Evidence map›Paper›PMID 41843560›Full record

ArticlePloS one2026

"I felt like I was providing half a service": Challenges, solutions, and action items for paramedicine when encountering patients experiencing intimate partner violence.

Rory A Marshall, Tori N Stranges, Nicole Merritt, Stephen Bartlett, Simon Sawyer, Paul van Donkelaar

Abstract read
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Rory A MarshallSchool of Health and Exercise Sciences, Faculty of Social Development, University of British Columbia Okanagan, Kelowna, British Columbia, Canada.ORCID https://orcid.org/0009-0005-4911-1515
Tori N StrangesSchool of Health and Exercise Sciences, Faculty of Social Development, University of British Columbia Okanagan, Kelowna, British Columbia, Canada.
Nicole MerrittSchool of Health and Exercise Sciences, Faculty of Social Development, University of British Columbia Okanagan, Kelowna, British Columbia, Canada.
Stephen BartlettSchool of Clinical Sciences, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia.
Simon SawyerSchool of Nursing, Paramedicine and Healthcare Sciences, Faculty of Science and Health, Charles Sturt University, Port Macquarie, New South Wales, Australia.
Paul van DonkelaarSchool of Health and Exercise Sciences, Faculty of Social Development, University of British Columbia Okanagan, Kelowna, British Columbia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIntimate partner violence (IPV) is a pervasive and damaging global crisis. In response to the harmful health consequences, survivors often attempt to access the healthcare system. Paramedics are often the first point of contact with the healthcare system. Objective: Examine how the perspectives and experiences of paramedics may inform our understanding of current clinical practice and guide potential improvements for paramedicine.

methodsAn interpretive description qualitative approach was used to design and conduct this research. Paramedics participated in focus groups discussing the intersection of paramedicine and IPV from the practitioner perspective. De-identified focus group transcripts underwent inductive pattern recognition. From the patterns, common challenges were identified. Corresponding solutions and action items were identified.

resultsN = 17 paramedics (Women n = 7 (41%), Men n = 10 (59%); Mean Age 34 ± 10 years) participated in four focus groups. Even without clinical practice guidance for IPV, participants shared the service they were providing did not meet the needs of survivors. Common challenges at the intersection of paramedicine and IPV were: 1) patient barriers for help seeking, 2) individual paramedic disposition, 3) individual paramedic confidence, 4) paramedic service education, training, and readiness, 5) paramedic service guidance, 6) paramedic service configuration, and 7) interagency networks. Solutions and action items to address each challenge included updating functional education, training, infrastructure, and policy.

conclusionParticipants indicated that substantial challenges exist from the paramedic perspective at the intersection of paramedicine and IPV. Solutions and action items to bolster the education, training, infrastructure, policy, and positioning of paramedics were identified, providing positive direction. Meaningful, evidence-based implementation of these results should be pursued to advance the profession. Paramedics can be positioned as expert resources for survivors of IPV, linking through to vital supports that promote positive outcomes.

Indexed as

Intimate Partner ViolenceAdultFemaleFocus GroupsHumansMaleMiddle AgedParamedicineParamedics

Identifiers

PMID41843560
PMCPMC12994847

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.