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Pre-hospital emerge...
Pre-hospital emergency nurse specialist's experiences in caring for patients with non-specific chief complaints in the ambulance : A qualitative interview study
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- Ivic, R. (författare)
- Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset, Stockholm, Sweden; Academic Emergency Medical Service, Region Stockholm, Stockholm, Sweden
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- Vicente, V. (författare)
- Karolinska Institutet
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- Kurland, Lisa, 1960- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Region Stockholm, Health and Medical Care Administration, Stockholm, Sweden; Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset, Stockholm, Sweden
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- Svensson, J. (författare)
- Falck Ambulans AB, Stockholm, Sweden
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- Sahdev Klintemård, R. (författare)
- Falck Ambulans AB, Stockholm, Sweden
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- Castrén, M. (författare)
- 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
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- Bohm, K. (författare)
- Karolinska Institutet
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(creator_code:org_t)
- Elsevier, 2022
- 2022
- Engelska.
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Ingår i: International Emergency Nursing. - : Elsevier. - 1755-599X .- 1878-013X. ; 63
- Relaterad länk:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- 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.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
Nyckelord
- Emergency medical services
- Emergency medicine
- Non-specific chief complaints
- Nursing
- Pre-hospital assessment
- Pre-hospital emergency nurse
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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