Department of Health Sciences, Lund University, SE-221 00 Lund, Sweden.
Emergency Department, Helsingborg General Hospital, SE-205 01 Helsingborg, Sweden.
Int J Environ Res Public Health. 2020 Jul 13;17(14):5018. doi: 10.3390/ijerph17145018.
Although nursing is the main area of interest in the curriculum of the specialist ambulance nursing program in the advanced level of education, there has been reported a lack of knowledge about nursing in within the ambulance service. The aim was to explore specialist ambulance nurses' perceptions of nursing, which were explored by employing a phenomenographic approach. The study comprises individual interviews with 19 strategically selected specialist ambulance nurses. The results showed seven descriptive categories emerged detailing the variations in how the specialist ambulance nurses perceive, understand, and conceptualize the phenomenon of nursing in the Swedish Ambulance Service. Four categories revealed the specialist ambulance nurses' qualitatively different perceptions of nursing, i.e., their role and responsibility, while three showed perceived barriers to assuming their role and responsibility, comprising culture and leadership, conditions, and framework. The seven categories are outlined in the outcome space. In conclusion, there is a very wide variety of perceptions of ambulance nursing within the Swedish Ambulance Service. There is a need for implement the nursing process both in the Specialist Nursing Pre-hospital Emergency Care education curriculum and within clinical practice. Further, there is a necessity to develop and implement nursing guidelines in the ambulance.
尽管护理是高级教育专科救护车护理计划课程的主要关注点，但据报道，救护车服务中存在护理知识匮乏的问题。目的是通过现象学方法探讨专科救护车护士对护理的看法。该研究包括对 19 名经过战略选择的专科救护车护士进行的个人访谈。结果显示，出现了七个描述性类别，详细说明了瑞典救护车服务中专科救护车护士对护理现象的感知、理解和概念化的差异。四个类别揭示了专科救护车护士对护理的定性不同看法，即他们的角色和责任，而三个类别则显示了承担角色和责任的感知障碍，包括文化和领导力、条件和框架。这七个类别在结果空间中进行了概述。总之，在瑞典救护车服务中，对救护车护理的看法存在很大差异。需要在专科护理院前急救护理教育课程和临床实践中实施护理过程。此外，还需要在救护车内制定和实施护理指南。
