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The prehospital assessment of severe trauma patients’ by specialist ambulance nurse in Sweden-a phenomenographic study
Karlstads universitet, Avdelningen för omvårdnad.ORCID-id: 0000-0002-1641-6321
Karlstads universitet, Avdelningen för omvårdnad.ORCID-id: 0000-0002-9363-5667
2012 (Engelska)Ingår i: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, ISSN 1757-7241, E-ISSN 1757-7241, Vol. 20, s. 67-Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background

A common feature of prehospital emergency care is the short and fragmentary patient encounters with increased demands for efficient and rapid treatment. Crucial decisions are often made and the premise is the specialist ambulance nurse’s ability to capture the situation instantaneously. The assessment is therefore a pre-requisite for decisions about appropriate actions. However, the low exposure to severe trauma cases in Sweden leads to vulnerability for the specialist ambulance nurse, which makes the assessment more difficult. Our objective was to describe specialist ambulance nurses’ perceptions of assessing patients exposed to severe trauma.

Methods

This study had a phenomenographic approach and was performed in 2011 as an interview study. 15 specialist ambulance nurses with a minimum of 2.5 years of experience from praxis were included. The analysis of data was performed using phenomenography according to Marton.

Results

The perceptions of assessing patients exposed to severe trauma were divided into: To be prepared for emergency situations, Confidence in one’s own leadership and Developing professional knowledge.

Conclusions

This study reveals that the specialist ambulance nurse, on the scene of accident, finds the task of assessment of severe trauma patients difficult and complicated. In some cases, even exceeding what they feel competent to accomplish. The specialist ambulance nurses feel that no trauma scenarios are alike and that more practical skills, more training, exercise and feedback are needed.

Ort, förlag, år, upplaga, sidor
BioMed Central, 2012. Vol. 20, s. 67-
Nyckelord [en]
Specialist ambulance nurse; Assessment; Prehospital care; Severe trauma; Phenomenography
Nationell ämneskategori
Medicin och hälsovetenskap
Forskningsämne
Omvårdnad
Identifikatorer
URN: urn:nbn:se:hj:diva-37690DOI: 10.1186/1757-7241-20-67ISI: 000312636000001PubMedID: 22985478OAI: oai:DiVA.org:hj-37690DiVA, id: diva2:1150824
Tillgänglig från: 2013-06-05 Skapad: 2017-10-20 Senast uppdaterad: 2017-11-29Bibliografiskt granskad
Ingår i avhandling
1. Simulering som lärande inom prehospital akutsjukvård
Öppna denna publikation i ny flik eller fönster >>Simulering som lärande inom prehospital akutsjukvård
2017 (Svenska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Alternativ titel[en]
Simulation as learning in prehospital emergency care
Abstract [sv]

Den prehospitala akutsjukvården är ett komplext kunskapsfält som innebär att vårdaren skall kunna bemöta patient och närstående, bedöma skada, sjukdom och den aktuella situationen samt avgöra vilka vårdåtgärder som skall prioriteras.

Patientens lidande kan lindras genom att vårdaren tränar färdigheter i ett prehospitalt kontext. Detta främjar en god och säker vård samt stärker patientens möjligheter till överlevnad.

Resultatet visar på behovet av simulering inom prehospital akutsjukvård. Med simulering lär sig vårdaren att hantera realistiska, dynamiska och komplexa vårdsituationer, vilket skapar kunskaper, färdigheter och erfarenheter av omhändertagande av patient drabbad av högenergitrauma. Simuleringens utformning och miljö skapar förutsättningar för lärandet vilket framkommer i interventionsstudien.

Utifrån resultatet i föreliggande forskning utvecklas en modell för lärande med hjälp av simulering.

Abstract [en]

The overall aim of the research was to deepen the understanding of learning through simulation in prehospital emergency care.

Method: In this research, qualitative and quantitative methods are used as well as integrative literature studies (I, II). Qualitative data from the interview studies (III, V) were analyzed by phenomenographic methodology. Quantitative data from the intervention study (IV) were analyzed using descriptive and analytical statistics.

Results: Research on simulation and learning within the prehospital trauma care context is relatively rare (I). Simulation of realistic scenarios where the caregivers are exposed to stress contributes to strengthen caregiver knowledge, skills and experience (II). Caregivers request simulation opportunities regarding critical and emergency situations (III). They describe that learning through regular simulation provides in-depth knowledge and skills in the care of a patient exposed to high-energy trauma (V). Interventions with repeated simulation opportunities related to the care of the patient exposed to high-energy trauma give some improvement in care provided at the site of the accident (IV).

Conclusion: Through simulation, the caregivers develop knowledge and skills and receive enhanced confidence in the care of an injured and sick patient. The research suggests several areas with potential for improvement with regard to the care of patients exposed to high-energy trauma. A model has been developed for systematic trauma simulation.

 

Ort, förlag, år, upplaga, sidor
Karlstad: Karlstads universitet, 2017. s. 123
Nyckelord
simulation, learning, nurse, high-energy trauma, ambulance, simulering, lärande, sjuksköterska, högenergitrauma, ambulans
Nationell ämneskategori
Omvårdnad
Forskningsämne
Omvårdnad
Identifikatorer
urn:nbn:se:hj:diva-37761 (URN)978-91-7063-765-0 (ISBN)978-91-7063-766-7 (ISBN)
Disputation
2017-05-12, 1A305, Lagerlöfsalen, Universitetsgatan 2, 10:00 (Svenska)
Opponent
Handledare
Tillgänglig från: 2017-10-20 Skapad: 2017-10-20 Senast uppdaterad: 2017-10-20Bibliografiskt granskad

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Abelsson, Anna

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Abelsson, AnnaLindwall, Lillemor
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Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Medicin och hälsovetenskap

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