South African paramedic perspectives on prehospital palliative care

 

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dc.contributor.author Gage, Caleb H
dc.contributor.author Geduld, Heike
dc.contributor.author Stassen, Willem
dc.date.accessioned 2021-06-29T17:03:51Z
dc.date.available 2021-06-29T17:03:51Z
dc.date.issued 2020-10-08
dc.identifier.uri https://doi.org/10.1186/s12904-020-00663-5
dc.identifier.uri http://hdl.handle.net/11427/33417
dc.description.abstract Abstract Background Palliative care is typically performed in-hospital. However, Emergency Medical Service (EMS) providers are uniquely positioned to deliver early palliative care as they are often the first point of medical contact. The aim of this study was to gather the perspectives of advanced life support (ALS) providers within the South African private EMS sector regarding pre-hospital palliative care in terms of its importance, feasibility and barriers to its practice. Methods A qualitative study design employing semi-structured one-on-one interviews was used. Six interviews with experienced, higher education qualified, South African ALS providers were conducted. Content analysis, with an inductive-dominant approach, was performed to identify categories within verbatim transcripts of the interview audio-recordings. Results Four categories arose from analysis of six interviews: 1) need for pre-hospital palliative care, 2) function of pre-hospital healthcare providers concerning palliative care, 3) challenges to pre-hospital palliative care and 4) ideas for implementing pre-hospital palliative care. According to the interviewees of this study, pre-hospital palliative care in South Africa is needed and EMS providers can play a valuable role, however, many challenges such as a lack of education and EMS system and mindset barriers exist. Conclusion Challenges to pre-hospital palliative care may be overcome by development of guidelines, training, and a multi-disciplinary approach to pre-hospital palliative care.
dc.source BMC Palliative Care
dc.source.uri https://bmcpalliatcare.biomedcentral.com/
dc.subject Palliative
dc.subject End-of-life
dc.subject Prehospital
dc.subject EMS providers
dc.subject Paramedic
dc.title South African paramedic perspectives on prehospital palliative care
dc.date.updated 2020-10-11T03:21:53Z
dc.language.rfc3066 en
dc.rights.holder The Author(s)
dc.source.journalvolume 19
dc.source.journalissue 1
dc.source.pagination 153
dc.identifier.ris TY - AU - Gage, Caleb H AU - Geduld, Heike AU - Stassen, Willem AB - Abstract Background Palliative care is typically performed in-hospital. However, Emergency Medical Service (EMS) providers are uniquely positioned to deliver early palliative care as they are often the first point of medical contact. The aim of this study was to gather the perspectives of advanced life support (ALS) providers within the South African private EMS sector regarding pre-hospital palliative care in terms of its importance, feasibility and barriers to its practice. Methods A qualitative study design employing semi-structured one-on-one interviews was used. Six interviews with experienced, higher education qualified, South African ALS providers were conducted. Content analysis, with an inductive-dominant approach, was performed to identify categories within verbatim transcripts of the interview audio-recordings. Results Four categories arose from analysis of six interviews: 1) need for pre-hospital palliative care, 2) function of pre-hospital healthcare providers concerning palliative care, 3) challenges to pre-hospital palliative care and 4) ideas for implementing pre-hospital palliative care. According to the interviewees of this study, pre-hospital palliative care in South Africa is needed and EMS providers can play a valuable role, however, many challenges such as a lack of education and EMS system and mindset barriers exist. Conclusion Challenges to pre-hospital palliative care may be overcome by development of guidelines, training, and a multi-disciplinary approach to pre-hospital palliative care. DA - 2020-10-08 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - BMC Palliative Care KW - Palliative KW - End-of-life KW - Prehospital KW - EMS providers KW - Paramedic LK - https://open.uct.ac.za PY - 2020 T1 - South African paramedic perspectives on prehospital palliative care TI - South African paramedic perspectives on prehospital palliative care UR - http://hdl.handle.net/11427/33417 ER - en_ZA


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