Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden; Department of Quality Strategies, Sahlgrenska University Hospital, Gothenburg, Sweden; Gothenburg Emergency Medicine Research Group, Sahlgrenska University Hospital, Gothenburg, Sweden.
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden; Department of Quality Strategies, Sahlgrenska University Hospital, Gothenburg, Sweden; Gothenburg Emergency Medicine Research Group, Sahlgrenska University Hospital, Gothenburg, Sweden; Department of Business, History, and Social Sciences, School of Business, University of South-Eastern Norway.
Int Emerg Nurs. 2022 Jan;60:101105. doi: 10.1016/j.ienj.2021.101105. Epub 2021 Dec 1.
The time delay from alerted ambulance to arrival at the stroke unit is crucial for patients suffering a suspected stroke. This is a recognized problem why additional explorative knowledge regarding actions taken are needed.
To explore actions taken by nurses that affect lead times in the care pathway from the alerted ambulance to the stroke unit, for low-priority patients suffering a suspected stroke.
The design of the study was explorative and descriptive and used a qualitative approach based on Critical Incident Technique (CIT). Twenty-two nurses involved in the stroke care pathway at an university hospital in western Sweden were interviewed about their actions that affected the lead time.
Actions undertaken affected lead time in the stroke care pathway for low-priority patients related to "promoting the care chain process" and "taking control of the situation".
The staff within all parts of the care pathway affected the lead time, individually as well as via interaction between departments. This calls for the need of further collaboration and consensus concerning how to facilitate a smooth care pathway.
从报警的救护车到达卒中单元的时间延迟对疑似卒中的患者至关重要。这是一个公认的问题，因此需要更多关于所采取行动的探索性知识。
探讨护士在从报警的救护车到卒中单元的护理途径中采取的行动，以影响疑似卒中的低优先级患者的就诊时间。
本研究的设计具有探索性和描述性，采用基于关键事件技术（CIT）的定性方法。对参与瑞典西部一所大学医院卒中护理路径的 22 名护士进行了访谈，了解他们对影响就诊时间的行动。
与“促进护理链过程”和“控制局面”相关的低优先级患者的卒中护理途径中的行动影响了就诊时间。
护理途径各个环节的工作人员都影响了就诊时间，既有个人的影响，也有部门之间的相互影响。这需要进一步的合作和共识，以促进一个顺畅的护理途径。
