Paramedics' views on their seizure management learning needs: a qualitative study in England

Sherratt, Frances C ORCID: 0000-0003-4147-9305, Snape, Darlene, Goodacre, Steve, Jackson, Mike, Pearson, Mike, Marson, Anthony G ORCID: 0000-0002-6861-8806 and Noble, Adam J ORCID: 0000-0002-8070-4352 (2017) Paramedics' views on their seizure management learning needs: a qualitative study in England. BMJ OPEN, 7 (1). e014024-.

This is the latest version of this item.

	Text Sherratt_et_al_Paramedics_views_on_their_seizure_management_learning_REVISION_CLEAN_VERSION.docx - Author Accepted Manuscript Download (115kB)
	Text Sherratt et al 17_BMJ Open.pdf - Published version Download (1MB)

Official URL: http://dx.doi.org/10.1136/bmjopen-2016-014024

Abstract

<h4>Introduction</h4>The UK ambulance service often attends to suspected seizures. Most persons attended to will not require the facilities of a hospital emergency department (ED) and so should be managed at scene or by using alternative care pathways. Most though are transported to ED. One factor that helps explain this is paramedics can have low confidence in managing seizures.<h4>Objectives</h4>With a view to ultimately developing additional seizure management training for practicing paramedics, we explored their learning needs, delivery preferences and potential drivers and barriers to uptake and effectiveness.<h4>Design and setting</h4>Semistructured interviews were conducted with a purposive sample of paramedics from the English ambulance service. Interviews were transcribed and thematically analysed.<h4>Participants</h4>A diverse sample of 19 professionals was recruited from 5 different ambulance NHS trusts and the College of Paramedics.<h4>Results</h4>Participants said seizure management was neglected within basic and postregistration paramedic training. Most welcomed additional learning opportunities and identified gaps in knowledge. This included how to differentiate between seizure types and patients that do and do not need ED. Practical, interactive e-learning was deemed the most preferable delivery format. To allow paramedics to fully implement any increase in skill resulting from training, organisational and structural changes were said to be needed. This includes not penalising paramedics for likely spending longer on scene.<h4>Conclusions</h4>This study provides the first evidence on the learning needs and preferences of paramedics regarding seizures. It can be used to inform the development of a bespoke training programme for paramedics. Future research should develop and then assess the benefit such training has on paramedic confidence and on the quality of care they offer to seizure patients.

Item Type:	Article
Uncontrolled Keywords:	ACCIDENT & EMERGENCY MEDICINE, EDUCATION & TRAINING (see Medical Education & Training), QUALITATIVE RESEARCH
Depositing User:	Symplectic Admin
Date Deposited:	11 Jan 2017 08:53
Last Modified:	19 Jan 2023 07:20
DOI:	10.1136/bmjopen-2016-014024
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3005157