Alyesha Proctor's Outputs (8)

Factors influencing paramedic conveyance decisions when attending children with minor head injury: A qualitative study (2025)
Journal Article

Introduction Children with head injury are commonly transported to the ED by ambulance. However, most of those conveyed are deemed non-serious and are discharged at triage. Research is needed to explore the factors that influence paramedics when deci... Read More about Factors influencing paramedic conveyance decisions when attending children with minor head injury: A qualitative study.

Which elements of hospital-based clinical decision support tools for the assessment and management of children with head injury can be adapted for use by paramedics in prehospital care? A systematic mapping review and narrative synthesis (2024)
Journal Article

Objective Hospital-based clinical decision tools support clinician decision-making when a child presents to the emergency department with a head injury, particularly regarding CT scanning. However, there is no decision tool to support prehospital cli... Read More about Which elements of hospital-based clinical decision support tools for the assessment and management of children with head injury can be adapted for use by paramedics in prehospital care? A systematic mapping review and narrative synthesis.

Paramedic use of the ‘gold standards framework proactive identification guidance’ in screening patients for end of life: A mixed methods study with explanatory sequential design (2023)
Presentation / Conference Contribution

Background
The role of the Emergency Medical Service (EMS) in End of Life (EOL) is often overlooked. The Gold Standards Framework Proactive Identification Guidance (GSFPIG) is an evidence-based screening tool to identify patients nearing EOL. We c... Read More about Paramedic use of the ‘gold standards framework proactive identification guidance’ in screening patients for end of life: A mixed methods study with explanatory sequential design.

Assessment and management of children with head injury: Practice and opinion (2023)
Journal Article

Background: Head injury is common in children with approximately 700 000 attendances at emergency departments annually; one-third are conveyed by ambulance. However, 75% of them are discharged with no treatment. Most head-injured children could be ma... Read More about Assessment and management of children with head injury: Practice and opinion.

What factors are associated with ambulance use for non-emergency problems in children? A systematic mapping review and qualitative synthesis (2021)
Journal Article

Objective To explore what factors are associated with ambulance use for non-emergency problems in children. Methods This study is a systematic mapping review and qualitative synthesis of published journal articles and grey literature. Searches were c... Read More about What factors are associated with ambulance use for non-emergency problems in children? A systematic mapping review and qualitative synthesis.

Staff stakeholder views on the role of UK paramedics in advance care planning for patients in their last year of life (2021)
Journal Article

Background: Early advance care planning has clear benefits for patients approaching the end of their life, yet many of those attended by UK paramedics do not have this planning in place.

Aims: To explore staff stakeholder views on the role of UK p... Read More about Staff stakeholder views on the role of UK paramedics in advance care planning for patients in their last year of life.

PP20  Paramedic identification and referral of patients in the last year of life: a stakeholder interview study (2020)
Presentation / Conference Contribution

Background Patients are approaching End of Life when they are likely to die within the next 12 months. Quality in End of Life Care is variable and identifying patients in the End of Life phase is challenging, particularly in those people with diagnos... Read More about PP20  Paramedic identification and referral of patients in the last year of life: a stakeholder interview study.

Exploring how paramedics are deployed in general practice and the perceived benefits and drawbacks: a mixed-methods scoping study (2020)
Journal Article

Background: General practice in the UK faces continuing challenges to balance a workforce shortage against rising demand. The NHS England GP Forward View proposes development of the multidisciplinary, integrated primary care workforce to support fron... Read More about Exploring how paramedics are deployed in general practice and the perceived benefits and drawbacks: a mixed-methods scoping study.