Evidence From the Scene: Paramedic Perspectives on Involvement in Out-of-Hospital Research
Study objective In the context of calls to develop better systems for out-of-hospital clinical research, we seek to understand paramedics' perceptions of involvement in research and the barriers and facilitators to that involvement. Methods This was a qualitative study using semistructured focu...
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| Veröffentlicht in: | Annals of emergency medicine 2012-11, Vol.60 (5), p.641-650 |
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| creator | Burges Watson, Duika L., PhD Sanoff, Randy, RN Mackintosh, Joan E., MA Saver, Jeffrey L., MD Ford, Gary A., FRCP Price, Christopher, MD, FRCP Starkman, Sidney, MD Eckstein, Marc, MD, MPH Conwit, Robin, MD Grace, Anna, RN, MA Murtagh, Madeleine J., PhD |
| description | Study objective In the context of calls to develop better systems for out-of-hospital clinical research, we seek to understand paramedics' perceptions of involvement in research and the barriers and facilitators to that involvement. Methods This was a qualitative study using semistructured focus groups with 58 United Kingdom paramedics and interviews with 30 US firefighter-paramedics. The study focused on out-of-hospital research (trials of out-of-hospital treatment for stroke), whereby paramedics identified potential study subjects or obtained consent and administered study treatment in the field. Data were analyzed with a thematic and discourse approach. Results Three key themes emerged as significant facilitators and barriers to paramedic involvement in research: patient benefit, professional identity and responsibility, and time. Paramedics showed willingness and capacity to engage in research but also some reticence because of the perceived sacrifice of autonomy and challenge to their identity. Paramedics work in a time-sensitive environment and were concerned that research would increase time taken in the field. Conclusion Awareness of these perspectives will help with development of out-of-hospital research protocols and potentially facilitate greater participation. |
| doi_str_mv | 10.1016/j.annemergmed.2011.12.002 |
| format | Article |
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Methods This was a qualitative study using semistructured focus groups with 58 United Kingdom paramedics and interviews with 30 US firefighter-paramedics. The study focused on out-of-hospital research (trials of out-of-hospital treatment for stroke), whereby paramedics identified potential study subjects or obtained consent and administered study treatment in the field. Data were analyzed with a thematic and discourse approach. Results Three key themes emerged as significant facilitators and barriers to paramedic involvement in research: patient benefit, professional identity and responsibility, and time. Paramedics showed willingness and capacity to engage in research but also some reticence because of the perceived sacrifice of autonomy and challenge to their identity. Paramedics work in a time-sensitive environment and were concerned that research would increase time taken in the field. Conclusion Awareness of these perspectives will help with development of out-of-hospital research protocols and potentially facilitate greater participation.</description><identifier>ISSN: 0196-0644</identifier><identifier>EISSN: 1097-6760</identifier><identifier>DOI: 10.1016/j.annemergmed.2011.12.002</identifier><identifier>PMID: 22387089</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Attitude of Health Personnel ; Biomedical Research - manpower ; Biomedical Research - methods ; Emergency ; Emergency Medical Services - manpower ; Emergency Medical Services - methods ; Emergency Medical Technicians ; Firefighters ; Focus Groups ; Humans ; Stroke - therapy ; Time Factors ; United Kingdom ; United States</subject><ispartof>Annals of emergency medicine, 2012-11, Vol.60 (5), p.641-650</ispartof><rights>American College of Emergency Physicians</rights><rights>2012 American College of Emergency Physicians</rights><rights>Copyright © 2012 American College of Emergency Physicians. Published by Mosby, Inc. All rights reserved.</rights><rights>2011 American College of Emergency Physicians. Published by Mosby, Inc. All rights reserved. 