References

Bigham B, Welsford M. Applying hospital evidence to paramedicine: Issues of indirectness, validity and knowledge translation. Can J Emerg Med. 2015; 17:(3)281-285

Boudreaux ED, O'Hea EL. Patient satisfaction in the emergency department: A review of the literature and implications for practice. J Emerg Med. 2004; 26:(1)13-26

Critical Appraisal Skills Programme. CASP Checklists. 2017. http//www.casp-uk.net/checklists (accessed 7 March 2019)

Crilly J, Keijzers G, Tippett V Improved outcomes for emergency department patients whose ambulance off-stretcher time is not delayed. Emerg Med Australasia. 2015; 27:(3)216-224

Darzi A. High quality care for all.London: Department of Health and Social Care; 2008

Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open. 2013; 3:(1)

Francis R. Report of the mid staffordshire nhs foundation trust public inquiry: Executive summary.London: The Stationery Office; 2013

Grant MJ, Booth A. A typology of reviews: An analysis of 14 review types and associated methodologies. Health Inform Librar J. 2009; 26:(2)91-108

Halter M, Marlow T, Mohammed D, Ellison GT. A patient survey of out-of-hours care provided by emergency care practitioners. BMC Emerg Med. 2007; 7:(1)

Isaksson RM, Brulin C, Eliasson M, Näslund U, Zingmark K. Prehospital experiences of older men with a first myocardial infarction: A qualitative analysis within the northern sweden monica study. Scandinav J Caring Sci. 2011; 25:(4)787-797

Johnson CG, Levenkron JC, Suchman AL, Manchester R. Does physician uncertainty affect patient satisfaction?. J Gen Intern Med. 1988; 3:(2)144-149

Kietzmann D, Wiehn S, Kehl D, Knuth D, Schmidt S. Migration background and overall satisfaction with pre-hospital emergency care. Appl Nurs Res. 2016; 29:(1)96-100

Knowles E, O'Cathain A, Nicholl J. Patients' experiences and views of an emergency and urgent care system. Health Expect. 2012; 15:(1)78-86

Manary MP, Boulding W, Staelin R, Glickman SW. The patient experience and health outcomes. New Engl J Med. 2013; 368:(3)201-203

Moher D, Liberati A, Tetzlaff J, Altman DG, The PG. Preferred reporting items for systematic reviews and meta-analyses: The prisma statement. PLOS Med. 2009; 6:(7)

Needham BR. The truth about patient experience: What we can learn from other industries, and how three ps can improve health outcomes, strengthen brands, and delight customers. J Healthcare Manag. 2012; 57:(4)255-263

O'Meara P, Stirling C, Ruest M, Martin A. Community paramedicine model of care: An observational, ethnographic case study. BMC Health Serv Res. 2015; 16:(1)

Ogden J, Fuks K, Gardner M Doctors expressions of uncertainty and patient confidence. Patient Educ Counsel. 2002; 48:(2)171-176

Parascandola M, Hawkins JS, Danis M. Patient autonomy and the challenge of clinical uncertainty. Kennedy Institut Ethics J. 2002; 12:(3)245-264

Rantala A, Ekwall A, Forsberg A. The meaning of being triaged to non-emergency ambulance care as experienced by patients. Int Emerg Nurs. 2016; 25-70

Raven S, Tippett V, Ferguson J, Smith S. An exploration of expanded paramedic healthcare roles for queensland.Brisbane: State of Queensland (Department of Emergency Services), Queensland Ambulance Service; 2006

Russell S. Patients' experience: Top heavy with research. Medicare Local (Australia) & Research Matters. 2013;

Shale S. Patient experience as an indicator of clinical quality in emergency care. Clin Gov: Int J. 2013; 18:(4)285-292

Shaw D, Dyas JV, Middlemass J, Spaight A, Briggs M, Christopher S, Siriwardena AN. Are they really refusing to travel? A qualitative study of prehospital records. BMC Emerg Med. 2006; 6:(1)

Swain AH, Al-Salami M, Hoyle SR, Larsen PD. Patient satisfaction and outcome using emergency care practitioners in New Zealand. Emerg Med Australas. 2012; 24:(2)175-180

The Beryl Institute. Defining patient experience. 2019. https//tinyurl.com/y3ckgcoq (accessed 7 March 2019)

Tippett V, Coory M, Burkle F The Australian prehospital pandemic risk perception study and an examination of new public health roles in pandemic response for ambulance services.Brisbane: University of Queensland and Monash University. Australian Centre for Prehospital Research, Queensland Ambulance Service; 2008

Wolf JA, Niederhauser V, Marshburn D, LaVela S. Defining patient experience. Patient Exper J. 2014; 1:(1)7-19

Global patient experience of paramedic practice

02 March 2019
Volume 9 · Issue 1

Abstract

Background:

Paramedics occupy an ever-increasing role within healthcare and the development of this role should be informed by the voice of patients. This systematic literature review seeks to explore patient experience during a paramedic intervention.

Methods:

Using a ‘state of the art’ review style, a systematic search was conducted of the literature published between 2006 and 2018. Following PRISMA guidelines, a total of seven articles meeting the inclusion criteria were identified. A definition of experience which incorporates several dimensions was used to frame the search.

Results:

Three themes were identified, with the available literature focusing mainly on satisfaction. Satisfaction is improved through certainty and clarity of the progression through treatment and is high among patients of paramedics.

Conclusion:

Our understanding of patient experience in paramedic interventions is largely limited to an understanding of satisfaction. While this may provide some useful insights, other facets such as the lived experience and physiologic aspects are underrepresented in the current evidence base.

Paramedic practice globally transects across primary, secondary and sometimes tertiary healthcare (Crilly et al, 2015). Although no globally accepted role accurately defines what or who a paramedic is, this role has established itself in most developed healthcare systems (particularly in the UK, commonwealth countries and parts of the US) (Tippett et al, 2008). Developing this role to recognise and respond to the needs of patients requires a deep understanding of what patients experience when being attended to by a paramedic.

The purpose of this systematic approach, undertaken using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (Moher et al, 2009) and Critical Appraisal Skills Programme (CASP) tools (CASP, 2017), is to present current evidence related to the patient experience of paramedic care. This review was conducted with literature sourced globally, but limited to English language papers.

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