Telephone triage performed by nurses reduces non‐urgent ambulance missions: A prospective observational pilot study in Finland

Roivainen, P.; Hoikka, Marko; Raatiniemi, Lasse; Silfvast, Tom; Ala‐Kokko, Tero; Kääriäinen, Maria

doi:10.1111/aas.13542

Cited by 17 publications

(14 citation statements)

References 17 publications

(56 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The effectiveness of phone assessment has been highlighted in previous research. One-third of people calling the triage nurse were satisfied with the care instructions or guidance from social and health care services [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

Community nurse-paramedics’ sphere of practice in primary care; an ethnographic study

Rasku

Kaunonen

Thyer

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

Background Primary care, the principal function of the health care system, requires effort from all local primary health care teams. Community Paramedicine (CP) has managed to reduce the use of Emergency Medical Services (EMS) for non-emergency calls, but for the paramedic to move from traditional emergency calls to non-emergency care will mean new demands. There is a paucity of research exploring nurse-paramedics’ experiences and perceptions of their novel roles as community paramedics in Finland. This study aims to explore the community nurse-paramedics’ (CNP) experiences in their new sphere of practice. Methods A descriptive ethnographic study was conducted, to collect data through participant observation (317 h total) and semi-structured interviews (N = 22) in three hospital districts (HD) where the CNPs have worked for at least 1 year. Both data sets were combined, organised, and analysed using inductive content analysis. Results Five main categories were developed by applying inductive content analysis: the new way of thinking, the broad group of patients, the way to provide care, the diversity of multidisciplinary collaboration, and tailored support from the organisation. The CNP was identified as needing an appropriate attitude towards care and a broader way of thinking compared to the traditional practice of taking care of the patient and the family members. The diversity of multidisciplinary collaboration teams can be a sensitive but worthwhile topic for offering new possibilities. Tailored support from the organisation includes tools for future CP models. Conclusions Our results indicate the CNPs’ deep involvement in patients’ and families’ care needs and challenges with their skills and competencies. Their professional attitudes and eagerness to develop and maintain multidisciplinary collaboration can offer preventive and long-term caring solutions from which citizens, allied health, safety, and social care providers benefit locally and globally.

show abstract

Section: Discussionmentioning

confidence: 99%

Community nurse-paramedics’ sphere of practice in primary care; an ethnographic study

Rasku

Kaunonen

Thyer

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…The effectiveness of a phone assessment has been highlighted in previous research. It showed that one-third of the callers to the triage nurse were satis ed when they got care instructions or guidance to social and healthcare services (47). Furthermore, this telecare offers new possibilities for patients, especially in rural areas, and for all healthcare workers to be able to help and advice citizens safely by phone, e.g., like during outbreaks of contagious diseases (48).…”

Section: Discussionmentioning

confidence: 99%

Community Nurse-Paramedics' Sphere of Practice in Primary Care; an ethnographic study

Rasku

Kaunonen

Thyer

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Primary care, the principal function of the healthcare system, needs efforts from the local primary healthcare teams. Community Paramedicine has managed to reduce the use of Emergency Medical Services (EMS) for non-emergent calls. For the paramedic to move from traditional emergency call outs to non-emergency care means new demands. There is a paucity of paramedics’ experiences and perceptions of their novel roles as community paramedics. This study aimed to explore the community nurse-paramedics experiences of their new sphere of practice. Methods A descriptive ethnographic research was conducted collecting data through participant observation (total 317 hours) and semi-structured interviews (N = 24) in three Hospital Districts where the community nurse-paramedics (CNP) have worked at least one year. Both data were combined, organized, and analyzed with inductive content analysis. Results From the inductive content analysis, five themes emerged: the CNP's new way of thinking, the broad group of patients, the demanding way to provide care, the diversity of multi-agency collaboration and management challenges. The CNP needs an appropriate attitude for the care and the broader way of thinking than before, taking care of the patient but also about the family members. The CNPs pointed out as enablers for the way of providing care as challenges for the management of the CNP model. The diversity of multiagency collaboration team can be sensitive while offering new possibilities. Conclusion The CNP's deep involvement in patients' and families' care needs and the challenges of CNPs’ skills and competences. Their professional attitudes and eagerness to develop and maintain the multi-agency collaboration can offer preventive and long-term caring solutions from which the citizens and allied health, safety, and social care providers benefit locally and globally.