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c538t-3623a6f9e1b6dfea807f03cae750dc6c3212961ae0644dc38f5c6ff5212e5ae23</citedby><cites>FETCH-LOGICAL-c538t-3623a6f9e1b6dfea807f03cae750dc6c3212961ae0644dc38f5c6ff5212e5ae23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0196064411018865$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22387089$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Burges Watson, Duika L., PhD</creatorcontrib><creatorcontrib>Sanoff, Randy, RN</creatorcontrib><creatorcontrib>Mackintosh, Joan E., MA</creatorcontrib><creatorcontrib>Saver, Jeffrey L., MD</creatorcontrib><creatorcontrib>Ford, Gary A., FRCP</creatorcontrib><creatorcontrib>Price, Christopher, MD, FRCP</creatorcontrib><creatorcontrib>Starkman, Sidney, MD</creatorcontrib><creatorcontrib>Eckstein, Marc, MD, MPH</creatorcontrib><creatorcontrib>Conwit, Robin, MD</creatorcontrib><creatorcontrib>Grace, Anna, RN, MA</creatorcontrib><creatorcontrib>Murtagh, Madeleine J., PhD</creatorcontrib><title>Evidence From the Scene: Paramedic Perspectives on Involvement in Out-of-Hospital Research</title><title>Annals of emergency medicine</title><addtitle>Ann Emerg Med</addtitle><description>Study objective In the context of calls to develop better systems for out-of-hospital clinical research, we seek to understand paramedics' perceptions of involvement in research and the barriers and facilitators to that involvement. Methods This was a qualitative study using semistructured focus groups with 58 United Kingdom paramedics and interviews with 30 US firefighter-paramedics. The study focused on out-of-hospital research (trials of out-of-hospital treatment for stroke), whereby paramedics identified potential study subjects or obtained consent and administered study treatment in the field. Data were analyzed with a thematic and discourse approach. Results Three key themes emerged as significant facilitators and barriers to paramedic involvement in research: patient benefit, professional identity and responsibility, and time. Paramedics showed willingness and capacity to engage in research but also some reticence because of the perceived sacrifice of autonomy and challenge to their identity. Paramedics work in a time-sensitive environment and were concerned that research would increase time taken in the field. Conclusion Awareness of these perspectives will help with development of out-of-hospital research protocols and potentially facilitate greater participation.</description><subject>Attitude of Health Personnel</subject><subject>Biomedical Research - manpower</subject><subject>Biomedical Research - methods</subject><subject>Emergency</subject><subject>Emergency Medical Services - manpower</subject><subject>Emergency Medical Services - methods</subject><subject>Emergency Medical Technicians</subject><subject>Firefighters</subject><subject>Focus Groups</subject><subject>Humans</subject><subject>Stroke - therapy</subject><subject>Time Factors</subject><subject>United Kingdom</subject><subject>United States</subject><issn>0196-0644</issn><issn>1097-6760</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkkFv1DAQhS0EokvhLyBz45LgsTdOzKESWrW0UqVWFC5cLNeZdL0k9mInkfrv62hLVThxsmTPvPdmPhPyAVgJDOSnXWm8xwHj3YBtyRlACbxkjL8gK2CqLmQt2UuyYqBkweR6fUTepLRjjKk1h9fkiHPR1KxRK_LzdHYteov0LIaBjlukNxY9fqbXJpos7yy9xpj2aEc3Y6LB0ws_h37O_n6kztOraSxCV5yHtHej6ek3TGii3b4lrzrTJ3z3eB6TH2en3zfnxeXV14vNl8vCVqIZCyG5MLJTCLey7dA0rO6YsAbrirVWWsGBKwkGl0FaK5qusrLrqnyNlUEujsnJQXc_3ebAOf0YTa_30Q0m3utgnP77xbutvguzFlIxBSoLfHwUiOH3hGnUg0sW-954DFPSALBWFVRy8VKHUhtDShG7JxtgemGjd_oZG72w0cB1ZpN73z_P-dT5B0Yu2BwKMG9rdhh1sm5h07qY16_b4P7L5uQfFds776zpf-E9pl2Yos84NOiUG_TN8kmW1ULWbRpZiQeTP7yl</recordid><startdate>20121101</startdate><enddate>20121101</enddate><creator>Burges Watson, Duika L., PhD</creator><creator>Sanoff, Randy, RN</creator><creator>Mackintosh, Joan E., MA</creator><creator>Saver, Jeffrey L., MD</creator><creator>Ford, Gary A., FRCP</creator><creator>Price, Christopher, MD, FRCP</creator><creator>Starkman, Sidney, MD</creator><creator>Eckstein, Marc, MD, MPH</creator><creator>Conwit, Robin, MD</creator><creator>Grace, Anna, RN, MA</creator><creator>Murtagh, Madeleine