Nurse preceptors' experience‐based strategies for supporting learning in the ambulance service—A combined focus group and dyadic interview study

Wallin, Kim; Harstäde, Carina Werkander; Bremer, Anders; Hörberg, Ulrica

doi:10.1111/jan.15127

Cited by 4 publications

(5 citation statements)

References 35 publications

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“…The Finnish paramedics expressed having an adequately high level of competency in relation to the work demands, and they also felt that this empowered a sense of control over their clinical work, giving them the ability to handle most situations. Such expectations of performance, however, may form a dual-edged sword; for some, this may catalyse a personal drive towards developing their competencies further and moving towards professional self-actualisation [50], which is a positive outcome also presented in our research. Meanwhile, others may consider such expectations as adding stress to their work [8].…”

Section: Discussionmentioning

confidence: 56%

Paramedics’ perceptions of job demands and resources in Finnish emergency medical services: a qualitative study

Ericsson

Lindström

Rudman

et al. 2022

BMC Health Serv Res

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Background Paramedics’ fatigue is rising. Stress factors show increased risk for burnout, fatigue, leaving the profession, decreased performance and risk for patient safety. Meanwhile, paramedics’ strong community of practice, autonomy and a sense of professional respect are important factors in forming psychological resilience. We aimed to explore Finnish paramedics’ perceptions of job demands and resources. Methods Our study design was descriptive, inductive with a constructivist approach. Using reflexive thematic analysis, we analyse open-ended questions, from a web-based survey and essays written by Finnish paramedic masters-degree students. The study followed the SRQR checklist. Results We identified paramedics’ job demands as stress from a high workload, environmental factors and emotional burden. Performance expectations and a sense of inadequacy were further noted, as well as an organizational culture of hardiness, presenting lack of support and sense of inequality. Paramedics’ job resources were pressure management strategies, which were expressed as positive coping mechanisms, agency to affect workload and professional self-actualization, expressed as psychologically safe work community, professional pride and internal drive to professional development. Conclusions Finnish paramedics exhibit resources and demands related to uncertainty and emotional burden as well as cultural hardiness and psychological safety in communities. Patient or public contribution This study was done based on survey data collected and analysed by the authors. No patient or public contribution was utilized for this study.

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Section: Discussionmentioning

confidence: 56%

Paramedics’ perceptions of job demands and resources in Finnish emergency medical services: a qualitative study

Ericsson

Lindström

Rudman

et al. 2022

BMC Health Serv Res

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“…However, the practical role was the least mentioned role, which is interesting. The challenging aspects of work in the AS relating to technical and practical conditions have previously been described by both students (Devenish et al, 2016 ; Wallin et al, 2013 ) and clinicians (Reay et al, 2018 ; Wallin et al, 2021 ). Several of the professionals most desired competence items for Swedish SANs in a study by Wihlborg et al ( 2014 ), were related to technical and practical aspects in the AS work.…”

Section: Discussionmentioning

confidence: 99%

“…This is partially surprising, considering that all the SAN students are RNs when entering their specialist programme, and should according to their clinical experiences and educational degree be competent in a patient-oriented nursing perspective. However, the environmental aspects of the work in the AS and a lack of a sense of security and abilities to perform medical assessments may be an obstacle for SAN students’ ability to focus on and develop a patient-oriented ethical competence in clinical judgment (Wallin et al, 2021 ). Both the present as well as previous studies (Ahlenius et al, 2017 ; Forsell et al, 2020 ) of the Swedish AS identify divergent attitudes towards nursing and the understanding of the work that may hinder a patient-oriented perspective.…”

Section: Discussionmentioning

confidence: 99%

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The ways specialist nursing students understand the work in the ambulance service - a national Swedish phenomenographic study

Wallin

Bremer

Fridlund

et al. 2022

International Journal of Qualitative Studies on Health and Well

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Objective To explore and describe the ways specialist ambulance nursing (SAN) students understand the work in the ambulance service. Design, sample, and measurements An explorative descriptive design was carried out through individual interviews with 16 SAN students from all parts of Sweden and analysed in accordance with the phenomenographic tradition. Findings Five different ways of understanding the work were described and each was assigned a metaphor; The medical role; The practical role; The patient-oriented role; The commanding role; and The comprehensive role. Several aspects concerning personal, organizational, and situational conditions affecting the understanding and the distribution of these roles in the specific care assignment were identified and presented in a hierarchical model of the outcome space. Conclusions This study contributes with a new perspective on supporting role clarity for registered nurses (RN) working in the ambulance service (AS). Specialization and experiential learning are needed to support an understanding of all aspects of the work in order to develop a professional competence aligned with the challenges faced in the AS. The development of expertise in the AS needs a contextualized understanding rooted in a theoretical framework that addresses a holistic perspective towards patients’ needs.

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“…On the way, the nurse must always observe the patient's condition starting by checking the monitor, carrying out suction, stabilizing the patient's condition, administering medicine, and many other things to do, such as being in the emergency room for approximately 6 hours or more. Lack of ability to carry out emergency actions that are very likely to occur in the ambulance if the patient experiences a condition that requires basic emergency assistance is also an obstacle (Wallin et al, 2021;Basuni, 2014).…”

Section: Introductionmentioning

confidence: 99%

Nurse Experience in Making Inter-Island Referrals for Emergency Patients: A Phenomenological Study

2023

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Making referrals for emergency patients is an activity that a nurse must do in remote areas. Referrals with trips that must pass by land and sea that take a long time will definitely encounter many obstacles and hindrances. Unpredictable obstacles experienced by a nurse in making referrals include accidents, port closures, and tidal waves. This study aimed to explore the experiences of nurses in making inter-island emergency referrals. This study is an interpretive qualitative research of phenomenology. The sampling technique used purposive sampling with criteria for nurses who had made inter-island emergency referrals. The participants were 25 nurses, with saturated data on the 14th participant. The process of collecting data was in-depth interviews until no new or saturated answers were found. From the results of the study, there were 3 themes, namely nurses' feelings (sad, happy, dejected, anxious, irritated, angry), obstacles (preparation, process, handover), and expectations (means, honorarium, energy, ease of transfer). Therefore, in the referral process, competent nurses, adequate facilities and infrastructure during trips, and the ability to communicate with various parties to ensure a smooth referral process must be prepared.

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Nurse preceptors' experience‐based strategies for supporting learning in the ambulance service—A combined focus group and dyadic interview study

Abstract: This is an open access article under the terms of the Creat ive Commo ns Attri bution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 4 publications

References 35 publications

Paramedics’ perceptions of job demands and resources in Finnish emergency medical services: a qualitative study

Paramedics’ perceptions of job demands and resources in Finnish emergency medical services: a qualitative study

The ways specialist nursing students understand the work in the ambulance service - a national Swedish phenomenographic study

Nurse Experience in Making Inter-Island Referrals for Emergency Patients: A Phenomenological Study

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