Change search
Link to record
Permanent link

Direct link
BETA
Publications (10 of 53) Show all publications
Abelsson, A. (2019). Anxiety caused by simulated prehospital emergency care. Clinical Simulation in Nursing, 29, 24-28
Open this publication in new window or tab >>Anxiety caused by simulated prehospital emergency care
2019 (English)In: Clinical Simulation in Nursing, ISSN 1876-1399, E-ISSN 1876-1402, Vol. 29, p. 24-28Article in journal (Refereed) Published
Abstract [en]

During the simulation, participants experience different degrees of stress and anxiety. It could be described as “Anxiety is like perpetually hearing the enemy music but never seeing the threat”. This study aimed to describe the Emergency Medical Services personnel's feelings of anxiety during simulation. The study had a qualitative design with interviews of 28 participants. The data were analyzed using content analysis. The result shows how the simulation could be perceived as a stage performance in the form of a theatre. The perceived acting was unpleasant and embarrassing due to unfamiliarity to perform. To be scrutinized meant having spectators reviewing ones' performance. It was considered more natural to care for actors than manikins. The interaction and connection with a human, even unconscious, were more natural. To care for a human did not require the imagination to empathize in the simulation.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
simulation, manikin, anxiety, prehospital emergency care, Emergency Medical Services
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-43323 (URN)10.1016/j.ecns.2019.02.004 (DOI)000462175200004 ()2-s2.0-85062713236 (Scopus ID)
Available from: 2019-03-13 Created: 2019-03-13 Last updated: 2019-08-30Bibliographically approved
Abelsson, A. & Lundberg, L. (2019). CPR performed in battlefield emergency care. Australasian Journal of Paramedicine, 16, 1-9
Open this publication in new window or tab >>CPR performed in battlefield emergency care
2019 (English)In: Australasian Journal of Paramedicine, ISSN 2202-7270, Vol. 16, p. 1-9Article in journal (Refereed) Published
Abstract [en]

Introduction

During military missions medical care is provided to military personnel as well as civilians. Although cardiopulmonary resuscitation (CPR) may not be a common task in a military field hospital, all personnel need to be trained to deal with cardiac arrest.

Methods

This study was a comparative simulation study. Participants (n=36) from the Swedish armed forces performed CPR for 2 minutes at one of three different locations: at ground level, a military bed, or a transportable military stretcher. Compression depth and rate after 2 minutes of CPR and at the time of the participants’ own request to be relieved were measured. Descriptive and inferential analysis was conducted.

Results

There is a direct correlation between compression depth and working level, concluding that the higher working level, the lower the compression depth. There is in total an overall low percentage of participants within limits for correctly conducted CPR regarding both compression depth and rate. Time to fatigue is related to working level, where increased level results in early fatigue.

Conclusion

The quality of CPR is affected by the level at which it is performed. The quality of CPR was satisfactory when working at ground level, but suboptimal when working at hospital bed level or military stretcher level. When working at raised levels, participants appeared to misjudge their own compression depth and rate. This may indicate that changes are needed when CPR is practised in the military hospital setting. Future studies regarding the use footstools are required due to the height of military beds and transportable stretchers.

Place, publisher, year, edition, pages
The Official Journal of Paramedics Australasia, 2019
Keywords
military medical personnel; CPR; simulation
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-43101 (URN)10.33151/ajp.16.610 (DOI)2-s2.0-85065257284 (Scopus ID)
Available from: 2019-02-19 Created: 2019-02-19 Last updated: 2019-06-05Bibliographically approved
Abelsson, A. (2019). First response emergency care - experiences described by firefighters. International Journal of Emergency Services, 8, 247-258
Open this publication in new window or tab >>First response emergency care - experiences described by firefighters
2019 (English)In: International Journal of Emergency Services, ISSN 2047-0894, E-ISSN 2047-0908, Vol. 8, p. 247-258Article in journal (Refereed) Published
Abstract [en]

Purpose – The purpose of this paper was to describe firefighters’ experiences of First Response Emergency Care.

Design/methodology/approach – An explorative descriptive design with a qualitative approach. Data was collected through group interviews of 35 firefighters and subjected to qualitative content analysis.

Findings – The results showed that the firefighters’ professional role and their uniform serve as protection against mentally strenuous situations. It is important to protect the dignity of the injured or dead, as well as to protect and safeguard colleagues from the experience of the tragedy of an accident. Having a solid and sterling medical education gives a sense of security when providing emergency care, as well as when caring for the relatives. Debriefing brings thoughts and feelings to the surface for processing and closure. The sense of sadness lingers for those they were unable to save, or the ones that had been dead on arrival or were forgotten.

