Paramedicine最新文献_第3页

Shuffling toward paramedic practitioners in the United States 美国辅助医务人员的洗牌

Paramedicine Pub Date : 2023-12-25 DOI: 10.1177/27536386231220947

Peter O’Meara

引用次数: 0

Chronic pain in the paramedic practice setting – a qualitative study of patients’ perspective 辅助医务人员实践环境中的慢性疼痛--对患者观点的定性研究

Paramedicine Pub Date : 2023-12-19 DOI: 10.1177/27536386231220966

Lucinda Peacock, Rachel Lewandowsky, Kelly Ann-Bowles, Bill Lord, Tim Andrews

{"title":"Chronic pain in the paramedic practice setting – a qualitative study of patients’ perspective","authors":"Lucinda Peacock, Rachel Lewandowsky, Kelly Ann-Bowles, Bill Lord, Tim Andrews","doi":"10.1177/27536386231220966","DOIUrl":"https://doi.org/10.1177/27536386231220966","url":null,"abstract":"Chronic pain is highly prevalent among the global population and has a significant impact on a patient's livelihood in multiple areas. Chronic pain is now more widely recognised as a standalone medical condition by most healthcare disciplines, separate from that of acute pain. This has allowed for the development of a unique evidence-based approach to caring for these patients, which incorporates the biological, psychological, and social dimensions in which chronic pain transverses. However, in the paramedic practice setting, chronic pain has received scant mention. This knowledge gap leaves many paramedics operating without guidelines suitable for the care of chronic pain patients or an epidemiological foundation describing the incidence or treatment requirements of this patient cohort. Most importantly, the perspectives and experiences of chronic pain patients who are treated by paramedics have yet to be investigated which is vital to ensure relevant care. To describe and understand the experience of patients requiring ambulance attendance for chronic pain-related complaints. Six participants were enlisted using convenience sampling. Participants responded, via Zoom, to an inductive, semi-structured interview. Analysis was performed using qualitative reflexive thematic analysis with a non-positivist, constructive approach. The themes identified were ‘the impact of stigma’ and ‘inadequate paramedic education’. Most participants shared similar attitudes and experiences regarding paramedic management, expressing dissatisfaction with the current standard of practice in relation to chronic pain complaints. Patients experiencing chronic pain are underserved by the standard of care being offered in this practice setting. Concerns raised by patients centred around the impact both stigma and educational understanding have on treatment. These findings indicate a need for further research, including the revision of guidelines and consideration of the patient perspective to be conducted in this area.","PeriodicalId":509430,"journal":{"name":"Paramedicine","volume":"115 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139172353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How good is good enough…and why wasn’t my paper published? 好到什么程度......为什么我的论文没有发表？

Paramedicine Pub Date : 2023-12-11 DOI: 10.1177/27536386231219004

Paul Simpson

引用次数: 0

Development of an international prehospital CPR-induced consciousness guideline: A Delphi study 制定国际院前心肺复苏诱发意识指南：德尔菲研究

Paramedicine Pub Date : 2023-11-28 DOI: 10.1177/27536386231215608

Jack Howard, Eystein Grusd, Don Rice, Nikiah G. Nudell, Carlos Lipscombe, Matthew Shepherd, Alexander Olaussen

{"title":"Development of an international prehospital CPR-induced consciousness guideline: A Delphi study","authors":"Jack Howard, Eystein Grusd, Don Rice, Nikiah G. Nudell, Carlos Lipscombe, Matthew Shepherd, Alexander Olaussen","doi":"10.1177/27536386231215608","DOIUrl":"https://doi.org/10.1177/27536386231215608","url":null,"abstract":"Improved prehospital systems are contributing to increased presentations of CPR-Induced Consciousness (CPRIC). Data registries do not report CPRIC presentations and thus continued lack of evidence exists, causing a significant variation of prehospital CPRIC management guidelines. The result is variation in recognizing and managing CPRIC. Steps are needed to improve knowledge of CPRIC and model evidence-based guidelines. An international panel of experts was recruited to create CPRIC definitions, guidelines, and a reporting framework which can be used for reporting purposes. A Delphi methodology was used to gain consensus, defined as ≥70% agreement rate, on three domains or areas of interest: Definition, management guideline and data reporting. Participants were invited from the author's professional organizations, as well as social media outlets to recruit as many international clinicians as possible. The study administered four rounds of online surveys. Each round had multiple consensus statements for participants to respond to. Eighty-two percent of panelists reported seeing or managing CPRIC suggesting either improved awareness or increased exposure. Consensus was achieved in all three domains. There was agreement on a clear definition of CPRIC. The panel developed two subgroups of CPRIC; interfering and non-interfering CPRIC. Ketamine was the preferred choice to treat CPRIC. Panelists overwhelmingly felt CPRIC needed to be included into the Utstein guidelines. This study successfully created definitions of CPRIC, management guidelines, and a data reporting framework. Using this study as a building block, the study team hopes stronger, evidence-based guidelines can now be researched and published.","PeriodicalId":509430,"journal":{"name":"Paramedicine","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139215432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Erratum to “Acceptability of Australian prehospital care quality indicators: An explanatory sequential mixed methods study” 澳大利亚院前护理质量指标的可接受性：解释性顺序混合方法研究"

Paramedicine Pub Date : 2023-10-05 DOI: 10.1177/27536386231205064

引用次数: 0

Erratum to “Profiling the Australasian paramedicine tertiary academic sector and workforce: A cross-sectional study.” 对 "澳大拉西亚辅助医疗三级学术部门和劳动力概况：一项横断面研究 "的勘误：横断面研究"。

Paramedicine Pub Date : 2023-10-05 DOI: 10.1177/27536386231205072

引用次数: 0