Paramedics' perceptions of their role in providing pre-hospital thrombolytic treatment: Qualitative study

Accident and Emergency Nursing

Volumn 14, Issue 4, 2006, Pages 237-244

  Cox, Helen ^a   Albarran, John W ^a   Quinn, Tom ^b   Shears, Kathrine ^c  

^a UNIVERSITY OF THE WEST OF ENGLAND   (United Kingdom)

^b Faculty of Engineering and Computing   (United Kingdom)

^c Wiltshire Ambulance Service NHS Trust ^*  (United Kingdom)

Author keywords

Acute myocardial infarction; Ambulance services; Paramedics; Perceptions; Thrombolytic treatment

Indexed keywords

ARTICLE; CERTIFICATION; EDUCATION; EMERGENCY HEALTH SERVICE; FEMALE; FIBRINOLYTIC THERAPY; HEALTH PERSONNEL ATTITUDE; HEART INFARCTION; HUMAN; INFORMATION PROCESSING; MALE; METHODOLOGY; MORTALITY; NURSING METHODOLOGY RESEARCH; ORGANIZATION AND MANAGEMENT; PERCEPTION; PROFESSIONAL PRACTICE; PROFESSIONAL STANDARD; PSYCHOLOGICAL ASPECT; QUALITATIVE RESEARCH; QUESTIONNAIRE; RESCUE PERSONNEL; RURAL HEALTH CARE; SELF CONCEPT; TIME; UNITED KINGDOM;

ATTITUDE OF HEALTH PERSONNEL; CERTIFICATION; EMERGENCY MEDICAL SERVICES; EMERGENCY MEDICAL TECHNICIANS; ENGLAND; FEMALE; FOCUS GROUPS; HUMANS; MALE; MYOCARDIAL INFARCTION; NURSING METHODOLOGY RESEARCH; PROFESSIONAL AUTONOMY; PROFESSIONAL ROLE; QUALITATIVE RESEARCH; QUESTIONNAIRES; RURAL HEALTH SERVICES; SELF EFFICACY; SOCIAL PERCEPTION; THROMBOLYTIC THERAPY; TIME FACTORS;

EID: 33750500507     PISSN: 09652302     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.aaen.2006.08.002     Document Type: Article

References (28)

1. Ambulance Services Association, 2006. National Clinical Effectiveness Programme 2006. (accessed 10th April 2006).
2. Boersma E., Maas A.C.P., Deckers J.W., and Simoons M.L. Early thrombolytic treatment in acute myocardial infarction: reappraisal of the golden hour. Lancet 348 (1996) 771-775
3. Bowling A. Research Methods in Health. second ed. (2002), Open University Press, Maidenhead
4. Commission for Health Improvement, 2003. What CHI found in ambulance services. Commission for Health Improvement, London.
5. Cooper S. Contemporary UK paramedical training and education. How do we train? How should we educate?. Emergency Medicine Journal 22 (2005) 375-379
6. Cox H. Transmission of a 12-Lead electrocardiograph via telemedicine: a pilot study. Nursing in Critical Care 7 (2002) 7-14
7. Department of Health, 2000. National service framework for coronary heart disease. The Stationary Office, London.
8. Department of Health, 2005a. Taking Healthcare to the Patient: transforming ambulance services. HMSO London.
9. Department of Health, 2005b. Building telecare in England. (accessed 30th July 2005).
10. European Society of Cardiology and European Resuscitation Council, 1998. The pre-hospital management of acute heart attacks. Recommendations of a Task Force of the European Society of Cardiology and European Resuscitation Council European Heart Journal 19, 1140-1164.
11. Healthcare Commission, 2004. Patient survey report 2004 - ambulance services. (accessed 30th July 2005).
12. Health Professionals Council, 2003. Standards of proficiency for Paramedics. Health Professionals Council, London.
13. Humphrey J., Walker A., and Hassan T.B. What are the beliefs and attitudes of paramedics to pre-hospital thrombolysis? A questionnaire study. Emergency Medicine Journal 22 (2005) 450-451
14. Keeling P., Hughes D., Price L., Shaw S., and Barton A. Safety and feasibility of prehospital thrombolysis carried out by paramedics. British Medical Journal 327 (2003) 27-28
15. Kilner T. Educating the ambulance technician, paramedic and clinical supervisor: using factor analysis to inform the curriculum. Emergency Medicine Journal 21 (2004) 379-385
16. Mahoney K. The politics of professionalisation: some of the implications for the occupation of ambulance paramedics in Australia. Journal of Emergency Primary Health Care 1 (2003) 3-4
17. McLafferty I. Focus group interviews as a data collection strategy. Journal of Advanced Nursing 48 (2004) 187-194
18. Morrison L.J., Verbeek P.R., McDonald A.C., Sawadsky B.V., and Cook D.J. Mortality and prehospital thrombolysis for acute myocardial infarction: a meta-analysis. Journal of the American Medical Association 31 (2000) 2686-2692
19. Pedley D., Bissett K., Connolly E.M., Goodman C.G., Golding I., Pringle T.H., McNeill G.P., Pringle S.D., and Jones M.C. Prospective observational cohort study of time saved by prehospital thrombolysis for ST elevation myocardial infarction delivered by paramedics. British Medical Journal 327 (2003) 22-26
20. Price L., Keeling P., Brown G., Hughes D., and Barton A. A qualitative study of paramedics' attitudes to providing prehospital thrombolysis. Emergency Medicine Journal 22 (2005) 738-741
21. Quinn T., Butters A., and Todd I. Implementing paramedic thrombolysis: an overview. Accident and Emergency Nursing 10 (2002) 189-196
22. Sim J. Collecting and analysing qualitative data: issues raised by the focus group. Methodological problems relating to the moderation of focus groups and analysing recorded data. Journal of Advanced Nursing 28 (1998) 345-352
23. Smallwood A. Medical consultants' attitudes towards nurse assessment and initiation of thrombolysis prior to medical screening. Nursing in Critical Care 5 (2000) 15-21
24. Smallwood A., and van der Woning M. What are the attitudes of coronary care nurses towards the introduction of nurse-initiated thrombolysis?. Nursing in Critical Care 4 (1999) 128-132
25. Squires J.P., and Mason S. Developing alternative ambulance response schemes: analysis of attitudes, barriers, and change. Emergency Medicine Journal 21 (2004) 724-727
26. Williams P., Bond C., Hannaford P., and Ritchie L. Influences on general practitioners' use of pre-hospital thrombolysis: a qualitative study. Journal of Public Health 26 (2004) 38-41
27. Woollard, M., Quinn, T., 2005. Managing acute coronary syndromes National standards for paramedic training. London, Edexcel.
28. Woollard M., Pitt K., Hayward A.J., and Taylor N.C. Limited benefits of ambulance telemetry in delivering early thrombolysis: a randomised control trial. Emergency Medicine Journal 22 (2005) 209-215