National study of Saudi Arabian emergency medical services professional profiles: an inferential analysis


allied health personnel
Saudi Arabia

How to Cite

AlShammari T, Jennings P, Williams B. National study of Saudi Arabian emergency medical services professional profiles: an inferential analysis. Australasian Journal of Paramedicine [Internet]. 2019Nov.9 [cited 2023Jan.31];160. Available from:



Internationally, emergency medical services (EMS) are an essential access point to the healthcare system. Building an understanding of the professional, educational and demographic profiles of an EMS workforce is important. The aim of this study is to statistically test the professional profiles of EMS providers against the Saudi ParamEdic Competency Scale (SPECS) model factors.


Healthcare providers working for the Saudi Red Crescent Authority (SRCA) were surveyed using a cross-sectional study design with purposive sampling technique. The independent variables were tested against the five SPECS model factors of ‘Professionalism’, ‘Preparedness’, ‘Communication’, ‘Clinical’ and ‘Personal’.


Of the 1260 surveys distributed, 909 surveys were returned (72.14% response rate). A total of 927 EMS healthcare professionals contributed to the study of whom 866 (93.4%) were male and 61 (6.6%) female. Of the participants, 552 (59.5%) were aged 29–39 years and 508 (54.8%) had 5–9 years’ experience.


This is the first national study to explore and contextualise the diverse professional stakeholders in Saudi EMS. The study was able to employ the professional profiles of the participants in understanding the different perceptions of the SPECS model. We recommend that future research address the specific differences identified in the demographic, professional and educational aspects of this study.


Alqahtani S, Nehme Z, Williams B, Smith K. The incidence and outcomes of out-of-hospital cardiac arrest precipitated by drug overdose: a systematic review and meta-analysis. Resuscitation 2018;134:10-8.

Fernandez A, Studnek J, Margolis G. Estimating the probability of passing the National Paramedic Certification Examination. Acad Emerg Med 2008;15:258-64.

General Authority for Statistics. Population by age groups, gender and nationality (Saudi/Non-Saudi) 2016 [15-1-2017]. Available at:

Al-Shaqsi S. Models of international emergency medical service (EMS) systems. Oman Med J 2010;25:320-3.

O’Brien K, Hartley P, Dawson D, Quick J, Moore A. Work readiness in paramedic graduates: what are employers looking for? International Paramedic Practice 2013;3:98-104.

Joyce C, Wainer J, Archer F, Wyatt A, Pitermann L. Trends in the paramedic workforce: a profession in transition. Aust Health Rev 2009;33:533-40.

Ministry of Health SA. Statistical Book 2014 [21-5-2016]. Available at:

Williams B. Graduate attributes and the professionalisation of Australian paramedics: an empirical study. Melbourne: Monash University; 2011.

Rybojad B, Aftyka A, Baran M, Rzońca P. Risk factors for posttraumatic stress disorder in Polish paramedics: a pilot study. J Emerg Med 2016;50:270-6.

PilÁrik Ľ, Sarmany-Schuller I. Personality predictors of decision-making of medical rescuers. Studia Psychologica 2011;53:175-84.

Suzuki A, Yoshioka K, Ito S, Naito Y. Assessment of stress and autonomic nervous activity in Japanese female ambulance paramedics working 24-hour shifts. J Occup Health 2015;58:47-55.

Pajonk F, Andresen B, Schneider-Axmann T, et al. Personality traits of emergency physicians and paramedics. Emerg Med J 2011;28:141-6.

Williams B, Boyle M, Fielder C. Empathetic attitudes of undergraduate paramedic and nursing students towards four medical conditions: a three-year longitudinal study. Nurse Educ Today 2015;35:e14-8.

Crowe R, Krebs W, Cash R, Rivard M, Lincoln E, Panchal A. Females and minority racial/ethnic groups remain underrepresented in emergency medical services: a ten-year assessment, 2008-2017. Prehosp Emerg Care 2019;1-8.

Boyle M, Koritsas S, Coles J, Stanley J. A pilot study of workplace violence towards paramedics. Emerg Med J 2007;24:760-3.

Alharthy N, Alswaes S, Almaziad A, et al. Public perception of female paramedics at King Abdulaziz Medical City, Saudi Arabia. Int J Emerg Med 2018;11:57.

