Factors affecting the confidence of paramedics managing end-of-life care

Background: As the role of the UK paramedic expands and the NHS is increasingly stretched, it has become commonplace for paramedics to attend patients nearing the end of life. Despite this, many paramedics lack confidence when attending end-of-life patients owing to the complex clinical and emotional nature involved. Aim: This study aimed to understand the determinants that affect UK paramedic confidence when attending end-of-life patients and how they can be addressed. Method: A rapid literature search of databases for current evidence was carried out; 35 abstracts and titles were identified and, after screening, 10 eligible papers were reviewed. Findings: Themes included a lack of training, limited out-of-hours community support, fear of legal or disciplinary action and complex decision-making. Conclusion: There needs to be improvements in the training and education of UK paramedics for end-of-life patients and an increase in end-of-life community out-of-hours support.