Pre-hospital emergency nurse specialist's experiences in caring for patients with non-specific chief complaints in the ambulance - A qualitative interview study

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Ivic , R , Vicente , V , Kurland , L , Svensson , J , Klintemård , R S , Castren , M & Bohm , K 2022 , ' Pre-hospital emergency nurse specialist's experiences in caring for patients with non-specific chief complaints in the ambulance - A qualitative interview study ' , International Emergency Nursing , vol. 63 , 101178 . https://doi.org/10.1016/j.ienj.2022.101178

Title: Pre-hospital emergency nurse specialist's experiences in caring for patients with non-specific chief complaints in the ambulance - A qualitative interview study
Author: Ivic, R.; Vicente, V.; Kurland, L.; Svensson, J.; Klintemård, R. Sahdev; Castren, M.; Bohm, K.
Contributor organization: HUS Emergency Medicine and Services
Department of Diagnostics and Therapeutics
Clinicum
Date: 2022-07
Language: eng
Number of pages: 6
Belongs to series: International Emergency Nursing
ISSN: 1755-599X
DOI: https://doi.org/10.1016/j.ienj.2022.101178
URI: http://hdl.handle.net/10138/346470
Abstract: Background: Pre-hospital emergency nurse (PEN) specialists are faced with patients presenting with non-specific chief complaints (NSC) to the emergency medical service (EMS) on a daily basis. These patients are often elderly and one in three has a serious condition and their acuity is not recognized. Objective: The aim of the current study was to explore PEN specialists' experiences in caring for patients presenting with non-specific chief complaints. Design: A qualitative study design with eleven individual interviews of PENs, between 2018 and 2020. Qualitative content analysis was used. Results: The analyses generated three categories including subcategories. The categories were "Unexplained suffering". "Systematic approach and experience enhances medical safety". "Organizational processes can be optimized". The relation between the categories compiled as 'In-depth systematic assessment is perceived to reduce suffering and increases patient safety. Conclusion: The PENs experiences in caring for patients presenting with non-specific chief complaints show that an in-depth systematic assessment may lead to a meaningful caring encounter which enables the identification of the cause of the chief complaint. Experience and a systematic approach were considered as essential to enhance medical safety. This could be strengthened through feedback on the nurse's care provided by care managers and employers. To optimize organizational processes, the development of the opportunity to convey the patient to different levels of care can be an important component.
Subject: Emergency medical services
Non-specific chief complaints
Emergency medicine
Nursing
Pre-hospital emergency nurse
Pre-hospital assessment
TRIAGE
ACCOUNTS
316 Nursing
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion


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