Just-in-case medication use by ambulance paramedics responding to end-of-life care in the community: protocol for a multi-method study (RELIEF).
Introduction: At the end of life, anticipatory or just-in-case (JIC) medications may help manage patients' symptoms. Sometimes, emergency ambulances attend patients for whom JIC medications have not been prescribed. In Wales, UK, a Welsh Ambulance Services University NHS Trust (WAST) JIC interventio...
| Publicado en: | British Paramedic Journal Vol. 10; no. 3; pp. 1 - 10 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | protocol tables/charts Journal Article |
| Publicado: |
College of Paramedics
Dec2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189630714&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189630714 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14784726 LFLE jtl: British Paramedic Journal issn: 14784726 maglogo: N pubinfo: dt: Dec2025 vid: 10 iid: 3 pid: 46865 pub: College of Paramedics artinfo: ui: 189630714 189630714 189630714 10.29045/14784726.2025.12.10.3.1 189630714 ppf: 1 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Just-in-case medication use by ambulance paramedics responding to end-of-life care in the community: protocol for a multi-method study (RELIEF). aug: au: Moore, Chris Kingston, Mark Baker, Idris Campling, Natasha Hills, Marika Jones, Emyr Jones, Sian Kumar, Rashmi O'Brian, Edward Porter, Alison Sewell, Bernadette Williams, Lauren Xanthe, Cendl affil: Welsh Ambulance Services University NHS Trust sug: subj: Ambulances Paramedics Drugs, Prescription Administration and Dosage Terminal Care Community Health Services Costs and Cost Analysis Stakeholder Participation Psychosocial Factors Implementation Science Patient Advocacy ab: Introduction: At the end of life, anticipatory or just-in-case (JIC) medications may help manage patients' symptoms. Sometimes, emergency ambulances attend patients for whom JIC medications have not been prescribed. In Wales, UK, a Welsh Ambulance Services University NHS Trust (WAST) JIC intervention was launched in May 2020 in response to COVID-19, to enable ambulance paramedics to administer JIC medications to patients for whom they had not previously been prescribed. The ambulance JIC intervention is an ongoing feature of WAST pre-hospital care but has received limited evaluation. This study will explore the rationale, usage, costs and views of stakeholders of the WAST JIC medications intervention. Methods: We will employ a multi-method observational study design that incorporates both quantitative and qualitative aspects, informed by implementation science. We will prepare a detailed description of the WAST JIC medications intervention, its rationale and its use. We will interview paramedics and doctors who have provided the intervention, as well as paid and informal carers who were present during the care episode. We will also hold a focus group with paramedics who have not administered the intervention and undertake a cost analysis to estimate costs and savings associated with the intervention. We will use descriptive statistics to analyse quantitative data and a framework approach for qualitative data. Conclusion: This study, which focuses on the voices of patient advocates and practitioners, has the potential to shape future provision of this and similar services in WAST and other care providers. pubtype: Academic Journal doctype: protocol tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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