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‘Popping nana back into bed’ - a qualitative exploration of paramedic decision making when caring for older people who have fallen

Overview of attention for article published in BMC Health Services Research, April 2017
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (89th percentile)

Mentioned by

24 tweeters
4 Facebook pages


20 Dimensions

Readers on

146 Mendeley
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‘Popping nana back into bed’ - a qualitative exploration of paramedic decision making when caring for older people who have fallen
Published in
BMC Health Services Research, April 2017
DOI 10.1186/s12913-017-2243-y
Pubmed ID

Paul Simpson, Ric Thomas, Jason Bendall, Bill Lord, Stephen Lord, Jacqueline Close


Older fallers constitute a large proportion of ambulance work, and as many as 25% are not transported to hospital following paramedic assessment. The objective of this study was to explore the decision making process used by paramedics when caring for older fallers. A qualitative study was conducted using constructivist grounded theory methodology. Purposive sampling was used to recruit paramedics to participate in semi-structured interviews and focus groups. Data analysis commenced with line-by-line coding, developing into formation of theoretical categories. Theoretical sampling was then used to clarify emerging theoretical concepts, with data collection and analysis continuing until theoretical saturation was achieved. A total of 33 paramedics participated in 13 interviews and 4 focus groups. When caring for older fallers, paramedic decision making is profoundly affected by 'role perception', in which the individual paramedic's perception of what the role of a paramedic is determines the nature of the decision making process. Transport decisions are heavily influenced by a sense of 'personal protection', or their confidence in the ambulance service supporting their decisions. 'Education and training' impacts on decision making capacity, and the nature of that training subliminally contributes to role perception. Role perception influences the sense of legitimacy a paramedic attaches to cases involving older fallers, impacting on patient assessment routines and the quality of subsequent decisions. Paramedic decision making processes when caring for older people who have fallen appear to be strongly influenced by their perception of what their role should be, and the perceived legitimacy of incidents involving older fallers as constituting 'real' paramedic work.

Twitter Demographics

The data shown below were collected from the profiles of 24 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 146 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 <1%
Unknown 145 99%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 38 26%
Student > Master 19 13%
Student > Postgraduate 10 7%
Student > Ph. D. Student 8 5%
Student > Doctoral Student 7 5%
Other 25 17%
Unknown 39 27%
Readers by discipline Count As %
Nursing and Health Professions 57 39%
Medicine and Dentistry 28 19%
Psychology 4 3%
Biochemistry, Genetics and Molecular Biology 2 1%
Engineering 2 1%
Other 11 8%
Unknown 42 29%

Attention Score in Context

This research output has an Altmetric Attention Score of 21. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 June 2022.
All research outputs
of 22,029,478 outputs
Outputs from BMC Health Services Research
of 7,348 outputs
Outputs of similar age
of 284,395 outputs
Outputs of similar age from BMC Health Services Research
of 1 outputs
Altmetric has tracked 22,029,478 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 93rd percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 7,348 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.6. This one has done particularly well, scoring higher than 93% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 284,395 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 89% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them