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                <text>International Emergency Nursing Vol. 59 November 2021&#13;
“Time that save lives” while waiting for ambulance in rural environments (Case study)</text>
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                <text>Ambulance, Ambulance staff, Emergency call, Emergency medical dispatcher (EMD), Emergency medical services (EMS), Firefighters, First aid&#13;
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                <text>Aim: Firefighters perform first aid before the ambulance arrives in areas with a long response time in Sweden;&#13;
this is called ‘While Waiting for the Ambulance’ (WWFA). The aim was to describe WWFA assignments in rural&#13;
environments, focusing on frequency, event time, actions and survival &gt;30 days after cardiopulmonary resuscitation (CPR) was performed.&#13;
Methods: Retrospective descriptive and comparative design.&#13;
Results: Firefighters in the northern part of Sweden were involved in 518 WWFA assignments between 2012 and 2016. From alarm call until ambulance dispatch, median time was 2:20 min; for firefighters, nearly four minutes. Median dispatch time at out-of-hospital cardiac arrests (OHCA) (n = 52) was 1:40 min for ambulance and three minutes for firefighters. Maximal dispatch time was nearly 10 min for ambulance and 44 min for firefighters.&#13;
Firefighters arrived first at the scene, after 17 min’ median, for 95 % of assignments, while the ambulance took nearly twice the amount of time. In OHCA situations, time for firefighters was over 19 min versus ambulance at nearly twice the time. CPR was terminated by ambulance staff at 83% (n = 43) of 52 when firefighters performed prolonged CPR. Return to spontaneous circulation after OHCA was 17%, and 9% were alive after &gt;30 days.&#13;
Conclusion: The efficiency of incident time and utilisation rate for WWFA assignments can be increased for the&#13;
benefit of affected persons, especially in OHCA. </text>
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                <text>Sri Wahyuni</text>
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                <text>International Emergency Nursing Vol. 59 November 2021</text>
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                <text>International Emergency Nursing Vol. 59 November 2021&#13;
Disaster nursing research: A scoping review of the nature, content, and trends of studies published during 2011–2020 </text>
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                <text>All over the world, disasters cause significant suffering, injuries, and health problems. Every year, nurses are involved in disaster preparedness, disaster response, and recovery mitigation, playing a vital role in&#13;
disaster management and in helping the individuals affected by disasters&#13;
[1,2]. The Covid-19 pandemic has shown the world the enormous&#13;
importance of qualified and dedicated nurses who are prepared to care&#13;
for individuals, families, and the community in exceptional circumstances. However, besides the pandemic, during the first six months of 2020, more than 100 other disasters occurred, affecting 50 million&#13;
people [3]. </text>
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                <text>Karin Hugelius</text>
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                <text>Sri Wahyuni</text>
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                <text>International Emergency Nursing Vol. 59 November 2021&#13;
Editorial Board</text>
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                <text>International Emergency Nursing Vol. 59 November 2021&#13;
Implementing a person centred collaborative health care model – A qualitative study on patient experiences </text>
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                <text>Collaborative health care model, Qualitative content analysis, Swedish health care direct (SHD1177), While waiting for ambulance, Assistance-missions </text>
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                <text>Background: Collaborative Health Care (CHC) is a unique model in which ambulance services, home health care,&#13;
hospital care and the national telephone helpline for healthcare in Sweden – Swedish health care direct&#13;
(SHD1177) collaborate to provide the fastest possible health care for inhabitants living in eleven municipalities in western region of Sweden.&#13;
Aim: To explore how patients experience and perceive health care received in the CHC.&#13;
Method: Qualitative descriptive study using open-ended individual telephone interviews with fifteen community&#13;
dwelling persons with experiences of care throughthe model CHC were conducted.&#13;
Results: Two main categories and six subcategories were identified. The category “Thoughts of time in regard to acute health care” include “CHC leads to shorter waiting time for health care”, “Knowledge about the staff&#13;
working hours” and “To alert or not alert”. The category “Thoughts on unplanned health care from CHC”&#13;
involved “Receiving health care in my home”, ”Coordination from SHD1177 surprises” and “Accessibility of health care values higher than continuity”.&#13;
Conclusion: Integrated health care models such as CHC are time saving and highly appreciated by community&#13;
dwelling persons. The benefits of provision of coherent health care like in CHC, addresses the need to implement innovative integrated healthcare models in today’s health care.</text>