Originality/value – A firefighter’s work situation is exposed and stressful. The firefighter’s uniform as a mental barrier, colleagues, time to mentally prepare and being allowed to show feelings are factors all needed to cope. It is therefore important to encourage, promote and strengthen the protective role of camaraderie for the firefighter, which can likely be emphasized for other uniform-wearing professions such as police, military and ambulance personell. Being acknowledged for their contribution to other peoples’ lives and wellbeing can confirm the firefighters’ importance.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2019
Keywords
First Response Emergency Care, Firefighters
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-42154 (URN)10.1108/IJES-05-2018-0026 (DOI)000493804300003 ()2-s2.0-85058448141 (Scopus ID)
Available from: 2018-11-28 Created: 2018-11-28 Last updated: 2019-11-28Bibliographically approved
Abelsson, A., Appelgren, J. & Axelsson, C. (2019). Low-dose, high-frequency CPR training with feedback for firefighters. International Journal of Emergency Services, 8(1), 64-72
Open this publication in new window or tab >>Low-dose, high-frequency CPR training with feedback for firefighters
2019 (English)In: International Journal of Emergency Services, ISSN 2047-0894, E-ISSN 2047-0908, Vol. 8, no 1, p. 64-72Article in journal (Refereed) Published
Abstract [en]

Purpose

The purpose of this paper is to investigate the effects of the intervention of low-dose, high-frequency cardiopulmonary resuscitation (CPR) training with feedback for firefighters for one month.

Design/methodology/approach

The study had a quantitative approach. Data were collected through an intervention by means of simulation. The data collection consisted of a pre- and post-assessment of 38 firefighter’s CPR performance.

Findings

There was a statistically significant improvement from pre- to post-assessment regarding participants’ compression rates. Compression depth increased statistically significantly to average 2 mm too deep in the group. Recoil decreased in the group with an average of 1 mm for the better. There was a statistically significant improvement in participants’ ventilation volume from pre- to post-assessment.

Originality/value

Prehospital staff such as firefighters, police, and ambulance perform CPR under less than optimal circumstances. It is therefore of the utmost importance that these professionals are trained in the best possible way. The result of this study shows that low-dose, high-frequency CPR training with an average of six training sessions per month improves ventilation volume, compression depth, rate, and recoil. This study concludes that objective feedback during training enhances the firefighters’ CPR skills which in turn also could be applied to police and ambulance CPR training.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2019
Keywords
CPR, Emergency medical technicians, Firefighter, Objective feedback, Low-dose, High frequency
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-39781 (URN)10.1108/IJES-01-2018-0001 (DOI)000465413600006 ()2-s2.0-85047663183 (Scopus ID)
Available from: 2018-06-04 Created: 2018-06-04 Last updated: 2019-05-10Bibliographically approved
Abelsson, A. & Lundberg, L. (2019). Military medical personnel's perceptions of treating battle injuries. Journal of military and veterans health, 27(2), 10-17
Open this publication in new window or tab >>Military medical personnel's perceptions of treating battle injuries
2019 (English)In: Journal of military and veterans health, ISSN 1835-1271, E-ISSN 1839-2733, Vol. 27, no 2, p. 10-17Article in journal (Refereed) Published
Abstract [en]

Purpose: To evaluate military personnel’s self-rated perceptions of their knowledge, experience and training after high-fidelity battle injury simulation.

Design: 26 military medical personnel participated in this quantitative study. Data was collected using a questionnaire after a six-day exercise where participants self-rated 10 statements regarding having sufficient medical, practical and ethical knowledge, experience and training. Descriptive and inferential analyses were conducted to obtain the results.

Results: Nurses rated themselves statistically significantly higher than medics in having sufficient medical knowledge and experience, practical knowledge, experience and training, as well as ethical knowledge and experience. The nurses also rated themselves statistically significantly higher than physicians in having practical knowledge, experience and training. Physicians’ self-rated perception was low regarding sufficient knowledge, experience and training in practical skills. Physicians, nurses and medics all reported low ratings for sufficient training in ethical issues.

Discussion: Military medical personnel are required to have the knowledge and skills to work autonomously in challenging and threatening environments. For personnel that seldom see battlefield-like injuries, a clinical placement in a country with a high frequency of battlefield-like injuries would be advisable. A comparison between subjective and objective assessments may identify deficiencies in competence, which can negatively impact quality of care.

