Paramedics’ perceptions of their scope of practice in caring for patients with non-medical emergency-related mental health and/or alcohol and other drug problems: A qualitative study

• DOI: 10.1371/journal.pone.0208391
• Publication Date: 2018-12-13T20:40:34Z
• Authors: Terence V. McCann; Michael Savic; Nyssa Ferguson; Emma Bosley; Karen Smith; Louise Roberts; Kate Emond; Dan I. Lubman
• Keywords: Viewpoints; Scope of Practice; Scope (computer science)

Background Paramedics are called on frequently to provide care patients with mental health and/or and alcohol other drug (AOD) problems, but may have mixed views about how this fits within their role. Aims To explore paramedics' experience of caring for non-medical emergency-related AOD understand perceptions scope practice in these patients, ascertain if should be extended incorporate education patients. Method A convenience sample 73 paramedics from most Australian states territories—recruited through an online survey—participated individual audio-recorded, qualitative interviews, conducted by telephone. The interviews were part a method study comprising survey. Framework analysis analyse the data. Results Three themes sub-themes abstracted data participants' experiences and, at times, opposing viewpoints problems: is routine work, contrasting perspectives group competing extending cohort Conclusions need more undergraduate in-service address concerns include Thought given introducing alternative models paramedic practice, such as community paramedicine, focus supporting people problems. There change workplace organisational culture Extending role could, potentially, benefit problems improving quality care, reducing transportation emergency departments, decreasing clinicians' workloads departments.