AlShammari T, Jennings P, Williams B. Evolution of emergency medical services in Saudi Arabia. Journal of Emergency Medicine Trauma and Acute Care 2017;4.

AlShammari T, Jennings P, Williams B. Emergency medical services core competencies: a scoping review. Health Professions Education 2018;4:245-58.

AlShammari T, Jennings P, Williams B. Emergency medical services core competencies: a Delphi study. Australasian Journal of Paramedicine 2019;16.

AlShammari T, Jennings P, Williams B. National study of emergency medical services core competencies: a confirmatory factor analysis. Ibid. 2019;16.

Melnyk B, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: a guide to best practice. 2nd edn. Philadelphia, PA: Lippincott Williams & Wilkins; 2011.

Pallant J. SPSS survival manual: a step by step guide to data analysis using IBM SPSS. 6th edn. Maidenhead: Open University Press; 2016.

Simmons J, Nelson L, Simonsohn U. False-positive psychology: undisclosed flexibility in data collection and analysis allows presenting anything as significant. Psychol Sci 2011;22:1359-66.

Dunn O. Multiple comparisons among means. J Am Stat Assoc 1961;56:52-64.

IBM Support. Can SPSS perform a Dunn’s nonparametric comparison for post hoc testing after a Kruskal-Wallis test? 2018. Available at:

Cohen J. Statistical power analysis for the behavioural sciences. Hillsdale, NJ: Erlbaum; 1988.

The Library of Congress. Saudi Arabia: Royal Decree Allows Women to Be Issued Driving Licenses. Washington, DC: Library of Congress. 2017 [9-1-2019]. Available at:

AlAssaf W. EMS coverage of a female-only event with 10,000 attendees: preparation and implementation in one week. Prehosp Dis Med 2017;32:694-8.

Mebrouk J. Perception of nursing care: views of Saudi Arabian female nurses. Contemp Nurse 2008;28:149-61.

Al Lily A. On line and under veil: technology-facilitated communication and Saudi female experience within academia. Technology in Society 2011;33:119-27.

Lord B, Bendall J, Reinten T. The influence of paramedic and patient gender on the administration of analgesics in the out-of-hospital setting. Prehosp Emerg Care 2014;18:195-200.

Mirhaghi A, Mirhaghi M, Oshio A, Sarabian S. Systematic review of the personality profile of paramedics: bringing evidence into emergency medical personnel recruitment policy. J Acad Emerg Med 2016;15:144.

Abadel F, Hattab A. How does medical graduates’ self-assessment of their clinical competency differ from experts’ assessment? BMC Med Educ 2013;13:24.

Wray N, McCall L. ‘They don’t know much about us’: educational reform impacts on students’ learning in the clinical environment. Adv Health Sci Educ 2009;14:665-76.

Alexander M, Weiss S, Braude D, Ernst A, Fullerton-Gleason L. The relationship between paramedics’ level of education and degree of commitment. Am J Emerg Med 2009;27:830-7.

Pfeffer J. Organizational demography: implications for management. Calif Manag Rev 1985;28:67-81.

Zenger T, Lawrence B. Organizational demography: the differential effects of age and tenure distributions on technical communication. Acad Manag J 1989;32:353-76.

McCain B, O’Reilly C, Pfeffer J. The effects of departmental demography on turnover: the case of a university. Ibid. 1983;26:626-41.

Dawson S, King L, Grantham H. Improving the hospital clinical handover between paramedics and emergency department staff in the deteriorating patient. Emerg Med Australas 2013;25:393-405.

Jenkin A, Abelson-Mitchell N, Cooper S. Patient handover: time for a change? Accid Emerg Nurs 2007;15:141-7.

Dean E. Maintaining eye contact: how to communicate at handover. Emerg Nurs 2012;19:6-8.

El-Gilany A, El-Wehady A, Amr M. Violence against primary health care workers in Al-Hassa, Saudi Arabia. J Interpers Violence 2010;25:716-34.

Bozionelos N. Expatriation outside the boundaries of the multinational corporation: a study with expatriate nurses in Saudi Arabia. Human Res Manag 2009;48:111-34.

Al-Tawfiq J, Antony A, Abed M. Attitudes towards influenza vaccination of multi-nationality health-care workers in Saudi Arabia. Vaccine 2009;27:5538-41.

De Bel-Air F. Demography, migration and labour market in Saudi Arabia. Jeddah: Gulf Labour Markets and Migration; 2014.