Place, publisher, year, edition, pages
Australasian Military Medicine Association, 2019
Keywords
Emergency care, ethics, questionnaire, physician, nurse, medic
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-43978 (URN)000469393500003 ()POA HHJ 2019 (Local ID)POA HHJ 2019 (Archive number)POA HHJ 2019 (OAI)
Available from: 2019-06-03 Created: 2019-06-03 Last updated: 2019-06-14Bibliographically approved
Abelsson, A. & Lundberg, L. (2019). Simulation as a means to develop firefighters as emergency care professionals. International Journal of Occupational Safety and Ergonomics, 25(4), 650-657
Open this publication in new window or tab >>Simulation as a means to develop firefighters as emergency care professionals
2019 (English)In: International Journal of Occupational Safety and Ergonomics, ISSN 1080-3548, E-ISSN 2376-9130, Vol. 25, no 4, p. 650-657Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: The aim of this study was to evaluate the simulated emergency care performed by firefighters and their perception of simulation as an educational method.

METHODS: This study had a mixed method with both a quantitative and a qualitative approach. Data were collected by simulation assessment, a questionnaire, and written comments. Descriptive analysis was conducted on the quantitative data whereas a qualitative content analysis was conducted on the qualitative data. Finally, a contingent analysis was used where a synthesis configured both the quantitative and the qualitative results into a narrative result.

RESULTS: The cognitive workload that firefighters face during simulated emergency care is crucial for learning. In this study, the severity and complexity of the scenarios provided were higher than expected by the firefighters. Clearly stated conditions for the simulation and constructive feedback were considered positive for learning. Patient actors induced realism in the scenario, increasing the experience of stress, in comparison to a manikin.

CONCLUSION: To simulate in a realistic on-scene environment increases firefighters' cognitive ability to critically analyze problems and manage emergency care. Simulation of emergency care developed the firefighters as professionals.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
cognitive load, contingent analysis synthesis, emergency care, firefighter, simulation
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-42856 (URN)10.1080/10803548.2018.1541122 (DOI)000477961300019 ()30362390 (PubMedID)2-s2.0-85060030635 (Scopus ID)HOA HHJ 2019 (Local ID)HOA HHJ 2019 (Archive number)HOA HHJ 2019 (OAI)
Available from: 2019-02-04 Created: 2019-02-04 Last updated: 2019-08-14Bibliographically approved
Abelsson, A. & Nygårdh, A. (2019). To enhance the quality of CPR performed by youth layman. International Journal of Emergency Medicine, 12(1), Article ID 30.
Open this publication in new window or tab >>To enhance the quality of CPR performed by youth layman
2019 (English)In: International Journal of Emergency Medicine, ISSN 1865-1372, E-ISSN 1865-1380, Vol. 12, no 1, article id 30Article in journal (Refereed) Published
Abstract [en]

By educating laymen, survival after cardiac arrest can increase in society. It is difficult to reach the entire population with cardiopulmonary resuscitation (CPR) training. However, if 15% of the population knows how to perform CPR, an increase in short- and long-term survival in patients suffering a cardiac arrest could be seen. To educate youth is a way to reach parts of the population. This study aimed to investigate the effect of a 2-h CPR intervention for youth.

Place, publisher, year, edition, pages
BioMed Central, 2019
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-46501 (URN)10.1186/s12245-019-0247-6 (DOI)000489046500001 ()31590653 (PubMedID)2-s2.0-85073150422 (Scopus ID)GOA HHJ 2019 (Local ID)GOA HHJ 2019 (Archive number)GOA HHJ 2019 (OAI)
Available from: 2019-10-08 Created: 2019-10-08 Last updated: 2019-10-24Bibliographically approved
Abelsson, A., Lindwall, L., Suserud, B.-O. & Rystedt, I. (2018). Ambulance nurses’ competence and perception of competence in prehospital trauma care. Emergency Medicine International, 2018, Article ID 5910342.
Open this publication in new window or tab >>Ambulance nurses’ competence and perception of competence in prehospital trauma care
2018 (English)In: Emergency Medicine International, ISSN 2090-2840, E-ISSN 2090-2859, Vol. 2018, article id 5910342Article in journal (Refereed) Published
Abstract [en]

Introduction. We focus on trauma care conducted in the context of a simulated traumatic event. This is in this study defined as a four-meter fall onto a hard surface, resulting in severe injuries to extremities in the form of bilateral open femur fractures, an open tibia fracture, and a closed pelvic fracture, all fractures bleeding extensively. 

Methods. The simulated trauma care competence of 63 ambulance nurses in prehospital emergency care was quantitatively evaluated along with their perception of their sufficiency. Data was collected by means of simulated trauma care and a questionnaire. 

