bastian Brune,
  • Sascha Zeiger,
  • Veronika Weichert,
  • Marcel Dudda,
  • André Nohl

摘要

Background

Paramedics in Germany (“Notfallsanitäterinnen und Notfallsanitäter” in German) are increasingly tasked with performing complex prehospital procedures, including invasive interventions and the administration of emergency medications. This study aimed to evaluate their self-perceived procedural confidence in performing such measures and to analyze differences between paramedics with full training and paramedics with supplementary examination.

Methods

More than 270 EMS medical directors were informed about the study and asked to distribute the survey link to the paramedics. Participants were then able to assess their own competence in performing invasive medical procedures and administering medications.

Results

A total of 1074 paramedics participated in the survey. The majority reported a high level of self-confidence. Paramedics with full training showed significantly higher self-assessed confidence in medication administration, while those with supplementary examination reported slightly greater confidence in performing invasive procedures.

Conclusion

Overall, self-perceived procedural confidence is high but varies depending on the type of training. This highlights the need for tailored education programs that specifically develop both theoretical and practical competencies. Simulation training, clinical rotations, and case-based reflections should be given greater emphasis. Furthermore, standardized frameworks for competence monitoring and assessment are needed.