Perceptions and experiences of paramedics managing people with non-traumatic low back pain: a qualitative study of Australian paramedics
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...
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BMJ Publishing Group
2024-03-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/3/e084060.full |
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| author | Christopher G Maher Kristen Pickles Gustavo C Machado Tessa Copp Paul Simpson Jason C Bendall Simon P Vella Michael S Swain |
| author_facet | Christopher G Maher Kristen Pickles Gustavo C Machado Tessa Copp Paul Simpson Jason C Bendall Simon P Vella Michael S Swain |
| author_sort | Christopher G Maher |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-cd2baeb58593459dbd47fc0dd373f8dd |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-cd2baeb58593459dbd47fc0dd373f8dd2025-08-20T02:13:39ZengBMJ Publishing GroupBMJ Open2044-60552024-03-0114310.1136/bmjopen-2024-084060Perceptions and experiences of paramedics managing people with non-traumatic low back pain: a qualitative study of Australian paramedicsChristopher G Maher0Kristen Pickles1Gustavo C Machado2Tessa Copp3Paul Simpson4Jason C Bendall5Simon P Vella6Michael S Swain7Faculty of Medicine and Health, School of Public Health, The University of Sydney, Sydney, New South Wales, AustraliaSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, AustraliaInstitute for Musculoskeletal Health, The University of Sydney and Sydney Local Health Districts, Camperdown, New South Wales, AustraliaFaculty of Medicine and Health, Sydney Health Literacy Lab, Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, AustraliaSchool of Health Sciences, Western Sydney University, Penrith, New South Wales, AustraliaNSW Ambulance, Clinical Systems, Sydney, New South Wales, AustraliaFaculty of Medicine and Health, School of Public Health, The University of Sydney, Sydney, New South Wales, AustraliaDepartment of Chiropractic, Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, New South Wales, AustraliaBackground 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.https://bmjopen.bmj.com/content/14/3/e084060.full |
| spellingShingle | Christopher G Maher Kristen Pickles Gustavo C Machado Tessa Copp Paul Simpson Jason C Bendall Simon P Vella Michael S Swain Perceptions and experiences of paramedics managing people with non-traumatic low back pain: a qualitative study of Australian paramedics BMJ Open |
| title | Perceptions and experiences of paramedics managing people with non-traumatic low back pain: a qualitative study of Australian paramedics |
| title_full | Perceptions and experiences of paramedics managing people with non-traumatic low back pain: a qualitative study of Australian paramedics |
| title_fullStr | Perceptions and experiences of paramedics managing people with non-traumatic low back pain: a qualitative study of Australian paramedics |
| title_full_unstemmed | Perceptions and experiences of paramedics managing people with non-traumatic low back pain: a qualitative study of Australian paramedics |
| title_short | Perceptions and experiences of paramedics managing people with non-traumatic low back pain: a qualitative study of Australian paramedics |
| title_sort | perceptions and experiences of paramedics managing people with non traumatic low back pain a qualitative study of australian paramedics |
| url | https://bmjopen.bmj.com/content/14/3/e084060.full |
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