J., PhD</creator><general>Mosby, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20121101</creationdate><title>Evidence From the Scene: Paramedic Perspectives on Involvement in Out-of-Hospital Research</title><author>Burges Watson, Duika L., PhD ; Sanoff, Randy, RN ; Mackintosh, Joan E., MA ; Saver, Jeffrey L., MD ; Ford, Gary A., FRCP ; Price, Christopher, MD, FRCP ; Starkman, Sidney, MD ; Eckstein, Marc, MD, MPH ; Conwit, Robin, MD ; Grace, Anna, RN, MA ; Murtagh, Madeleine J., PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c538t-3623a6f9e1b6dfea807f03cae750dc6c3212961ae0644dc38f5c6ff5212e5ae23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Attitude of Health Personnel</topic><topic>Biomedical Research - manpower</topic><topic>Biomedical Research - methods</topic><topic>Emergency</topic><topic>Emergency Medical Services - manpower</topic><topic>Emergency Medical Services - methods</topic><topic>Emergency Medical Technicians</topic><topic>Firefighters</topic><topic>Focus Groups</topic><topic>Humans</topic><topic>Stroke - therapy</topic><topic>Time Factors</topic><topic>United Kingdom</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Burges Watson, Duika L., PhD</creatorcontrib><creatorcontrib>Sanoff, Randy, RN</creatorcontrib><creatorcontrib>Mackintosh, Joan E., MA</creatorcontrib><creatorcontrib>Saver, Jeffrey L., MD</creatorcontrib><creatorcontrib>Ford, Gary A., FRCP</creatorcontrib><creatorcontrib>Price, Christopher, MD, FRCP</creatorcontrib><creatorcontrib>Starkman, Sidney, MD</creatorcontrib><creatorcontrib>Eckstein, Marc, MD, MPH</creatorcontrib><creatorcontrib>Conwit, Robin, MD</creatorcontrib><creatorcontrib>Grace, Anna, RN, MA</creatorcontrib><creatorcontrib>Murtagh, Madeleine J., PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Burges Watson, Duika L., PhD</au><au>Sanoff, Randy, RN</au><au>Mackintosh, Joan E., MA</au><au>Saver, Jeffrey L., MD</au><au>Ford, Gary A., FRCP</au><au>Price, Christopher, MD, FRCP</au><au>Starkman, Sidney, MD</au><au>Eckstein, Marc, MD, MPH</au><au>Conwit, Robin, MD</au><au>Grace, Anna, RN, MA</au><au>Murtagh, Madeleine J., PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evidence From the Scene: Paramedic Perspectives on Involvement in Out-of-Hospital Research</atitle><jtitle>Annals of emergency medicine</jtitle><addtitle>Ann Emerg Med</addtitle><date>2012-11-01</date><risdate>2012</risdate><volume>60</volume><issue>5</issue><spage>641</spage><epage>650</epage><pages>641-650</pages><issn>0196-0644</issn><eissn>1097-6760</eissn><abstract>Study objective In the context of calls to develop better systems for out-of-hospital clinical research, we seek to understand paramedics' perceptions of involvement in research and the barriers and facilitators to that involvement. Methods This was a qualitative study using semistructured focus groups with 58 United Kingdom paramedics and interviews with 30 US firefighter-paramedics. The study focused on out-of-hospital research (trials of out-of-hospital treatment for stroke), whereby paramedics identified potential study subjects or obtained consent and administered study treatment in the field. Data were analyzed with a thematic and discourse approach. Results Three key themes emerged as significant facilitators and barriers to paramedic involvement in research: patient benefit, professional identity and responsibility, and time. Paramedics showed willingness and capacity to engage in research but also some reticence because of the perceived sacrifice of autonomy and challenge to their identity. Paramedics work in a time-sensitive environment and were concerned that research would increase time taken in the field. 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| ispartof | Annals of emergency medicine, 2012-11, Vol.60 (5), p.641-650 |
| issn | 0196-0644 1097-6760 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Attitude of Health Personnel Biomedical Research - manpower Biomedical Research - methods Emergency Emergency Medical Services - manpower Emergency Medical Services - methods Emergency Medical Technicians Firefighters Focus Groups Humans Stroke - therapy Time Factors United Kingdom United States |
| title | Evidence From the Scene: Paramedic Perspectives on Involvement in Out-of-Hospital Research |
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