scholarly journals The ambulance nurse experiences of non-conveying patients

2018 ◽  
Vol 28 (1-2) ◽  
pp. 235-244 ◽  
Author(s):  
Erik Höglund ◽  
Agneta Schröder ◽  
Margareta Möller ◽  
Magnus Andersson-Hagiwara ◽  
Emma Ohlsson-Nevo
Keyword(s):  
Ambulance Nurse

scholarly journals Quality of solo ambulance care by physician assistants versus ambulance nurses for non-conveyed patients in the Netherlands: An observational study

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 357
Author(s):  
Lilian Vloet ◽  
Daniël Winterink ◽  
Aico Gerritsen ◽  
Wim Heutz ◽  
Thijs van Zonneveld ◽  
...  
Keyword(s):  
Patient Experience ◽  
Emergency Care ◽  
Physician Assistants ◽  
Care Process ◽  
Care Providers ◽  
Follow Up Care ◽  
Clinically Significant ◽  
And Behavior ◽  
Ambulance Nurse

Background The aim of this study was to compare the ambulance care process, follow-up care and patient experience between physician assistants and ambulance nurses operating as solo ambulance care providers, for a non-conveyed patient population. Methods An observational design was used. Characteristics of patients and events and the care process were retrieved from the ambulance registration database. Data on follow-up care and patient experience were collected through questionnaires. Results Of the included solo ambulance events, 49/379 (12.9%) were performed by physician assistants, 330/379 (87.1%) were performed by ambulance nurses. For initial complaints and the on-scene diagnoses there were no significant differences between the physician assistants and ambulance nurses. 90/165 (54.5%) of the patients requested follow-up care after being non-conveyed with no significant association between the PA and ambulance nurse group (p=.293). For type of follow-up care, 91.9% of the follow-up emergency care requests in this study came from patients treated by an ambulance nurse. There were no significant differences in patients’ experience for clinician attitude and behavior, treatment, and communication between physician assistants and ambulance nurses, although pain management and explanation about the non-conveyance decision could be improved Conclusions Besides small statistical but not clinically significant differences, this study indicated comparable solo ambulance care provided by a physician assistant or an ambulance nurse concerning the care process, follow-up care and patient experience. Patients treated by physician assistants seek less follow-up emergency care after non-conveyance, compared to ambulance nurses. Overall, patients experienced good attitude and behavior, treatment, and communication of the solo ambulance professional. Future well powered studies to gain insight in effects of PAs in ambulance care are needed, as well as studies in which PAs apply all additional skills they are licensed to.

scholarly journals 41 National early warning score (NEWS) evaluation in an ambulance-nurse: one-year experience in portugal

2019 ◽  
Author(s):  
P Vasconcelos ◽  
A Oliveira ◽  
T Augusto ◽  
L Ladeira ◽  
J Lourenço ◽  
...  
Keyword(s):  
Early Warning ◽  
Early Warning Score ◽  
National Early Warning Score ◽  
One Year ◽  
Ambulance Nurse

scholarly journals 34 The diagnostic and therapeutic pathway of the patient with SCA: Nursing&Tech assistance

2021 ◽  
Vol 23 (Supplement_G) ◽  
Author(s):  
Stefano Santucci ◽  
Domenico Franchetti ◽  
David Emanuelli ◽  
Martina Cerulli ◽  
Sara Marcotuttli ◽  
...  
Keyword(s):  
Heart Disease ◽  
Ionizing Radiation ◽  
Electric Shock ◽  
Therapeutic Process ◽  
Vascular Occlusion ◽  
Clinical Indication ◽  
Diagnostic Systems ◽  
Basic Care ◽  
Nursing Team ◽  
Ambulance Nurse

Abstract Cardiomyopathies to be the first cause of death. The patient who suffers from acute heart disease, after clinical evaluation, is subjected to a diagnostic–therapeutic process that involves several professional figures which include the doctor and the ambulance nurse, the doctor and all the emergency room staff who accept the patient and, if the clinical indication is oriented towards a vascular occlusion disease, the doctor and the technical-nursing team of the haemodynamics service activated in urgency. To diagnose with certainty the presence of vascular disease we make use of diagnostic systems that use ionizing radiation; the haemodynamics team thus finds itself operating not only in urgent conditions but also in dangerous conditions due to the presence of ionizing radiation. Nursing and technical staff need additional skills to be able to take on roles from basic care to emergency electric shock resuscitation. The purpose of this work is to illustrate the phases of the activity that stabilize the treatment in the hemodynamics room from the acute phase to the patient.

scholarly journals What is dignity in prehospital emergency care?

