A scoping exercise to explore the current perceptions and attitudes of UK paramedics towards their role in the management of End of Life Care patients, in the pre-hospital setting

Research output: Contribution to conferencePaper

Abstract

Background: Studies have highlighted that clinicians may not feel prepared to deal with end of life care patients as historically their training has been focussed on acute medical and trauma management. This has been shown to cause conflict with paramedic perceptions of their role. Although research exists that explores the attitudes and experiences of health and social care professionals who deal with palliative care patients on a routine basis, there is little evidence that explores the attitudes and perceptions of end of life care within the emergency pre-hospital setting. Aim of the study: To gain an understanding of UK paramedics perceptions and attitudes towards dealing with End of Life Care patients and carers/relatives. Methods: An online survey was distributed to all paramedics in the North West of England. The survey contained open and closed questions to enable collection of both qualitative and quantitative data to address the aims of the study. Demographic data including NHS band, personal experience and education & training was gathered in order to contextualise the data. Results: NHS band and educational background are the main influences on the participants views of End of Life provision provided by paramedics. Length of service as a paramedic and experience appear to be factors that affect confidence when dealing with these incidents in practice. The majority of participants rated that communication about End of Life Care between services is poor. Most participants would like EOL training to be mandatory and would prefer face to face training to self-directed learning packages. Conclusions: Communication between services is viewed as poor whilst staff backgrounds influences their views. Whilst the majority of paramedics feel that End of Life Care it is a key part of their role, there is a need for wider training to address differences in staff awareness, knowledge and confidence.
Original languageEnglish
PagesA7.3-A8
DOIs
Publication statusPublished - Mar 2014
Event10th Palliative Care Congress - Harrogate International Centre, Harrogate, United Kingdom
Duration: 12 Mar 201414 Mar 2014

Conference

Conference10th Palliative Care Congress
CountryUnited Kingdom
CityHarrogate
Period12/03/1414/03/14

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Allied Health Personnel
Terminal Care
Exercise
Communication
Palliative Care
England
Caregivers
Emergencies
Demography
Learning
Delivery of Health Care
Education
Wounds and Injuries
Research

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title = "A scoping exercise to explore the current perceptions and attitudes of UK paramedics towards their role in the management of End of Life Care patients, in the pre-hospital setting",
abstract = "Background: Studies have highlighted that clinicians may not feel prepared to deal with end of life care patients as historically their training has been focussed on acute medical and trauma management. This has been shown to cause conflict with paramedic perceptions of their role. Although research exists that explores the attitudes and experiences of health and social care professionals who deal with palliative care patients on a routine basis, there is little evidence that explores the attitudes and perceptions of end of life care within the emergency pre-hospital setting. Aim of the study: To gain an understanding of UK paramedics perceptions and attitudes towards dealing with End of Life Care patients and carers/relatives. Methods: An online survey was distributed to all paramedics in the North West of England. The survey contained open and closed questions to enable collection of both qualitative and quantitative data to address the aims of the study. Demographic data including NHS band, personal experience and education & training was gathered in order to contextualise the data. Results: NHS band and educational background are the main influences on the participants views of End of Life provision provided by paramedics. Length of service as a paramedic and experience appear to be factors that affect confidence when dealing with these incidents in practice. The majority of participants rated that communication about End of Life Care between services is poor. Most participants would like EOL training to be mandatory and would prefer face to face training to self-directed learning packages. Conclusions: Communication between services is viewed as poor whilst staff backgrounds influences their views. Whilst the majority of paramedics feel that End of Life Care it is a key part of their role, there is a need for wider training to address differences in staff awareness, knowledge and confidence.",
author = "Andrew Kirk and Phil Crompton and Barbara Jack and Katherine Knighting and Jennifer Kirton",
note = "Oral presentation: OP 019; 10th Palliative Care Congress ; Conference date: 12-03-2014 Through 14-03-2014",
year = "2014",
month = "3",
doi = "10.1136/bmjspcare-2014-000654.19",
language = "English",
pages = "A7.3--A8",

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T1 - A scoping exercise to explore the current perceptions and attitudes of UK paramedics towards their role in the management of End of Life Care patients, in the pre-hospital setting

AU - Kirk, Andrew

AU - Crompton, Phil

AU - Jack, Barbara

AU - Knighting, Katherine

AU - Kirton, Jennifer

N1 - Oral presentation: OP 019

PY - 2014/3

Y1 - 2014/3

N2 - Background: Studies have highlighted that clinicians may not feel prepared to deal with end of life care patients as historically their training has been focussed on acute medical and trauma management. This has been shown to cause conflict with paramedic perceptions of their role. Although research exists that explores the attitudes and experiences of health and social care professionals who deal with palliative care patients on a routine basis, there is little evidence that explores the attitudes and perceptions of end of life care within the emergency pre-hospital setting. Aim of the study: To gain an understanding of UK paramedics perceptions and attitudes towards dealing with End of Life Care patients and carers/relatives. Methods: An online survey was distributed to all paramedics in the North West of England. The survey contained open and closed questions to enable collection of both qualitative and quantitative data to address the aims of the study. Demographic data including NHS band, personal experience and education & training was gathered in order to contextualise the data. Results: NHS band and educational background are the main influences on the participants views of End of Life provision provided by paramedics. Length of service as a paramedic and experience appear to be factors that affect confidence when dealing with these incidents in practice. The majority of participants rated that communication about End of Life Care between services is poor. Most participants would like EOL training to be mandatory and would prefer face to face training to self-directed learning packages. Conclusions: Communication between services is viewed as poor whilst staff backgrounds influences their views. Whilst the majority of paramedics feel that End of Life Care it is a key part of their role, there is a need for wider training to address differences in staff awareness, knowledge and confidence.

AB - Background: Studies have highlighted that clinicians may not feel prepared to deal with end of life care patients as historically their training has been focussed on acute medical and trauma management. This has been shown to cause conflict with paramedic perceptions of their role. Although research exists that explores the attitudes and experiences of health and social care professionals who deal with palliative care patients on a routine basis, there is little evidence that explores the attitudes and perceptions of end of life care within the emergency pre-hospital setting. Aim of the study: To gain an understanding of UK paramedics perceptions and attitudes towards dealing with End of Life Care patients and carers/relatives. Methods: An online survey was distributed to all paramedics in the North West of England. The survey contained open and closed questions to enable collection of both qualitative and quantitative data to address the aims of the study. Demographic data including NHS band, personal experience and education & training was gathered in order to contextualise the data. Results: NHS band and educational background are the main influences on the participants views of End of Life provision provided by paramedics. Length of service as a paramedic and experience appear to be factors that affect confidence when dealing with these incidents in practice. The majority of participants rated that communication about End of Life Care between services is poor. Most participants would like EOL training to be mandatory and would prefer face to face training to self-directed learning packages. Conclusions: Communication between services is viewed as poor whilst staff backgrounds influences their views. Whilst the majority of paramedics feel that End of Life Care it is a key part of their role, there is a need for wider training to address differences in staff awareness, knowledge and confidence.

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DO - 10.1136/bmjspcare-2014-000654.19

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SP - A7.3-A8

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