What an ambulance nurse needs to know: A content analysis of curricula in the specialist nursing programme in prehospital emergency care

Sjölin, Helena; Lindström, Veronica; Hult, Håkan; Ringsted, Charlotte; Kurland, Lisa

doi:10.1016/j.ienj.2014.09.002

Cited by 59 publications

(76 citation statements)

References 16 publications

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“…Consequently, the number of psychiatric emergencies handled by the emergency medical services (EMS) has also increased . Handling psychiatric emergencies such as mental health crises is both challenging and complex for EMS personnel due to their insufficient education and limited direct access to psychiatric specialist services . Accordingly, alternative response systems for psychiatric emergencies have been developed and evaluated over the years, and the use of specialized psychiatric response organizations as part of law enforcement and/or the EMS has been shown to be positive overall from the perspective of the personnel and the organizations .…”

Section: Introductionmentioning

confidence: 99%

Patients' experiences of the caring encounter with the psychiatric emergency response team in the emergency medical service—A qualitative interview study

Lindström

Sturesson

Carlborg

2020

Health Expectations

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Background Mental illnesses are increasing in the population; consequently, the number of psychiatric emergencies handled by the emergency medical services (EMS) has also increased. Alternative response systems have been developed and evaluated, but there is still a lack of knowledge concerning the patients' experiences of being cared for in the EMS by a psychiatric emergency response unit (In Swedish: Psykiatrisk Akut Mobilitet [PAM]). Objective The aim of this study was to explore patients' experiences of the caring encounter with the PAM team. Design A qualitative study design with 14 patients' interviews and content analysis was used. Results The patients expressed that the PAM team created a safe environment and actively involved the patient in their care by creating an open and safe place for dialogue. In this safe environment, the patients described how they participated in the decision making and received care without fear of being dismissed, ignored or judged. Discussion and Conclusion The patients' experiences of being cared for by the PAM team show that person‐centred care was achieved by involving the patients in their own care. This participation was possible because mutual trust and confidence existed, and the patients acknowledged the specialist response unit to be a valuable part of the EMS. However, further studies are needed to explore whether the PAM as a response unit in the EMS decreases the risk of suicide and to examine different health economic aspects of using PAM in the EMS.

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Section: Introductionmentioning

confidence: 99%

Patients' experiences of the caring encounter with the psychiatric emergency response team in the emergency medical service—A qualitative interview study

Lindström

Sturesson

Carlborg

2020

Health Expectations

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“…ED avoidance models have also been developed where nurses accompany paramedics on low acuity ambulance calls to treat patients on site (i.e. at home) …”

Section: Discussionmentioning

confidence: 99%

“…at home). [32][33][34] In addition, to minimise the extent of access block within the ED, opportunities outside the ED warrant consideration and implementation. Such strategies include: holding units, early discharge and patient flow, political action management, resource priority, 35 increased inpatient bed capacity, improved coordination and capacity within the community to manage patients with complex medical conditions, and improvements with hospital processes.…”

Section: Discussionmentioning

confidence: 99%

Improving emergency department transfer for patients arriving by ambulance: A retrospective observational study

Crilly

Johnston

Wallis

et al. 2019

Emerg Medicine Australasia

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Objective Extended delays in the transfer of patients from ambulance to ED can compromise patient flow. The present study aimed to describe the relationship between the use of an Emergency Department Ambulance Off‐Load Nurse (EDAOLN) role, ED processes of care and cost effectiveness. Methods This was a retrospective observational study over three periods of before (T1), during (T2) and after (T3) the introduction of the EDAOLN role in 2012. Ambulance, ED and cost data were linked and used for analysis. Processes of care measures analysed included: time to be seen by a doctor from ED arrival (primary outcome), ambulance‐ED offload compliance, proportion of patients seen within recommended triage timeframe, ED length of stay (LoS), proportion of patients transferred, admitted or discharged from the ED within 4 h and cost effectiveness. Results A total of 6045 people made 7010 presentations to the ED by ambulance over the study period. Several measures improved significantly between T1 and T2 including offload compliance (T1: 58%; T2: 63%), time to be seen (T1: 31 min; T2: 28 min), ED LoS (T1: 335 min; T2: 306 min), ED LoS <4 h (T1: 31%; T2: 33%). Some measures carried over into T3, albeit to a lesser extent. Post‐hoc analyses showed that outcomes improved most for less urgent patients. The annualised net cost of the EDAOLN (if funded from additional resources) of $130 721 could result in an annualised reduction of approximately 3912 h in waiting time to be seen by a doctor. Conclusion With the EDAOLN role in place, slight outcome improvements in several key ambulance and ED efficiency criteria were noted. During times of ED crowding, the EDAOLN role may be one cost‐effective strategy to consider.

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“…The focus of the continuous medical education (CME) in the ambulance service and in education at university for prehospital emergency care nurses mainly concerns life-threatening situations such as cardiac arrest and trauma (Sjolin, Lindstrom, Hult, Ringsted, & Kurland, 2015).…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…However, there is seldom a specially equipped ambulance caring for children and these prehospital emergency care nurses seldom have additional training concerning caring for children and their parents. The focus of the continuous medical education (CME) in the ambulance service and in education at university for prehospital emergency care nurses mainly concerns life‐threatening situations such as cardiac arrest and trauma (Sjolin, Lindstrom, Hult, Ringsted, & Kurland, ). Regardless, the consequence of having inadequate practical training in caring for children is that errors may occur due to lack of familiarity with paediatric patients and the equipment used in the clinical setting.…”

Section: Introductionmentioning

confidence: 99%

Parents’ experiences of the caring encounter in the ambulance service—A qualitative study

Jepsen

Rooth

Lindström

2019

Journal of Clinical Nursing

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Aims and objectives To explore the experiences of the caring encounter in the ambulance service among parents to children aged 0–14 years. Background The care provided by the ambulance team is often associated with emergency medicine, traumatology and disaster medicine. But to develop care in the ambulance service, it is imperative to understand what the parents want and value in the care for their child. Design A qualitative study design was used. Methods Interviews was used for data collection, 16 caring encounters described by 14 parents were analysed using qualitative content analysis. Reporting of this research adheres to the COREQ guidelines. Results The parents described the importance of giving the family enough time in the situation, creating a safe environment and involving the parents in the care. In cases where the parents felt insecure, there had been lack of communication and lack of sensitivity, and the ambulance team did not invite the parents to be participate in the care. Conclusions There is a need to strengthen the family‐centred care in the ambulance service. Not inviting the parents in the care and use of equipment that was nonfunctioning or not adjustable for the children’s age caused lack of trust and increased the level of stress among the parents. The parents had a positive experience and felt included when the team were calm, responsive and gave them the chance to be participants in their child’s care. Relevance to clinical practice The prehospital emergency care nurses need to be prepared for caring of children and their parents. The ambulance team also need to understand their role in providing care of children. Lack of confidence in treating children may be perceived as nonfamily‐centred care. There is need of further training concerning family‐centred care in the ambulance service.

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What an ambulance nurse needs to know: A content analysis of curricula in the specialist nursing programme in prehospital emergency care

Cited by 59 publications

References 16 publications

Patients' experiences of the caring encounter with the psychiatric emergency response team in the emergency medical service—A qualitative interview study

Patients' experiences of the caring encounter with the psychiatric emergency response team in the emergency medical service—A qualitative interview study

Improving emergency department transfer for patients arriving by ambulance: A retrospective observational study

Parents’ experiences of the caring encounter in the ambulance service—A qualitative study

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