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    Kerbside consultations: advice from the advanced paramedic to the frontline

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    Author
    Jackson, Mike
    Jones, Colin
    Keyword
    Emergency Medical Services
    Pre-hospital Care
    Training and Education
    Paramedic Practice
    Decision Making
    Journal title
    Journal of Paramedic Practice
    
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    URI
    http://hdl.handle.net/20.500.12417/687
    DOI
    10.12968/jpar.2012.4.9.526
    Abstract
    Abstract published with permission. Aim To observe the issues, benefits and challenges of providing dynamic telephone clinical advice to frontline clinicians by advanced paramedics of the North West Ambulance Service NHS Trust. Method In order to focus on the key issues the study used a mixed method approach. A group of 11 advanced paramedics took part in two focus groups which was then followed up with a questionnaire to frontline clinicians. Using focus groups in the research not only allows for the possibility of multiple realities but also for participant validation. Using a qualitative approach allowed theory to develop and emerge which was then codified into themes and the data was then used to develop a questionnaire for frontline clinicians who had received clinical advice in the past in order to provide an element of quantitative data. Findings Five themes emerged from the stud: function, responsibility, barriers, education and support. Conclusion The study finds that clarity is required in relation to responsibilities and clinicians would benefit from a structured model to communicate information over the telephone—we believe the introduction of remote advice has improved patient safety and support to staff and has created opportunity for additional learning.
    ae974a485f413a2113503eed53cd6c53
    10.12968/jpar.2012.4.9.526
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    Publications - North West Ambulance Service

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