Key result
In-depth interviews with 20 paramedics revealed that a minority are unwilling to deliver prehospital thrombolysis due to associated risks, pay, working conditions, and organizational factors.
Why the study?
What are paramedics' attitudes toward providing prehospital thrombolysis?
What are paramedics' attitudes toward providing prehospital thrombolysis?
Organizational factors, perceived risks, and working conditions can undermine paramedics' willingness to administer prehospital thrombolysis despite recognizing its patient benefits.
Answers are grounded in this paper and cite their sources.
May reduce prehospital thrombolysis uptake; leaves open effective interventions targeting barriers before practice change.
OBJECTIVES: To explore paramedics' attitudes to administering prehospital thrombolysis (PHT). METHOD: In-depth interviews with 20 paramedics were recorded and transcribed and analysed for emergent themes using the constant comparative method. RESULTS: Although there was a will to provide PHT because of its benefits to patients, its associated risks, aspects of pay and working conditions, and certain organisational factors undermined the willingness of some paramedics to administer thrombolysis. The eight minute response time standard is a competing imperative which can delay thrombolysis. CONCLUSIONS: A minority of paramedics are likely to be unwilling to deliver PHT unless countervailing imperatives are addressed.
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Linda Price (2005) studied Attitudes to prehospital thrombolysis (n=20). Prehospital thrombolysis administration was evaluated on Attitudes to administering prehospital thrombolysis. In-depth interviews with 20 paramedics revealed that a minority are unwilling to deliver prehospital thrombolysis due to associated risks, pay, working conditions, and organizational factors.
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