ArticleBMC medical informatics and decision making2024
Paramedic perceptions of decision-making when managing mental health-related presentations: a qualitative study.
Article in BMC medical informatics and decision making, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Encounters between people with mental health and/or substance use problems and ambulance clinicians: a qualitative interview study in Norway.BMC psychiatry · 2026Article
- Paramedics: A Missing Workforce in Australia's Mental Health System.The Australian journal of rural health · 2026Article
- "We need to accept our limited resources": a qualitative study exploring ambulance clinicians' experiences of working conditions when caring for patients with breathlessness.BMC emergency medicine · 2026Article
- Voices from the quake zone: a qualitative analysis of Singapore nurses' deployment experience in a WHO-Type-1 fixed emergency medical team.BMC emergency medicine · 2026Article
- Trends in the complexity of self-harm hospitalisations over 11 years at a major regional hospital in Victoria, Australia: a retrospective study.Frontiers in psychiatry · 2025Article
- Typologies of suicidality and suicide presenting to a prehospital South African Emergency Medical Service: a retrospective cross-sectional analysis.F1000Research · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundMental health presentations account for a considerable proportion of paramedic workload; however, the decision-making involved in managing these cases is poorly understood. This study aimed to explore how paramedics perceive their clinical decision-making when managing mental health presentations.
methodsA qualitative descriptive study design was employed. Overall, 73 paramedics participated in semi structured interviews, and data were analyzed from transcribed interviews in NVivo.
resultsFour themes emerged that reflected participants' perceptions: the assessment process, experience, the use of documents and standard procedures, and consultation with other healthcare providers. There were conflicting perceptions about the clinical decision-making process, with perception of role having a potential impact. The dual process theory of clinical decision-making, which includes both analytical and intuitive approaches, was evident in the decision-making process.
conclusionIncorporating dual process theory into education and training, which highlights the strengths and weaknesses of analytical and intuitive decision-making, may reduce clinical errors made by cognitive bias. To further support clinical decision-making, additional education and training are warranted to promote critical thinking and clarify the scope of practice and roles when attending to mental health-related presentations.
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