Department of Nursing, Karlstad University, Karlstad, Sweden.
Scand J Trauma Resusc Emerg Med. 2012 Sep 18;20:67. doi: 10.1186/1757-7241-20-67.
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.
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.
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.
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.
院前急救的一个共同特点是患者的短暂和零碎接触，同时对高效和快速治疗的需求增加。通常需要做出关键决策，前提是专业急救护士能够立即捕捉到情况。因此，评估是做出适当行动决策的前提。然而，瑞典接触严重创伤病例的机会较少，这使得专业急救护士变得脆弱，从而使评估更加困难。我们的目的是描述专业急救护士对评估暴露于严重创伤患者的看法。
本研究采用现象学方法，于 2011 年进行了一项访谈研究。纳入了 15 名具有至少 2.5 年实践经验的专业急救护士。数据的分析采用了根据马顿的现象学方法进行。
评估暴露于严重创伤患者的观点分为：为紧急情况做好准备、对自己的领导力有信心和发展专业知识。
本研究表明，事故现场的专业急救护士发现评估严重创伤患者的任务既困难又复杂。在某些情况下，甚至超出了他们认为自己有能力完成的范围。专业急救护士认为没有两个创伤场景是相同的，需要更多的实践技能、培训、练习和反馈。
