TY - JOUR
T1 - Pre-hospital thrombolysis for acute ST segment elevation myocardial infarction
T2 - A survey of paramedics' perceptions of their role
AU - Quinn, Tom
AU - Albarran, John W
AU - Cox, Helen
AU - Lockyer, Lesley
PY - 2009/7
Y1 - 2009/7
N2 - BACKGROUND:
The effectiveness of pre-hospital thrombolysis (PHT) in reducing mortality following ST segment elevation myocardial infarction (STEMI) is well established. In England, PHT is provided to around 17% of STEMI patients, and responsibility for treatment rests largely with paramedics rather than physicians as in some other countries, but little is known about how paramedics perceive their role, or whether age or experience influence such perceptions.
AIM:
To describe paramedics' perceptions of PHT.
METHODS:
Questionnaire survey to all 106 paramedics working within a single ambulance service in England.
RESULTS:
60 (56.6%) paramedics responded. Overall, there were few significant differences by age or length of service in responses given. However, paramedics who had administered PHT gave more positive responses compared to those who had not, in relation to duty of care, professional image, individuals' influence on paramedic role development, and preparedness for practice.
CONCLUSION:
Paramedics hold a range of views and perceptions of their role in delivering PHT; some of which appear to be related to age and length of experience, and actual administration of PHT. The vast majority view PHT as a positive step to providing patient care that is evidence based.
AB - BACKGROUND:
The effectiveness of pre-hospital thrombolysis (PHT) in reducing mortality following ST segment elevation myocardial infarction (STEMI) is well established. In England, PHT is provided to around 17% of STEMI patients, and responsibility for treatment rests largely with paramedics rather than physicians as in some other countries, but little is known about how paramedics perceive their role, or whether age or experience influence such perceptions.
AIM:
To describe paramedics' perceptions of PHT.
METHODS:
Questionnaire survey to all 106 paramedics working within a single ambulance service in England.
RESULTS:
60 (56.6%) paramedics responded. Overall, there were few significant differences by age or length of service in responses given. However, paramedics who had administered PHT gave more positive responses compared to those who had not, in relation to duty of care, professional image, individuals' influence on paramedic role development, and preparedness for practice.
CONCLUSION:
Paramedics hold a range of views and perceptions of their role in delivering PHT; some of which appear to be related to age and length of experience, and actual administration of PHT. The vast majority view PHT as a positive step to providing patient care that is evidence based.
KW - Allied health professions and studies
UR - http://www.ncbi.nlm.nih.gov/pubmed/19148837
UR - http://eprints.uwe.ac.uk/5252/
U2 - 10.1080/17482940802674091
DO - 10.1080/17482940802674091
M3 - Article
C2 - 19148837
SN - 1748-2941
VL - 11
SP - 52
EP - 58
JO - Acute Cardiac Care
JF - Acute Cardiac Care
IS - 1
ER -