2015 ◽  
Vol 24 (3) ◽  
pp. 268-278 ◽  
Author(s):  
Anna Abelsson ◽  
Lillemor Lindwall
Keyword(s):  
Emergency Care ◽  
Critical Incident ◽  
Critical Incidents ◽  
Emergency Situation ◽  
Prehospital Emergency Care ◽  
Prehospital Emergency ◽  
Being There ◽  
Nurse Students ◽  
Ambulance Nurse ◽  
Specialist Ambulance Nurse

Background: Ethics and dignity in prehospital emergency care are important due to vulnerability and suffering. Patients can lose control of their body and encounter unfamiliar faces in an emergency situation. Objective: To describe what specialist ambulance nurse students experienced as preserved and humiliated dignity in prehospital emergency care. Research design: The study had a qualitative approach. Method: Data were collected by Flanagan’s critical incident technique. The participants were 26 specialist ambulance nurse students who described two critical incidents of preserved and humiliated dignity, from prehospital emergency care. Data consist of 52 critical incidents and were analyzed with interpretive content analysis. Ethical considerations: The study followed the ethical principles in accordance with the Declaration of Helsinki. Findings: The result showed how human dignity in prehospital emergency care can be preserved by the ambulance nurse being there for the patient. The ambulance nurses meet the patient in the patient’s world and make professional decisions. The ambulance nurse respects the patient’s will and protects the patient’s body from the gaze of others. Humiliated dignity was described through the ambulance nurse abandoning the patient and by healthcare professionals failing, disrespecting, and ignoring the patient. Discussion: It is a unique situation when a nurse meets a patient face to face in a critical life or death moment. The discussion describes courage and the ethical vision to see another human. Conclusion: Dignity was preserved when the ambulance nurse showed respect and protected the patient in prehospital emergency care. The ambulance nurse students’ ethical obligation results in the courage to see when a patient’s dignity is in jeopardy of being humiliated. Humiliated dignity occurs when patients are ignored and left unprotected. This ethical dilemma affects the ambulance nurse students badly due to the fact that the morals and attitudes of ambulance nurses are reflected in their actions toward the patient.

scholarly journals Ethical conflicts in patient relationships: Experiences of ambulance nursing students

2020 ◽  
Vol 27 (4) ◽  
pp. 946-959
Author(s):  
Anders Bremer ◽  
Mats Holmberg
Keyword(s):  
Decision Making ◽  
Nursing Students ◽  
Patient Autonomy ◽  
Educational Programme ◽  
Best Interest ◽  
Ethical Conflicts ◽  
Textual Data ◽  
Problematic Situations ◽  
Patient Relationships ◽  
Ambulance Nurse

Background Working as an ambulance nurse involves facing ethically problematic situations with multi-dimensional suffering, requiring the ability to create a trustful relationship. This entails a need to be clinically trained in order to identify ethical conflicts. Aim To describe ethical conflicts in patient relationships as experienced by ambulance nursing students during clinical studies. Research design An exploratory and interpretative design was used to inductively analyse textual data from examinations in clinical placement courses. Participants The 69 participants attended a 1-year educational programme for ambulance nurses at a Swedish university. Ethical considerations The research was conducted in accordance with the Declaration of Helsinki. Participants gave voluntary informed consent for this study. Findings The students encountered ethical conflicts in patient relationships when they had inadequate access to the patient’s narrative. Doubts regarding patient autonomy were due to uncertainty regarding the patient’s decision-making ability, which forced students to handle patient autonomy. Conflicting assessments of the patient’s best interest added to the conflicts and also meant a disruption in patient focus. The absence of trustful relationships reinforced the ethical conflicts, together with an inadequacy in meeting different needs, which limited the possibility of providing proper care. Discussion Contextual circumstances add complexity to ethical conflicts regarding patient autonomy, dependency and the patient’s best interest. Students felt they were fluctuating between paternalism and letting the patient choose, and were challenged by considerations regarding the patient’s communication and decision-making ability, the views of third parties, and the need for prioritisation. Conclusion The essence of the patient relationship is a struggle to preserve autonomy while focusing on the patient’s best interest. Hence, there is a need for education and training that promotes ethical knowledge and ethical reflection focusing on the core nursing and caring values of trust and autonomy, particularly in situations that affect the patient’s decision-making ability.

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