Doohan Isabelle, Saveman Britt-Inger
Department of Surgery and Perioperative Sciences, Section of Surgery, Umeå University, SE-90187 Umeå, Sweden; Department of Nursing, Umeå University, SE-90187 Umeå, Sweden.
Department of Surgery and Perioperative Sciences, Section of Surgery, Umeå University, SE-90187 Umeå, Sweden; Department of Nursing, Umeå University, SE-90187 Umeå, Sweden; Affiliated to Arctic Research Centre, Umeå University, SE-90187 Umeå, Sweden.
Int Emerg Nurs. 2015 Apr;23(2):115-9. doi: 10.1016/j.ienj.2014.08.008. Epub 2014 Aug 27.
To explore the survivors' experiences after a major bus crash.
Survivors' experiences of emergency care after transportation related major incidents are relatively unexplored, with research involving survivors mainly focused on pathological aspects or effects of crisis support.
Semi-structured telephone interviews were conducted with 54 out of 56 surviving passengers 5 years after a bus crash in Sweden. Interviews were analyzed using qualitative content analysis.
Prehospital discomfort, lack of compassionate care, dissatisfaction with crisis support and satisfactory initial care and support are the categories. Lack of compassion in emergency departments was identified as a main finding. Lack of compassion caused distress among survivors and various needs for support were not met. Survivors' desire to be with their fellow survivors the day of the crash was not facilitated after arriving at emergency departments.
Connectedness among survivors ought to be promoted upon arrival at emergency departments. There is a need for emergency department professionals to be sufficiently educated in compassionate care.
探讨重大公交车事故幸存者的经历。
在交通相关重大事件后，幸存者接受急救护理的经历相对未被充分研究，涉及幸存者的研究主要集中在病理方面或危机支持的影响。
在瑞典发生公交车事故5年后，对56名幸存乘客中的54名进行了半结构化电话访谈。采用定性内容分析法对访谈进行分析。
院前不适、缺乏关怀护理、对危机支持不满意以及初始护理和支持令人满意是分类结果。急诊部门缺乏同情心被确定为主要发现。缺乏同情心给幸存者带来了痛苦，各种支持需求未得到满足。幸存者在事故当天与其他幸存者在一起的愿望在到达急诊部门后没有得到促进。
幸存者到达急诊部门后，应促进他们之间的联系。急诊部门的专业人员需要接受充分的关怀护理教育。
