Abstract
Timely and appropriate pain management in the pre-hospital environment is paramount to effective patient care. Experts agree that there are many factors that hinder the delivery of adequate pain management to patients with pain. The purpose of this study was to use the Theory of Planned Behaviour (TPB) model to identify the factors influencing Ambulance Paramedics’ intention to administer morphine to patients with pain. Participants of this study were Advanced Care and Intensive Care Paramedics who were deemed competent in morphine administration. Data were collected by means of a questionnaire that used the constructs of the TPB, including subjective norm, perceived behavioural control and attitude. Whilst participants reported strong intentions to administer morphine they also reported negative attitudes towards the behaviour. The constructs of the TPB explained 26% of the variance in intention to administer morphine with subjective norm being the strongest significant predictor. The findings related to specific attitudes and normative pressures provide an understanding into Paramedic's pain management behaviour.
Highlights
Alcohol and caffeine consumption eating exercising and training adherence health screening oral hygiene nurse initiated defibrillation
Future continuing education programs to be educated to a small group of paramedics initially to “sell” the program to their peers
Longitudinal study analysing paramedic students’ attitudes regarding pain and pain management over time as they progress through their studies and post graduation
Summary
Self-report, electronic web survey The TPB constructs consisted of 27 items through a likert-type scale. 1 2 3 4 5 6 7 Enhance my confidence means auditing 1 2 3 4 5 6 7 means it misses audit. People who are important to me want me to administer Morphine to patients who have pain. I am confident that I could administer Morphine to my patients if I wanted to. Disagree 1 2 3 4 5 6 7 Strongly agree
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