Evidence map›Paper›PMID 37452564›Full record

ArticlePalliative medicine2023

'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.

Madeleine L Juhrmann, Phyllis N Butow, Cara M Platts, Paul Simpson, Mark Boughey, Josephine M Clayton

Open access · hybridAbstract read
In one paragraph

Article in Palliative medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 12 citations in OpenAlex.

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  7. 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 · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Madeleine L JuhrmannNorthern Clinical School, Faculty of Medicine and Health, University of Sydney, New South Wales, Australia.ORCID 0000-0001-5500-4330
Phyllis N ButowChris O'Brien Lifehouse, School of Psychology, Faculty of Science, University of Sydney, New South Wales, Australia.
Cara M PlattsMelbourne School of Population and Global Health, University of Melbourne, Victoria, Australia.
Paul SimpsonSchool of Paramedicine, Faculty of Health Sciences, Western Sydney University, New South Wales, Australia.
Mark BougheyMelbourne Medical School, Faculty of Medicine, Dentistry and Health Science, University of Melbourne, Victoria, Australia.
Josephine M ClaytonNorthern Clinical School, Faculty of Medicine and Health, University of Sydney, New South Wales, Australia.
The University of Sydney · AUThe University of Melbourne · AUWestern Sydney University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParamedic practice is diversifying to accommodate evolving global health trends, including community paramedicine models and growing expertise in palliative and end-of-life care. However, despite palliative care specific clinical practice guidelines and existing training, paramedics still lack the skills, confidence and clinical support to provide this type of care.

aimTo elicit paramedics', palliative care doctors and nurses', general practitioners', residential aged care nurses' and bereaved families and carers' experiences, perspectives, and attitudes on the role, barriers and enablers of paramedics delivering palliative and end-of-life care in community-based settings.

designA qualitative study employing reflexive thematic analysis of data collected from semi-structured online interviews was utilised. SETTING/

participantsA purposive sample of 50 stakeholders from all Australian jurisdictions participated.

resultsFive themes were identified: positioning the paramedic (a dichotomy between the life saver and community responder); creating an identity (the trusted clinician in a crisis), fear and threat (feeling afraid of caring for the dying), permission to care (seeking consent to take a palliative approach) and the harsh reality (navigating the role in a limiting and siloed environment).

conclusionParamedics were perceived to have a revered public identity, shaped by their ability to fix a crisis. However, paramedics and other health professionals also expressed fear and vulnerability when taking a palliative approach to care. Paramedics may require consent to move beyond a culture of curative care, yet all participant groups recognised their important adjunct role to support community-based palliative care.

Indexed as

CaregiversParamedicsAgedAustraliaFamilyHumansPalliative CareParamedicineQualitative Researchambulanceemergency medical servicesPalliative careparamedicqualitative researchterminal care

Identifiers

PMID37452564
PMCPMC10503236
OpenAlexW4384401424

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.