Evidence map›Paper›PMID 39343451›Full record

ArticleBMJ open2024

Health professionals' and caregivers' perspectives on improving paramedics' provision of palliative care in Australian communities: a qualitative study.

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

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Integrating emergency medical services and palliative care: A nominal group technique.African journal of primary health care & family medicine · 2025
    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.

Madeleine JuhrmannThe University of Sydney Northern Clinical School, St Leonards, New South Wales, Australia mjuh9730@uni.sydney.edu.au.ORCID 0000-0001-5500-4330
Phyllis ButowThe University of Sydney School of Psychology, Sydney, New South Wales, Australia.
Cara PlattsSt Vincent's Hospital Melbourne Pty Ltd, Fitzroy, Victoria, Australia.
Mark BougheyPalliative Medicine, St Vincent's Hospital (Melbourne) Limited, Fitzroy, Victoria, Australia.
Paul SimpsonWestern Sydney University School of Health Sciences, Penrith, New South Wales, Australia.
Josephine M ClaytonThe University of Sydney Northern Clinical School, St Leonards, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesParamedics have the potential to make a substantial contribution to community-based palliative care provision. However, they are hindered by a lack of policy and institutional support, as well as targeted education and training. This study aimed to elicit paramedics', palliative care doctors' and nurses', general practitioners', residential aged care nurses' and bereaved families and carers' attitudes and perspectives on how palliative paramedicine can be improved to better suit the needs of community-based patients, their families and carers, and the clinicians involved in delivering the care.

designIn this qualitative study underpinned by a social constructivist epistemology, semistructured interviews were conducted. SETTING AND

participants50 participants with palliative paramedicine experience, from all jurisdictions of Australia. Participants were interviewed between November 2021 and April 2022.

resultsAll participants suggested paramedics play an important adjunct role in the provision of palliative and end-of-life care in home-based settings. Three levels of opportunities for improvement were identified: macrolevel (policy and frameworks; funding and education; accessing medical records and a widening scope); mesolevel (service-level training; interprofessional understanding and communities of practice and community expectations) and microlevel (palliative care subspecialty; debriefing and self-care and partnering with families).

conclusionTo enhance paramedic capacity to provide palliative care support, improvements targeting systems, services, communities and individuals should be made. This calls for stronger inclusion of paramedicine in interdisciplinary palliative care and greater investment in both the generalist and specialist palliative paramedicine workforce.

Indexed as

Allied Health PersonnelAttitude of Health PersonnelCaregiversPalliative CareQualitative ResearchAdultAustraliaFemaleHumansMaleMiddle AgedParamedicsemergency departmentshealth workforcepalliative care

Identifiers

PMID39343451
PMCPMC11440190

What OpenQuestion holds

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LicenceCC BY-NC
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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.