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  • 1.
    Ljungquist, Helena Nord
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    Brännström, Margareta
    Strategic Research Program in Health Care Sciences (SFO-V), ‘Bridging Research and Practice for Better Health’, Department of Nursing, Umeå University.
    Bohm, Katarina
    Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset.
    Communication and protocol compliance and their relation to the quality of cardiopulmonary resuscitation (CPR): a mixed-methods study of simulated telephone-assisted cpr.2015Ingår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 23, nr 3, s. 254-259Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: In the event of a cardiac arrest, emergency medical dispatchers (EMDs) play a critical role by providing telephone-assisted cardiopulmonary resuscitation (T-CPR) to laypersons. The aim of our investigation was to describe compliance with the T-CPR protocol, the performance of the laypersons in a simulated T-CPR situation, and the communication between laypersons and EMDs during these actions. Methods: We conducted a retrospective observational study by analysing 20 recorded video and audio files. In a simulation, EMDs provided laypersons with instructions following T-CPR protocols. These were then analysed using a mixed method with convergent parallel design. Results: If the EMDs complied with the T-CPR protocol, the laypersons performed the correct procedures in 71% of the actions. The single most challenging instruction of the T-CPR protocol, for both EMDs and laypersons, was airway control. Mean values for compression depth and frequency did not reach established guideline goals for CPR. Conclusion: Proper application of T-CPR protocols by EMDs resulted in better performance by laypersons in CPR. The most problematic task for EMDs as well for laypersons was airway management. The study results did not establish that the quality of communication between EMDs and laypersons performing CPR in a cardiac arrest situation led to statistically different outcomes, as measured by the quality and effectiveness of the CPR delivered

  • 2.
    Ljungquist, Helena Nord
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    Brännström, Margareta
    Strategic Research Program in Health Care Sciences (SFO-V), ‘Bridging Research and Practice for Better Health’, Department of Nursing, Umeå University.
    Bohm, Katarina
    Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset.
    Have communication and compliance to the telephone-assisted cardiopulmonary resuscitations protocol any importance for the quality of CPR?: A mixed method study2014Ingår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 22, nr 4, s. 266-Artikel i tidskrift (Refereegranskat)
  • 3.
    Nordén, Charlotte
    et al.
    Falck Ambulans AB, Hässleholm.
    Hult, Karin
    Jokkmokk Ambulace.
    Engström, Åsa
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Ambulance nurses’ experiences of nursing critically ill and injured children: a difficult aspect of ambulance nursing care2014Ingår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 22, s. 75-80Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BackgroundAmbulance nurses work daily in both emergency and non-emergency situations that can be demanding. One emotionally demanding situation for ambulance nurses is to nurse children who are ill.AimThe aim of this study was to describe ambulance nurses’ experiences of nursing critically ill or injured children.MethodEight specialist ambulance nurses were interviewed and the interviews were analyzed using qualitative content analysis.FindingsThe analysis resulted in one theme, a difficult aspect of ambulance nursing care, with five categories. The security of both child and parents was considered to be paramount. Ambulance nurses felt relieved when they handed over the responsibility and the child to the receiving unit. The ambulance nurses felt that more training, education and follow-up was desirable in order to increase their security when nursing children.ConclusionAmbulance nurses are subject to stressful feelings while nursing children. As providing reassurance to the child and its parents is a cornerstone of the treatment, it is important for the ambulance nurses to take the time to build up a trusting relationship in such an encounter. Skill development in the area might lead to increased security and reduce the mental burden resulting from negative stress

  • 4.
    Persson, Anna-Carin
    et al.
    Ambulance Care in Ålem and Oskarshamn.
    Engström, Åsa
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Burström, Oskar
    Resource unit in ambulance care, Jämtland/Härjedalen.
    Juuso, Päivi
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Specialist Ambulance Nurses' Experiences of Births Before Arrival2019Ingår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 43, s. 45-49Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    Working as an ambulance nurse means interacting with and caring for acutely ill and injured patients. It can even involve births before arrival to the hospital (BBA), which are rare but increasing due to the centralization of maternity wards.

