Evidence map›Paper›PMID 38483052›Full record

ArticlePalliative medicine2024

Development of a palliative paramedicine framework to standardise best practice: A Delphi study.

Madeleine L Juhrmann, Phyllis N Butow, Paul Simpson, Mark Boughey, Meredith Makeham, Josephine M Clayton

Open access · hybridAbstract read
In one paragraph

Article in Palliative medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.7field-weighted citation impact, top 11% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Integrating emergency medical services and palliative care: A nominal group technique.African journal of primary health care & family medicine · 2025
    Article
  3. Article
  4. Article
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, St Leonards, NSW, Australia.ORCID 0000-0001-5500-4330
Phyllis N ButowChris O'Brien Lifehouse, School of Psychology, Faculty of Science, University of Sydney, Sydney, NSW, Australia.
Paul SimpsonSchool of Health Sciences, Western Sydney University, Campbelltown, NSW, Australia.
Mark BougheyMelbourne Medical School, Faculty of Medicine, Dentistry and Health Science, University of Melbourne, Melbourne, VIC, Australia.
Meredith MakehamFaculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Josephine M ClaytonNorthern Clinical School, Faculty of Medicine and Health, University of Sydney, St Leonards, NSW, Australia.
The University of Sydney · AUCamden and Campbelltown Hospitals · AUThe University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGrowing global demand for palliative care services has prompted generalist clinicians to provide adjunct support to specialist teams. Paramedics are uniquely placed to respond to these patients in the community. However, embedding palliative care principles into their core business will require multifactorial interventions at structural, healthcare service and individual clinician and consumer levels.

aimTo develop a palliative paramedicine framework suitable for national implementation, to standardise best practice in Australia.

designDelphi study utilising questionnaire completion; each round informed the need for, and content of, the next round. Free text comments were also sought in Round 1. Two rounds of Delphi were undertaken. SETTING/

participantsSixty-eight participants took part in Round 1, representing six countries, and 66 in Round 2. Participants included paramedics, palliative care doctors and nurses, general practitioners, researchers and carers with lived experience and expertise in palliative paramedicine.

resultsSeventeen of the original 24 components gained consensus; 6 components were modified; and 9 new components arose from Round 1. All modified and new components gained consensus in Round 2. Only one original component did not gain consensus across both rounds and was excluded from the final 32-component framework.

conclusionThis study has developed a comprehensive national framework addressing the macro-, meso- and micro-level interventions required to standardise palliative paramedicine across Australia. Future research ought to engage a multidisciplinary team to create an implementation strategy, addressing any perceived barriers, facilitators and challenges for applying the framework into policy and practice.

Indexed as

Delphi TechniquePalliative CareAdultAllied Health PersonnelAustraliaConsensusFemaleHumansMaleMiddle AgedParamedicinePractice Guidelines as TopicSurveys and Questionnairesconsensus developmentDelphi methodsemergency medical servicesPalliative careparamedicterminal care

Identifiers

PMID38483052
PMCPMC11457439
OpenAlexW4392817550

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.