Ontology highlight
ABSTRACT: Background
Paramedics are often first providers of care to patients experiencing non-traumatic low back pain (LBP), though their perspectives and experiences with managing these cases remain unclear.Objectives
This study explored paramedic views of the management of non-traumatic LBP including their role and experience with LBP management, barriers to referral and awareness of ambulance service guidelines.Design
Qualitative study using semistructured interviews conducted between January and April 2023.Setting
New South Wales Ambulance service.Participants
A purposive sample of 30 paramedics of different specialities employed by New South Wales Ambulance were recruited.Results
Paramedic accounts demonstrated the complexity, challenge, frustration and reward associated with managing non-traumatic LBP. Paramedics perceived that their primary role focused on the assessment of LBP, and that calls to ambulance services were often driven by misconceptions surrounding the management of LBP, and a person's pain severity. Access to health services, patient factors, defensive medicine, paramedic training and education and knowledge of guidelines influenced paramedic management of LBP.Conclusion
Paramedics often provide care to non-traumatic LBP cases yet depending on the type of paramedic speciality find these cases to be frustrating, challenging or rewarding to manage due to barriers to referral including access to health services, location, patient factors and uncertainty relating to litigation. Future research should explore patient perspectives towards ambulance service use for the management of their LBP.
SUBMITTER: Vella SP
PROVIDER: S-EPMC10952929 | biostudies-literature | 2024 Mar
REPOSITORIES: biostudies-literature
Vella Simon P SP Simpson Paul P Bendall Jason C JC Pickles Kristen K Copp Tessa T Swain Michael S MS Maher Christopher G CG Machado Gustavo C GC
BMJ open 20240319 3
<h4>Background</h4>Paramedics are often first providers of care to patients experiencing non-traumatic low back pain (LBP), though their perspectives and experiences with managing these cases remain unclear.<h4>Objectives</h4>This study explored paramedic views of the management of non-traumatic LBP including their role and experience with LBP management, barriers to referral and awareness of ambulance service guidelines.<h4>Design</h4>Qualitative study using semistructured interviews conducted ...[more]