Evidence from the scene: paramedic perspectives on involvement in out-of-hospital research

Duika L. Burges Watson, Randy Sanoff, Joan E. Mackintosh, Jeffrey L. Saver, Gary A. Ford, Christopher Price, Sidney Starkman, Marc Eckstein, Robin Conwit, Anna Grace, Madeleine J. Murtagh*

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

23 Citations (Scopus)

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.

Conclusion: Awareness of these perspectives will help with development of out-of-hospital research protocols and potentially facilitate greater participation. [Ann Emerg Med. 2012;60:641-650.]

Original languageEnglish
Pages (from-to)641-650
Number of pages10
JournalAnnals of Emergency Medicine
Volume60
Issue number5
DOIs
Publication statusPublished - Nov 2012

Bibliographical note

Copyright © 2012 American College of Emergency Physicians. Published by Mosby, Inc. All rights reserved.

Keywords

  • EMERGENCY MEDICAL-SERVICES
  • RANDOMIZED CONTROLLED-TRIALS
  • EXPLICIT INFORMED-CONSENT
  • CLINICAL-RESEARCH
  • HEALTH-CARE
  • STROKE
  • THROMBOLYSIS
  • PARTICIPATION
  • SYSTEMS
  • ELICITATION
  • Attitude of Health Personnel
  • Biomedical Research
  • Emergency Medical Technicians
  • Firefighters
  • Focus Groups
  • Great Britain
  • Humans
  • Time Factors
  • United States

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