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The ambulance nurse experiences of non-conveying patients
Örebro University, School of Health Sciences. University Health Care Research Center.ORCID iD: 0000-0001-7885-694X
Örebro University, School of Health Sciences.ORCID iD: 0000-0002-2157-8579
Örebro University, School of Health Sciences. University Health Care Research Center.ORCID iD: 0000-0003-2411-1795
Borås University, Borås, Sweden.
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2019 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 28, no 1-2, p. 235-244Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: To explore ambulance nurses' (ANs) experiences of non-conveying patients to alternate levels of care.

BACKGROUND: Increases in ambulance utilisation and in the number of patients seeking ambulance care who do not require medical supervision or treatment during transport have led to increased nonconveyance (NC) and referral to other levels of care.

DESIGN: A qualitative interview study was conducted using an inductive research approach.

METHODS: The study was conducted in a region in the middle of Sweden during 2016-2017. Twenty nurses were recruited from the ambulance departments in the region. A conventional content analysis was used to analyse the interviews. The study followed the COREQ checklist.

RESULTS: The ANs experienced NC as a complex and difficult task that carried a large amount of responsibility. They wanted to be professional, spend time with the patient and find the best solution for him or her. These needs conflicted with the ANs' desire to be available for assignments with a higher priority. The ANs could feel frustrated when they perceived that ambulance resources were being misused and when it was difficult to follow the NC guidelines.

CONCLUSION: If ANs are expected to nonconvey patients seeking ambulance care, they need a formal mandate, knowledge and access to primary health care.

RELEVANCE TO CLINICAL PRACTICE: This study provides new knowledge regarding the work situation of ANs in relation to NC. These findings can guide future research and can be used by policymakers and ambulance organisations to highlight areas that need to evolve to improve patient care.

Place, publisher, year, edition, pages
Blackwell Science Ltd. , 2019. Vol. 28, no 1-2, p. 235-244
Keywords [en]
ambulance nursing, care pathways, clinical decision-making, content analysis, experiences, health services research, nurse, qualitative study, refusal of care, self-care
National Category
Nursing
Identifiers
URN: urn:nbn:se:oru:diva-71216DOI: 10.1111/jocn.14626ISI: 000453228000022PubMedID: 30016570Scopus ID: 2-s2.0-85052619602OAI: oai:DiVA.org:oru-71216DiVA, id: diva2:1276482
Note

Funding Agency:

Research Committee in the county council of Örebro OLL-590171  OLL-670821  OLL-767261

Available from: 2019-01-08 Created: 2019-01-08 Last updated: 2019-01-08Bibliographically approved

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Höglund, ErikSchröder, AgnetaMöller, MargaretaOhlsson Nevo, Emma

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