Psychosocial Support Issues Affecting Older Patients: A Cross-sectional Paramedic Perspective
Open accessAbstract
This research aimed to gain an understanding of the psychosocial support needs of older patients in the out-of-hospital setting from the perspective of paramedics. Specifically, we investigate if and how paramedics are able to meet the needs of older adults, and the barriers preventing them from achieving this. This study was a cross-sectional study utilizing a sequential design with both quantitative and qualitative methodologies. All participants agreed or strongly agreed that older patients have needs beyond the physical and that they would like to do more for older patients. Paramedics discussed that psychosocial support issues are rarely in isolation and straightforward but were often coupled with broader, longer term physical health and social support issues. They would like to be able to do more for patients but feel hamstrung by lack of time, resources, and know-how.
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Clinical patient situations that paramedics might not necessarily have the tools, knowledge or guidelines to handle often involve patients presenting complex clinical or social problems.
“Meanwhile, clinical patient situations that paramedics might not necessarily have the tools, knowledge or guidelines to handle often involve patients presenting complex clinical or social problems [16].”
From Paramedics’ perceptions of job demands and resources in Finnish emergency medical services: a qualitative study (2022) · cites this paper as [16]
The Qualitative Results report that paramedics lacked the time, knowledge and resources to address older patients’ complex psychosocial issues. The Discussion says those issues are often intertwined with physical ailments. The paper does not establish a lack of guidelines or address complex patient situations generally beyond this older-patient context. (LLM, conf=0.82)
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“Meanwhile, clinical patient situations that paramedics might not necessarily have the tools, knowledge or guidelines to handle often involve patients presenting complex clinical or social problems [16].”
BackgroundEricsson, C. R., Nordquist, H., Lindström, V., & Rudman, A. (2021) · BMC Public Health · doi:10.1186/s12889-021-11851-0 · Cited by 23 · see citing works
- Authors
- Ross, L., Jennings, P., & Williams, B.
- Affiliations
- Monash University (AU)
- Ambulance Victoria (AU)
- Corresponding author
- Ross, Linda
- Venue
- INQUIRY: The Journal of Health Care Organization, Provision, and Financing
- Publisher
- SAGE Publications
- Published
- 2017-01
- Volume
- 54
- Pages
- 46958017731963-46958017731963
- ISSN
- 0046-9580 (ISSN-L)
- 1945-7243
- PMC
- PMC5798664
- OpenAlex
- W2759712139
- Cited by
- 28
- References
- 32
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 4 · 2023: 5 · 2022: 5 · 2021: 3 · 2020: 3
- FWCI
- 1.04
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- INQUIRY The Journal of Health Care Organization Provision and Financing (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Monash University Research Portal (Monash University) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Keywords
- psychosocial support, elderly patients, paramedics, prehospital care, barriers to care, social support, time and resource constraints, geriatric emergency care
- MeSH terms
- Adult, Aged, Aged, 80 and over, Mental Disorders, Cross-Sectional Studies, Emergency Medical Technicians, Emotions, Female, Health Services Needs and Demand, Humans, Male, Middle Aged, Geriatric Assessment
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