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Pre-hospital emergency nurse specialist's experiences in caring for patients with non-specific chief complaints in the ambulance - A qualitative interview study.
Ivic, R; Vicente, V; Kurland, L; Svensson, J; Sahdev Klintemård, R; Castrén, M; Bohm, K.
Afiliación
  • Ivic R; Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset, Stockholm, Sweden; Academic Emergency Medical Service, Region Stockholm, Stockholm, Sweden. Electronic address: robert.ivic@ki.se.
  • Vicente V; Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset, Stockholm, Sweden. Electronic address: veronica.vicente@ki.se.
  • Kurland L; Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset, Stockholm, Sweden; Örebro University, Department for Medical Sciences, Örebro, Sweden. Electronic address: lisa.kurland@oru.se.
  • Svensson J; Falck Ambulans AB, Stockholm, Sweden. Electronic address: jennielee@live.se.
  • Sahdev Klintemård R; Falck Ambulans AB, Stockholm, Sweden. Electronic address: raul.sahdev.a@gmail.com.
  • Castrén M; Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset, Stockholm, Sweden; Emergency Medicine, Helsinki University and Department of Emergency Medicine and Services, Helsinki University Hospital, Helsinki, Finland. Electronic address: maaret.castren@hus.fi.
  • Bohm K; Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset, Stockholm, Sweden; Department of Emergency Medicine, Södersjukhuset, Stockholm, Sweden. Electronic address: katarina.bohm@ki.se.
Int Emerg Nurs ; 63: 101178, 2022 07.
Article en En | MEDLINE | ID: mdl-35738055
BACKGROUND: Pre-hospital emergency nurse (PEN) specialists are faced with patients presenting with non-specific chief complaints (NSC) to the emergency medical service (EMS) on a daily basis. These patients are often elderly and one in three has a serious condition and their acuity is not recognized. OBJECTIVE: The aim of the current study was to explore PEN specialists' experiences in caring for patients presenting with non-specific chief complaints. DESIGN: A qualitative study design with eleven individual interviews of PENs, between 2018 and 2020. Qualitative content analysis was used. RESULTS: The analyses generated three categories including subcategories. The categories were "Unexplained suffering". "Systematic approach and experience enhances medical safety". "Organizational processes can be optimized". The relation between the categories compiled as ́In-depth systematic assessment is perceived to reduce suffering and increases patient safetý. CONCLUSION: The PENs experiences in caring for patients presenting with non-specific chief complaints show that an in-depth systematic assessment may lead to a meaningful caring encounter which enables the identification of the cause of the chief complaint. Experience and a systematic approach were considered as essential to enhance medical safety. This could be strengthened through feedback on the nurse's care provided by care managers and employers. To optimize organizational processes, the development of the opportunity to convey the patient to different levels of care can be an important component.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicios Médicos de Urgencia / Enfermeras Especialistas Tipo de estudio: Qualitative_research Límite: Aged / Humans Idioma: En Revista: Int Emerg Nurs Asunto de la revista: ENFERMAGEM / MEDICINA DE EMERGENCIA Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicios Médicos de Urgencia / Enfermeras Especialistas Tipo de estudio: Qualitative_research Límite: Aged / Humans Idioma: En Revista: Int Emerg Nurs Asunto de la revista: ENFERMAGEM / MEDICINA DE EMERGENCIA Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido