Faculty of Medicine and Health, School of Health and Medical Sciences, Örebro University, Orebro, Sweden; Department of Clinical Science and Education Södersjukhuset, Karolinska Institute, Sweden.
Academic EMS in Stockholm, Sweden; Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institute, Stockholm, Sweden.
Int Emerg Nurs. 2020 Jul;51:100890. doi: 10.1016/j.ienj.2020.100890. Epub 2020 Jun 5.
The ambulance care setting is complex and unpredictable and the personnel must prepare for upcoming assignments. Prehospital emergency care nurses (PENs), are frequently exposed to critical incidents (CIs). There are, to our knowledge, no prior studies describing experiences of requirements for management of caring for a patient during a CI in the ambulance care context. Therefore, the aim of the study was to explore PENs' experiences of care in CIs.
A qualitative research design with content analysis has been used, based on semi-structured interviews with eleven PENs in Sweden.
PENs' experiences can be described as: "In a critical incident, personal ability based on experiential knowledge is central to patient care". Three generic categories underpinned the main category: "Clinical expertise", "Professional approach" and "Broad knowledge base".
The care given during a CI in the ambulance care setting depends on PENs' personal ability based on experiential knowledge. Employers need to build an organization providing prerequisites and support during an CI. Suggested activities are to create forums for PENs to share experiences with each other, possibility to get feedback on completed assignments and continued training to develop new knowledge and be prepared for the unpredictable environment that characterizes CI.
救护车护理环境复杂且不可预测，工作人员必须为即将到来的任务做好准备。院前急救护士（PENs）经常接触到危急事件（CIs）。据我们所知，目前尚无研究描述在救护车护理环境中应对 CI 期间患者护理的管理要求方面的经验。因此，本研究旨在探讨 PENs 在 CI 中的护理经验。
本研究采用定性研究设计和内容分析，基于对瑞典 11 名 PENs 的半结构化访谈。
PENs 的经验可以描述为：“在危急事件中，基于经验知识的个人能力是患者护理的核心”。三个通用类别为主要类别提供了基础：“临床专业知识”、“专业方法”和“广泛的知识基础”。
在救护车护理环境中，CI 期间的护理取决于 PENs 基于经验知识的个人能力。雇主需要建立一个在 CI 期间提供前提条件和支持的组织。建议的活动包括为 PENs 创造相互分享经验的论坛、对已完成任务提供反馈的可能性以及持续培训以发展新知识并为以 CI 为特征的不可预测环境做好准备。
