{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T14:56:59Z","timestamp":1791471419913,"version":"4.3.4"},"reference-count":24,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore Finnish paramedics' self\u2010assessed competence in paediatric and neonatal care and identify educational and training needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional survey included 253 graduates of Finnish bachelor\u2010level paramedic programmes. Data were collected between January and March 2026 using a Webropol questionnaire distributed through social media. The survey assessed self\u2010perceived competence in paediatric and neonatal care, educational experiences, training opportunities and development needs. Data were analysed using descriptive statistics, composite variables and non\u2010parametric methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants reported moderate competence in paediatric care (mean 2.92) and lower competence in neonatal care (mean 2.04). Younger and less experienced paramedics reported higher competence in theoretical and assessment\u2010related domains, whereas more experienced paramedics reported stronger competence in emergency response performance and stress management. Competence in paediatric mental and behavioural health emergencies was consistently rated lowest (mean 1.30). Neonatal assessment and resuscitation skills also received relatively low ratings. Participants reported limited opportunities for simulation\u2010based training and clinical placements, particularly in neonatal care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Paramedics identified important competence gaps in paediatric and neonatal care, especially in mental health emergencies and neonatal practice. Strengthening undergraduate education, simulation\u2010based learning and continuing professional development may improve preparedness for paediatric and neonatal emergencies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apa.70791","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T14:24:16Z","timestamp":1791469456000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Finnish Paramedics' Self\u2010Assessed Competence in Paediatric and Neonatal Care: A Nationwide Survey of Education, Training and Development Needs"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4313-0756","authenticated-orcid":false,"given":"Mikko","family":"Kaartinen","sequence":"first","affiliation":[{"name":"Institute of Clinical Medicine University of Eastern Finland  Kuopio Finland"},{"name":"Faculty of Health and Social Services LAB University of Applied Sciences  Lappeenranta Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8070-9904","authenticated-orcid":false,"given":"Emilia","family":"Laapio\u2010Rapi","sequence":"additional","affiliation":[{"name":"Faculty of Health and Social Services LAB University of Applied Sciences  Lappeenranta Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8178-9610","authenticated-orcid":false,"given":"Ilari","family":"Kuitunen","sequence":"additional","affiliation":[{"name":"Institute of Clinical Medicine University of Eastern Finland  Kuopio Finland"},{"name":"Department of Pediatrics Kuopio University Hospital  Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.21106\/ijma.600"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/10903127.2018.1551450"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/10903127.2014.959223"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2022.903950"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.5339\/qmj.2025.86"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102023\u2010073099"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.2196\/31748"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild\u20102017\u2010314153"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/10903127.2021.1985666"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909\u2010026\u201008566\u20104"},{"key":"e_1_2_14_12_1","volume-title":"Tilastollinen 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