SynthesisPalliative medicine2022
Paramedics delivering palliative and end-of-life care in community-based settings: A systematic integrative review with thematic synthesis.
Synthesis in Palliative medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 53 citations in OpenAlex.
- Emergency medical services deployment for palliative care patients: Operational metrics, resource allocation, and patient outcomes.Palliative care and social practice · 2026Article
- Just-in-case medication use by ambulance paramedics responding to end-of-life care in the community: protocol for a multi-method study (RELIEF).British paramedic journal · 2025Article
- Pediatric Palliative Care Patient Transfers of Location at End-of-Life: A 7-Year Retrospective Study.Healthcare (Basel, Switzerland) · 2025Article
- Integrating emergency medical services and palliative care: A nominal group technique.African journal of primary health care & family medicine · 2025Article
- Palliative paramedicine: An interrupted time series analysis of pre-hospital guideline efficacy.Palliative medicine · 2025Article
- Assessing Paramedics' Competence and Training in End-of-Life Care: A Cross-Sectional Study in Saudi Arabia.Clinics and practice · 2025Article
- Paramedics providing end-of-life care: an online survey of practice and experiences.BMC palliative care · 2024Article
- South African palliative care provider perspectives on emergency medical services in palliative situations.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- Article
- Development of a palliative paramedicine framework to standardise best practice: A Delphi study.Palliative medicine · 2024Article
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- Review
- Article
- [Palliative aspects in clinical acute and emergency medicine as well as intensive care medicine : Consensus paper of the DGIIN, DGK, DGP, DGHO, DGfN, DGNI, DGG, DGAI, DGINA and DG Palliativmedizin].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2023Review
- 'It breaks a narrative of paramedics, that we're lifesavers': A qualitative study of health professionals', bereaved family members' and carers' perceptions and experiences of palliative paramedicine.Palliative medicine · 2023Article
- Improving paramedic responses for patients dying at home: a theory of change-based approach.BMC emergency medicine · 2023Article
- Family & bystander experiences of emergency ambulance services care: a scoping review.BMC emergency medicine · 2023Article
- 'The palliative care ambulance': A qualitative study of patient and caregiver perspectives of an ambulance service.Palliative medicine · 2023Article
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- Prehospital emergency medicine for children receiving palliative home care in Germany-a cross-sectional, exploratory study of EMS providers.Frontiers in pediatrics · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is a growing demand for community palliative care and home-based deaths worldwide. However, gaps remain in this service provision, particularly after-hours. Paramedicine may help to bridge that gap and avoid unwanted hospital admissions, but a systematic overview of paramedics' potential role in palliative and end-of-life care is lacking.
aimTo review and synthesise the empirical evidence regarding paramedics delivering palliative and end-of-life care in community-based settings.
designA systematic integrative review with a thematic synthesis was undertaken in accordance with Whittemore and Knafl's methodology. Prospero: CRD4202119851. DATA SOURCES: MEDLINE, CINAHL, PsycINFO and Scopus databases were searched in August 2020 for primary research articles published in English, with no date limits applied. Articles were screened and reviewed independently by two researchers, and quality appraisal was conducted following the Mixed-Methods Appraisal Tool (2018).
resultsThe search retrieved 5985 articles; 23 articles satisfied eligibility criteria, consisting of mixed-methods (
conclusionsParamedics are a highly skilled workforce capable of helping to deliver palliative and end-of-life care to people in their homes and reducing avoidable hospital admissions, particularly for palliative emergencies. Future research should focus on investigating the efficacy of palliative care clinical practice guideline implementation for paramedics, understanding other healthcare professionals' perspectives, and undertaking health economic evaluations of targeted interventions.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.