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                <text>Jenny Hallgren, Karin Bergman, Maria Klingberg, Catharina Gillsjo</text>
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                <text>Sri Wahyuni</text>
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Patient satisfaction with telephone care assessment among patients with non-urgent prehospital emergency care issues: A cross-sectional study </text>
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                <text>Background: Telephone care assessment (TCA) by a nurse have shown to reduce the number of emergency department (ED) visits and emergency medical services missions (EMS). The present study aimed to describe satisfaction among patients with non-urgent prehospital medical issues that were transferred to TCA instead of receiving EMS. These results could provide a basis for developing the telephone services and emergency care pathways.&#13;
Methods: This cross-sectional study included 765 patients with non-urgent issues that were transferred to a telephone care assessment, after a risk and urgency assessment by an emergency medical communications&#13;
operator. One week later, patient satisfaction was evaluated in a structured telephone interview with randomized patients.&#13;
Results: 127 telephone interviews were completed. Most patients (70.9–85.0%) were highly satisfied with the&#13;
telephone care assessment. In particular, patients who were unsure of the urgency of their own health condition and the need for EMS, were highly satisfied (95.3%). Patients that received EMS after the telephone care&#13;
assessment were more satisfied than those that received telephone guidance or those directed to other health care services (91.4% vs. 65.5% vs. 67.9%, p = 0.002).&#13;
Conclusion: Patients with non-urgent prehospital emergency issues were mainly satisfied with telephone care&#13;
assessment. In considering ways to reduce the increasing load on emergency medical services, a telephone care assessment could be a good option, without reducing patient satisfaction. </text>
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                <text>Sri Wahyuni</text>
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                <text>International Emergency Nursing Vol. 59 November 2021</text>
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Perceived health, perceived social support and professional quality of life in hospital emergency nurses </text>
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                <text>Background: Emergency department nurses are continually exposed to distressing experiences that can lead to burnout, compassion fatigue, and compassionate satisfaction, thus could affect the professional quality of life.&#13;
The aim of this study was to analyse professional quality of life in hospital emergency department nurses based&#13;
on perceived health, social support and a series of socio-demographic and sociooccupational variables.&#13;
Methods: This descriptive cross sectional study involved nursing professionals working at hospital emergency departments in Andalusia, Spain. Professional quality of life, perceived health, socio-demographic and occupational variables, and perceived social support were measured. A descriptive and multiple regression analysis was performed.&#13;
Results: A total of 253 nursing professionals participated, of which 62.5% had high levels of compassion fatigue and compassion satisfaction (45.1%). Burnout levels were medium (58.5%). Perceived health significantly&#13;
influenced on compassion fatigue and burnout. Perceived social support was found to be significantly related to&#13;
all three dimensions of professional quality of life, but it had the greatest influence on the occurrence of burnout.&#13;
Conclusions: Emergency department nurses in public hospitals are emotionally drained. Healthcare systems must develop intervention strategies to increase the quality of life of nursing professionals, which would lead to improved patient care. The promotion of compassion is a key element. </text>
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                <text>María Dolores Ruiz-Fernandez, Juan Diego Ramos-Pichardo, Olivia Ibanez-Masero, Maximo Juan Sanchez-Ruiz, Antonia Fernandez-Leyva, Angela María Ortega-Galan</text>
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                <text>Sri Wahyuni</text>
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                <text>International Emergency Nursing Vol. 59 November 2021&#13;
Prehospital Emergency Nurses’ coping strategies associated to traumatic experiences </text>
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                <text>Background: Prehospital care constitutes a work environment in which Prehospital Emergency Nurses (PENs) are exposed to traumatic situations that can lead to stress and increase their vulnerability to stress reactions. PENs’ coping strategies after traumatic experiences have been little explored, which suggests that an investigation leading to a deeper understanding of their coping strategies is needed.&#13;
Aim: To investigate and describe PENs’ coping strategies after traumatic experiences.&#13;
Method: A descriptive, inductive design with a qualitative research approach was used. Semi-structured interviews were analysed using Graneheim and Lundman’s method of content analysis. Twelve PENs were&#13;