    Aim

    This study describes the experiences of specialist ambulance nurses with BBA.

    Method

    A qualitative study was conducted, and nine specialist ambulance nurses who had assisted with one or more prehospital births were interviewed. Data were analysed with thematic content analysis.

    Findings

    The analysis revealed three categories that were compiled into a theme of feeling fright and exhilaration. The findings showed that BBA causes feelings of anxiety and stress. The experience is also associated with joy and relief when the baby is born. Childbirth is a situation for which specialist ambulance nurses feel less prepared, lack of knowledge, and wish for more education.

    Conclusion

    Specialist ambulance nurses face challenges in the pre-hospital care environment during BBA, with long distances, a lack of equipment aboard the ambulance, and no assistance from midwives. To feel secure in the complex role that is required when assisting with a BBA, specialist ambulance nurses should be given the opportunity to receive scenario training.

  • 5.
    Sandström, Linda
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Nilsson, Carina
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Juuso, Päivi
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Engström, Åsa
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    The helicopter as a caring context: Experiences of people suffering trauma2017Ingår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 32, s. 34-38Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction

    When emergency medical services (EMS) are needed, the choice of transport depends on several factors. These may include the patient’s medical condition, transport accessibility to the accident site and the receiving hospital’s resources. Emergency care research is advancing, but little is known about the patient’s perspective of helicopter emergency medical services (HEMS).

    Aim

    The aim of this study was to describe trauma patients’ experiences of HEMS.

    Method

    Thirteen persons (ages 21–76) were interviewed using an interview guide. Data were analyzed using qualitative content analysis.

    Findings

    The analysis resulted in three themes: Being distraught and dazed by the event – patients experienced shock and tension, as well as feelings of curiosity and excitement. Being comforted by the caregivers – as the caregivers were present and attentive, they had no need for relatives in the helicopter. Being safe in a restricted environment – the participants’ injuries were taken seriously and the caregivers displayed effective teamwork.

    Conclusion

    For trauma patients to be taken seriously and treated as ‘worst cases’ enables them to trust their caregivers and ‘hand themselves over’ to their care. HEMS provide additional advantageous circumstances, such as being the sole patient and having proximity to a small, professional team.

  • 6.
    Svedberg, Elina
    et al.
    Falck Ambulance, Haninge, Stockholm, Sweden.
    Strömbäck, Ulrica
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad och medicinsk teknik.
    Engström, Åsa
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad och medicinsk teknik.
    Women's experiences of unplanned pre-hospital births: A pilot study2020Ingår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013XArtikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction

    Prehospital births are fairly rare in Sweden but occasionally occur in the ambulance care system. The ambulance nurse's experience of prehospital births has previously been studied, but there is a lack of research that depicts the woman's perspective of a prehospital birth.

    Aim

    To describe women's experiences of unplanned prehospital births.

    Method

    A qualitative questionnaire consisting of six open-ended questions that encouraged participants to describe their prehospital-birth experience. Eight women answered the survey and nine birth stories were included. A qualitative content analysis with an inductive approach was used as an analysis method.

    Results

    The analysis of the texts resulted in four main categories. The main categories were an unpredictable event, the woman's suffering, her perceived gratitude and the importance of the ambulance nurse now and in the future. The main category of women's suffering resulted in two subcategories: physical stresses and psychological and emotional suffering.

    Conclusion

    The women are not prepared to give birth to a child outside the hospital, and the course of events happen quickly. A prehospital birth is described as a tumultuous event for women. The ambulance nurse has a central role in the care outside the hospital. The advice women suggest to ambulance nurses are remaining calm and safe no matter what the situation looks like, listening to the mother and meeting the woman's wishes. Proposals for further research are to investigate the importance of further education in childbirth care for ambulance nurses and how that affects the care of women and their family.

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