show abstract

“…Die Etablierung einer gemeinsamen Telefonnummer für Rettungsdienst und ÄBD scheint ein Lösungsweg zu sein [ 1 , 10 , 16 , 18 , 21 , 27 ]. Dies wurde in einigen Regionen Deutschlands als Modellprojekt realisiert und ist in vielen Ländern Europas seit Jahren erfolgreich etabliert [ 10 , 14 , 17 , 22 ].…”

Section: Diskussionunclassified

“…Über eine solche Nummer kann nach einer standardisierten Abfrage eine Zuweisung zum geeigneten System erfolgen [ 1 , 10 ]. Somit könnte man auch Patienten, die die Dringlichkeit der Situation fehleinschätzen, schnell der richtigen Versorgungsform zukommen lassen [ 1 , 10 , 21 ]. Dies würde die Patienten von der Verantwortung entlasten, in einer für sie belastenden Situation diese schwierige Entscheidung treffen zu müssen [ 27 ].…”

Section: Diskussionunclassified

Rettungsdienst, kassenärztlicher Notdienst oder Notaufnahme

Metelmann

Brinkrolf

Kliche

et al. 2021

Med Klin Intensivmed Notfmed

View full text Add to dashboard Cite

Zusammenfassung Hintergrund Bei medizinischen Akutfällen entscheiden Patienten eigenständig, ob sie den Rettungsdienst bzw. den ärztlichen Bereitschaftsdienst der kassenärztlichen Vereinigung anrufen oder sich in der Notaufnahme vorstellen. Fragestellung Gelingt der Bevölkerung die angemessene Zuordnung verschiedener dringlicher Erkrankungen zu den unterschiedlichen Systemen? Material und Methoden In einer deutschlandweiten, anonymen telefonischen Befragung nach dem Gabler-Häder-Design im Sommer 2018 wurden 708 Personen jeweils 6 verschiedene Szenarien mit medizinischen Akutfällen geschildert. Die Befragten wurden gebeten anzugeben, ob sie kurzfristige medizinische Hilfe für erforderlich hielten. Zusätzlich wurde die subjektive Dringlichkeit der einzelnen Szenarien sowie die Kenntnis der Telefonnummern von Rettungsdienst und ärztlichem Bereitschaftsdienst erhoben. Ergebnisse Die Dringlichkeit der Szenarien wurde häufig fehleingeschätzt: bei Szenarien hoher Dringlichkeit zu 20 %, bei mittlerer Dringlichkeit zu 50 % und bei leichter Dringlichkeit zu 27 %. Zusätzlich misslang einigen Befragten die Ressourcenwahl, wenn sie medizinische Hilfe für erforderlich hielten: 25 % würden bei einem Apoplex bzw. Myokardinfarkt keinen Rettungsdienst rufen. Bei Erkrankungen mittlerer Dringlichkeit würden mehr Befragte eigenständig in die Notaufnahme gehen (38 %), als den ärztlichen Bereitschaftsdienst zu alarmieren (46 %). Diskussion Das Wissen der Bevölkerung über die verschiedenen Ressourcen bei medizinischen Akutfällen und die Fähigkeit, die Dringlichkeit adäquat einzuschätzen, scheint nicht ausreichend zu sein. Die Lösung könnte neben einer Steigerung der Gesundheitskompetenz eine gemeinsame Telefonnummer für Rettungsdienst und ärztlichen Bereitschaftsdienst mit einheitlichem Abfragetool und Ressourcenzuordnung sein.

show abstract

Telephone triage performed by nurses reduces non‐urgent ambulance missions: A prospective observational pilot study in Finland

Cited by 17 publications

References 17 publications

Community nurse-paramedics’ sphere of practice in primary care; an ethnographic study

Community nurse-paramedics’ sphere of practice in primary care; an ethnographic study

Community Nurse-Paramedics' Sphere of Practice in Primary Care; an ethnographic study

Rettungsdienst, kassenärztlicher Notdienst oder Notaufnahme

Contact Info

Product

Resources

About