Results. Life-saving interventions were not consistently performed. Time to perform interventions could be considered long due to the life-threatening situation. In comparison, the ambulance nurses’ perception of the sufficiency of their theoretical and practical knowledge and skills for trauma care scored high. In contrast, the perception of having sufficient ethical training for trauma care scored low. 

Discussion. This study suggests there is no guarantee that the ambulance nurses’ perception of theoretical and practical knowledge and skill level corresponds with their performed knowledge and skill. The ambulance nurses rated themselves having sufficient theoretical and practical knowledge and skills while the score of trauma care can be considered quite low.

Place, publisher, year, edition, pages
Hindawi Publishing Corporation, 2018
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-39212 (URN)10.1155/2018/5910342 (DOI)000431616600001 ()29850251 (PubMedID)
Available from: 2018-04-24 Created: 2018-04-24 Last updated: 2018-07-11Bibliographically approved
Abelsson, A. & Lundberg, L. (2018). Cardiopulmonary resuscitation quality during CPR practice versus during a simulated life-saving event. International Journal of Occupational Safety and Ergonomics, 24(4), 652-655
Open this publication in new window or tab >>Cardiopulmonary resuscitation quality during CPR practice versus during a simulated life-saving event
2018 (English)In: International Journal of Occupational Safety and Ergonomics, ISSN 1080-3548, E-ISSN 2376-9130, Vol. 24, no 4, p. 652-655Article in journal (Refereed) Published
Abstract [en]

Introduction. As a part of the emergency medical services, the Swedish fire brigade can increase the survival rate in out-of-hospital cardiac arrests.

Aim. To compare the quality of cardiopulmonary resuscitation (CPR) performed by firefighters at a routine CPR practice versus when involved in a simulated life-saving event.

Methods. In this study, 80 firefighters divided into two groups performed CPR according to guidelines: one group indoors during a routine training session; the other group outdoors during a smoke diving exercise wearing personal protective clothing and self-contained breathing apparatus. Descriptive and inferential statistics were used to analyze the data.

Results. The results showed a tendency for the outdoor group to perform CPR with better ventilation and compression quality, as compared to the indoor group. The ventilation of the manikin was not hampered by the firefighters wearing personal protective clothes and self-contained breathing apparatus, as the Swedish firefighters remove their facial mask and ventilate the patient with their mouth using a pocket mask.

Conclusions. Overall, the results in both groups showed a high quality of CPR which can be related to the fire brigade training and education traditions. CPR training is regularly performed, which in turn helps to maintain CPR skills.

Place, publisher, year, edition, pages
Taylor & Francis, 2018
Keywords
cardiopulmonary resuscitation, firefighter, practice, simulation, smoke diving
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-41499 (URN)10.1080/10803548.2018.1502962 (DOI)000450275500017 ()30059279 (PubMedID)2-s2.0-85055831128 (Scopus ID)
Available from: 2018-09-19 Created: 2018-09-19 Last updated: 2018-11-30Bibliographically approved
Lerjestam, K., Willman, A., Andersson, I. & Abelsson, A. (2018). Enhancing the quality of CPR performed by laypeople. Australasian Journal of Paramedicine, 15(4)
Open this publication in new window or tab >>Enhancing the quality of CPR performed by laypeople
2018 (English)In: Australasian Journal of Paramedicine, ISSN 2202-7270, Vol. 15, no 4Article in journal (Refereed) Published
Abstract [en]

Introduction

The prognosis of survival for a person suffering from cardiac arrest increases when a layperson performs cardiopulmonary resuscitation (CPR) on-site. In Sweden, providing CPR training to people working in public places is considered a social benefit.

Objective

The aim of this study was to investigate the effect of a 3-hour CPR intervention for electricians.

Methods

Data were collected through an intervention by means of simulation and consisted of a pre- and post-assessment of the participants’ CPR performance.

Results

The results show a statistically significant improvement in ventilation (41%) and quality of compression (36%).

Conclusion

With short rehearsal training, the layperson can significantly improve the quality of CPR given. In a situation of cardiac arrest, this can be crucial for the patient’s survival and continued quality of life.

Place, publisher, year, edition, pages
The Official Journal of Paramedics Australasia, 2018
Keywords
CPR, intervention, layperson, simulation
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-42368 (URN)10.33151/ajp.15.4.594 (DOI)2-s2.0-85063771054 (Scopus ID)
Available from: 2018-12-20 Created: 2018-12-20 Last updated: 2019-05-03Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-1641-6321

Search in DiVA

Show all publications