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Ambulanssjuksköterskans upplevelser av problem på skadeplats

Ambulanssjuksköterskans upplevelser av problem på skadeplats

Ambulanssjuksköterskans upplevelser av problem på skadeplats

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ABSTRACT<br />

Purpose: To study <strong>problem</strong>s that ambulance nurses experience at the scene of accident with a<br />

maximum of four affected persons.<br />

Methods: The study is qualitative. Nine ambulance nurses in Uppsala, between 27 and 53<br />

years, were interviewed. A convenience sample was chosen. The semi-structured interviews<br />

were sound recorded. Permission was acquired from the ambulance manager. After<br />

transcription a qualitative content analysis was performed. 11 categories and 19 subcategories<br />

were found.<br />

Results: Pre-hospital <strong>problem</strong>s are bad weather and traffic. Pre-hospital leadership is not used<br />

enough. Mental preparation is important before arrival at scene of accident. The new radio<br />

communication system is not working properly, which hinders interprofessional<br />

communication. Collaboration with the rescue service needs to be improved. The ambulance<br />

nurses request more training and education together with the other professions. The most<br />

demanding patient groups are children and trauma cases.<br />

Conclusions: Pre-hospital leadership is not used enough at a small scene of accident. The<br />

new radio system is not working properly which hinders the interprofessional communication.<br />

More training and education is needed when it comes to children and trauma. The ambulance<br />

nurses request more inter professional training and joint education.<br />

Keywords: Ambulance nurse, experience, scene of accident, <strong>problem</strong> areas.

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