Integrating emergency medical services and palliative care: A nominal group technique.

IF 1.7 Q4 PRIMARY HEALTH CARE
Caleb H Gage, Liz Gwyther, Julia Ambler, Jan Burke, Katya Evans, Linley Holmes, René Krause, Kaleb Lachenicht, Danielle Lincoln, Kerene Payne, Mpho Ratshikana-Moloko, Charnelle Stander, Willem Stassen
{"title":"Integrating emergency medical services and palliative care: A nominal group technique.","authors":"Caleb H Gage, Liz Gwyther, Julia Ambler, Jan Burke, Katya Evans, Linley Holmes, René Krause, Kaleb Lachenicht, Danielle Lincoln, Kerene Payne, Mpho Ratshikana-Moloko, Charnelle Stander, Willem Stassen","doi":"10.4102/phcfm.v17i1.4891","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong> The need for integrated healthcare has been increasingly recognised because of mounting challenges associated with the proliferation of injuries and noncommunicable diseases. A developing example of integration is between Emergency Medical Services (EMS) and palliative care. Despite recommendations for integration in South Africa (SA), these services remain segregated.</p><p><strong>Aim: </strong> This study aimed to develop and prioritise approaches facilitating EMS and palliative care system integration within SA.</p><p><strong>Setting: </strong> An online meeting was held with SA EMS and palliative care experts.</p><p><strong>Methods: </strong> A nominal group technique was employed to answer the question, 'What do you think should be done to most effectively integrate EMS and palliative care services in SA?' Answers were categorised, awarded scores by participants, and ranked according to impact and feasibility.</p><p><strong>Results: </strong> The following categories were generated: Awareness, Education, Community Engagement, Communication and Information Sharing, Stakeholder Collaborations, Alternative Pathways and Approaches, Research, Funding, Policy Development and Governance. The top five individual approaches were: (1) enable EMS to administer already prescribed medications, (2) Emergency Medical Services undergraduate training in palliative care, (3) improve EMS recognition of signs of dying at the end-of-life, (4) palliative care awareness for the EMS community, and (5) palliative care awareness for in-hospital healthcare providers, particularly those in emergency medicine.</p><p><strong>Conclusion: </strong> The categories developed in this study should be used to guide EMS and palliative care integration in SA. Future research should aim at establishing the safety and efficacy of these interventions.Contribution: This study provides a structured approach to integrating EMS and palliative care in SA, enhancing holistic care for patients with palliative needs.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e10"},"PeriodicalIF":1.7000,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224028/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"African Journal of Primary Health Care & Family Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4102/phcfm.v17i1.4891","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PRIMARY HEALTH CARE","Score":null,"Total":0}
引用次数: 0

Abstract

Background:  The need for integrated healthcare has been increasingly recognised because of mounting challenges associated with the proliferation of injuries and noncommunicable diseases. A developing example of integration is between Emergency Medical Services (EMS) and palliative care. Despite recommendations for integration in South Africa (SA), these services remain segregated.

Aim:  This study aimed to develop and prioritise approaches facilitating EMS and palliative care system integration within SA.

Setting:  An online meeting was held with SA EMS and palliative care experts.

Methods:  A nominal group technique was employed to answer the question, 'What do you think should be done to most effectively integrate EMS and palliative care services in SA?' Answers were categorised, awarded scores by participants, and ranked according to impact and feasibility.

Results:  The following categories were generated: Awareness, Education, Community Engagement, Communication and Information Sharing, Stakeholder Collaborations, Alternative Pathways and Approaches, Research, Funding, Policy Development and Governance. The top five individual approaches were: (1) enable EMS to administer already prescribed medications, (2) Emergency Medical Services undergraduate training in palliative care, (3) improve EMS recognition of signs of dying at the end-of-life, (4) palliative care awareness for the EMS community, and (5) palliative care awareness for in-hospital healthcare providers, particularly those in emergency medicine.

Conclusion:  The categories developed in this study should be used to guide EMS and palliative care integration in SA. Future research should aim at establishing the safety and efficacy of these interventions.Contribution: This study provides a structured approach to integrating EMS and palliative care in SA, enhancing holistic care for patients with palliative needs.

Abstract Image

整合紧急医疗服务和姑息治疗:名义上的团体技术。
背景:由于与伤害和非传染性疾病扩散相关的挑战日益增加,人们越来越认识到需要综合医疗保健。紧急医疗服务和姑息治疗之间的整合是一个发展中的例子。尽管南非(SA)建议整合,但这些服务仍然是隔离的。目的:本研究旨在发展和优先考虑促进EMS和姑息治疗系统整合的方法。设置:与SA EMS和姑息治疗专家举行了在线会议。方法:采用一种名义上的小组技术来回答这个问题,“你认为应该做些什么来最有效地整合急救和姑息治疗服务在SA?”答案被分类,由参与者打分,并根据影响和可行性进行排名。结果:产生了以下类别:意识、教育、社区参与、沟通和信息共享、利益相关者合作、替代途径和方法、研究、资助、政策制定和治理。排名前五的方法是:(1)使EMS能够使用已有的处方药物;(2)对急诊医疗服务本科生进行姑息治疗培训;(3)提高EMS对生命末期死亡迹象的认识;(4)提高EMS社区对姑息治疗的认识;(5)提高院内医疗服务提供者,特别是急诊医疗服务提供者对姑息治疗的认识。结论:本研究建立的分类可用于指导急诊EMS与姑息治疗的整合。未来的研究应着眼于确定这些干预措施的安全性和有效性。贡献:本研究提供了一种结构化的方法来整合EMS和姑息治疗,增强对有姑息治疗需求的患者的整体护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
3.30
自引率
10.00%
发文量
81
审稿时长
15 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信