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Organizational fact...
Organizational factors influencing clinical reasoning in a Swedish emergency medical service organization: An explorative qualitative case study
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- Andersson, Ulf, 1985- (författare)
- Högskolan i Borås,Akademin för vård, arbetsliv och välfärd,PreHospen,University of Borås, Sweden
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- Maurin Söderholm, Hanna (författare)
- Högskolan i Borås,Akademin för bibliotek, information, pedagogik och IT,Akademin för vård, arbetsliv och välfärd,PreHospen – Centre for Prehospital Research, University of Borås, Sweden;PICTA – Prehospital Innovation Arena, Lindholmen Science Park, Sweden
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- Andersson, Henrik, 1968- (författare)
- Linnéuniversitetet,Högskolan i Borås,Akademin för vård, arbetsliv och välfärd,Academy for Caring Science, Work Life & Social Welfare, University of Borås, Sweden;PreHospen – Centre for Prehospital Research, University of Borås, Sweden;Centre of Interprofessional Collaboration within Emergency Care (CICE), Linnaeus University, Sweden;Department of Health and Caring Sciences, Linnaeus University, Sweden,Institutionen för hälso- och vårdvetenskap (HV)
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- Wireklint Sundström, Birgitta, Ass professor, 1951- (författare)
- Högskolan i Borås,Akademin för vård, arbetsliv och välfärd,PreHospen,University of Borås, Sweden
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- Andersson Hagiwara, Magnus (författare)
- Högskolan i Borås,Akademin för vård, arbetsliv och välfärd,PreHospen,University of Borås, Sweden
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- Puaca, Goran (författare)
- Högskolan i Borås,Akademin för vård, arbetsliv och välfärd,University of Borås, Sweden
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(creator_code:org_t)
- Sage Publications, 2023
- 2023
- Engelska.
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Ingår i: Paramedicine. - : Sage Publications. - 2753-6386 .- 2753-6386.
- Relaterad länk:
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https://doi.org/10.1...
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https://hb.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- IntroductionClinical reasoning (CR) among healthcare professionals working in emergency medical services (EMS) who focus on ambulance care is a vital part of ensuring timely and safe patient care. The EMS environment continually fluctuates, so clinicians constantly need to adapt to new situations. Organizational support is described as important for CR, but overall, research on organizational influences for CR in an EMS context is lacking. An increased understanding of these influencing factors can assist in the development of EMS by strengthening CR among clinicians. Therefore, the purpose of this study was to investigate the organizational factors influencing EMS clinicians’ CR.MethodsUsing a qualitative single case study design, an EMS organization in southwestern Sweden was explored. Data were collected from participant observations of patient encounters, individual and group interviews with clinicians and organizational representatives, and organizational document audits. Data were analyzed using qualitative content analysis and triangulation of data sources.ResultsThe results revealed several organizational influencing factors. Collaboration and information sharing internally and externally were emphasized as essential components influencing CR. Additionally, the structure for the clinicians’ ‘room for action’ appeared confused and created uncertainties for CR related to decision mandates.ConclusionThe conclusion is that organizational factors do play an important role in clinicians’ CR. Moreover, the EMS community needs to develop suitable forums for discussing and developing these influencing factors across organizational hierarchies. Finally, clarification is needed on clinicians’ ‘room for action’ within their own organization but also with possible collaborators.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- health and well-being
- qualitative analysis and interpretation
- clinical reasoning
- decision making
- emergency medicalservices
- work and healthcare environment
- Människan i vården
- The Human Perspective in Care
- Health and Caring Sciences
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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