interviewed.&#13;
Results: The main theme that emerged was: “a professional approach supports coping strategies for traumatic&#13;
experiences”. Being unprepared increases the feeling of vulnerability when facing a traumatic event, even though PENs acknowledge that traumatic events are unavoidable in their profession. Previous experiences and mental preparation help PENs to keep focused. To be able to act professionally, PENs distance themselves, thus acquiring a sense of control. Inter-professional teamwork can reduce the sense of aloneness.&#13;
Conclusion: PENs’ coping involves several strategies. Their own processing and understanding of an experience are crucial for the management of their own feelings, also affecting the care that PENs can offer the next patient. This study emphasises that a professional approach is the strongest coping strategy after traumatic events. </text>
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                <text>International Emergency Nursing Vol. 59 November 2021&#13;
Screening of community-dwelling older patients by the emergency medical services: An observational retrospective registry study </text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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              <elementText elementTextId="17262">
                <text>Emergency medicine, Risk assessment, Nutritional risk, Falls risk, Cognitive impairment</text>
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          <element elementId="41">
            <name>Description</name>
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              <elementText elementTextId="17263">
                <text>Background: Inadequate nutrition, falls, and cognitive impairment are common problems among acutely ill older people and are associated with complicated and prolonged health problems and mortality.&#13;
Objectives: To assess if the emergency medical services can identify patients with nutritional risk, falls risk, and&#13;
cognitive impairment by using simple screening tools and to assess the prevalence of risks and rate they are&#13;
reported to the emergency department.&#13;
Setting: The study was carried out in Espoo, Finland to patients over the age of 70 requiring non-urgent ambulance transfer to the emergency department.&#13;
Outcome measures: A set of validated electronic screening tools was used to identify patients at nutritional risk,&#13;
risk of falling and having cognitive impairment.&#13;
Main results: A total of 488 (8%) out of 5792 patients were screened. Of the patients 60%, (n = 292) had at least&#13;
one risk: 17% (n = 81) had nutritional risk, 43% (n = 209) falls risk, and 28% (n = 137) cognitive impairment. Twenty-two (5%) were screened positive in all three categories. The observed risk was reported to the emergency department staff in 59% (n = 173) of the patients.&#13;
Conclusion: The emergency medical services can be used in preventive health care to identify patients having&#13;
nutritional risk, falls risk, or cognitive impairment. </text>
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            <name>Creator</name>
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              <elementText elementTextId="17264">
                <text>Eeva L. Saario, Marja T. Makinen, Esa R.K. Jamsen, Pia Nikander, Maaret K. Castren </text>
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            <name>Publisher</name>
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              <elementText elementTextId="17265">
                <text>Elsevier Ltd.</text>
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            <name>Date</name>
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                <text>November 2021</text>
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            <name>Contributor</name>
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              <elementText elementTextId="17267">
                <text>Sri Wahyuni</text>
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          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="17268">
                <text>1755-599X</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
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              <elementText elementTextId="17269">
                <text>PDF</text>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
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              <elementText elementTextId="17270">
                <text>English</text>
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          <element elementId="51">
            <name>Type</name>
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              <elementText elementTextId="17272">
                <text>International Emergency Nursing Vol. 59 November 2021</text>
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        <name>Cognitive impairment</name>
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        <name>Emergency medicine</name>
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      <tag tagId="2966">
        <name>Falls risk</name>
      </tag>
      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
      </tag>
      <tag tagId="2965">
        <name>Nutritional risk</name>
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      <tag tagId="71">
        <name>Risk assessment</name>
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