Skip to main content

Research Repository

Advanced Search

Staff stakeholder views on the role of UK paramedics in advance care planning for patients in their last year of life

Goodwin, Laura; Proctor, Alyesha; Kirby, Kim; Black, Sarah; Pocock, Lucy; Richardson, Sally; Stonehouse, Joanne; Taylor, Hazel; Voss, Sarah; Benger, Jonathan

Staff stakeholder views on the role of UK paramedics in advance care planning for patients in their last year of life Thumbnail


Authors

Laura Goodwin

Kim Kirby

Sarah Black

Lucy Pocock

Sally Richardson

Joanne Stonehouse

Hazel Taylor

Sarah Voss Sarah.Voss@uwe.ac.uk
Associate Professor in Emergency and Critical Care

Jonathan Benger



Abstract

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 paramedics in advance care planning, including the use of the Gold Standards Framework Proactive Identification Guidance for screening and referral of patients.

Methods: In-depth semi-structured telephone interviews with paramedics, general practitioners, Emergency Department and community doctors and nurses in the South West of England.

Results: Seventeen staff stakeholders participated. Four main themes were identified: a lack of advance care planning; variation across health conditions; a lack of joined-up care; poor-quality end of life conversations. Paramedic use of the Gold Standards Framework Proactive Identification Guidance to screen and refer patients for advance care planning was seen as feasible and acceptable, with perceived benefits such as identifying patients not accessing primary care, and the potential to reduce avoidable hospital admissions.

Conclusions: UK paramedics are well-placed to screen and refer patients for advance care planning. Further research is needed to explore how this type of intervention might be developed to fit into a community-centred approach aimed at improving advance care planning.

Citation

Goodwin, L., Proctor, A., Kirby, K., Black, S., Pocock, L., Richardson, S., …Benger, J. (2021). Staff stakeholder views on the role of UK paramedics in advance care planning for patients in their last year of life. Progress in Palliative Care, 29(2), 76-83. https://doi.org/10.1080/09699260.2021.1872140

Journal Article Type Article
Acceptance Date Jan 3, 2021
Online Publication Date Jan 24, 2021
Publication Date Jan 24, 2021
Deposit Date Jan 27, 2021
Publicly Available Date May 18, 2021
Journal Progress in Palliative Care
Print ISSN 0969-9260
Electronic ISSN 1743-291X
Publisher Maney Publishing
Peer Reviewed Peer Reviewed
Volume 29
Issue 2
Pages 76-83
DOI https://doi.org/10.1080/09699260.2021.1872140
Keywords General Nursing; General Medicine; Palliative care; End of life; Paramedics; Emergency medical technicians; Advance care planning; Terminal care
Public URL https://uwe-repository.worktribe.com/output/7035233
Additional Information Peer Review Statement: The publishing and review policy for this title is described in its Aims & Scope.; Aim & Scope: http://www.tandfonline.com/action/journalInformation?show=aimsScope&journalCode=yppc20; Published: 2021-01-24

Files









You might also like



Downloadable Citations