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                <text>International Emergency Nursing Vol. 63 July 2022&#13;
Pre-hospital emergency nurse specialist’s experiences in caring for patients with non-specific chief complaints in the ambulance – A qualitative interview study </text>
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                <text>Emergency medical services, Non-specific chief complaints, Emergency medicine, Nursing, Pre-hospital emergency nurse, Pre-hospital assessment</text>
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                <text>Background: Pre-hospital emergency nurse (PEN) specialists are faced with patients presenting with non-specific&#13;
chief complaints (NSC) to the emergency medical service (EMS) on a daily basis. These patients are often elderly and one in three has a serious condition and their acuity is not recognized.&#13;
Objective: The aim of the current study was to explore PEN specialists’ experiences in caring for patients pre-&#13;
senting with non-specific chief complaints.&#13;
Design: A qualitative study design with eleven individual interviews of PENs, between 2018 and 2020. Qualitative content analysis was used.&#13;
Results: The analyses generated three categories including subcategories. The categories were “Unexplained&#13;
suffering”. “Systematic approach and experience enhances medical safety”. “Organizational processes can be&#13;
optimized”. The relation between the categories compiled as In-depth ́ systematic assessment is perceived to&#13;
reduce suffering and increases patient safetý. &#13;
Conclusion: The PENs experiences in caring for patients presenting with non-specific chief complaints show that an in-depth systematic assessment may lead to a meaningful caring encounter which enables the identification of the cause of the chief complaint. Experience and a systematic approach were considered as essential to enhance medical safety. This could be strengthened through feedback on the nurse’s care provided by care managers and employers. To optimize organizational processes, the development of the opportunity to convey the patient to different levels of care can be an important component.</text>
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                <text>R. Ivic, V. Vicente, L. Kurland, J. Svensson, R. Sahdev Klintemård, M. Castren, K. Bohm</text>
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                <text>Sri Wahyuni</text>
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                <text>International Emergency Nursing Vol. 63 July 2022&#13;
How help-seeking behaviors help reduce emergency nurses’ stress?</text>
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                <text>Unpredictable and challenging circumstances make the nursing&#13;
profession extremely demanding and stressful [1,2]. A survey conducted just before the COVID-19 pandemic showed that job pressure, leading to&#13;
stress and poor mental health, is the main reason nurses leave the profession [3]. The pandemic exacerbates the nurse retention problem in the global healthcare system, as higher psychological pressure is placed on nurses [4,5]. The concept of stress in nursing may refer to the physiological state resulting from the lack of proper experience and&#13;
knowledge in uncertain situations [6]. Such stress is harmful to nurses and patients [7]. Nurses’ emotional and psychological state is a critical factor affecting their performance, risk of errors, healthcare delivery quality, patient care, recovery, and death [8], Roussillon-Soyer et al., 2021; [9]. Hospitals worldwide allocate funds to address stress-related issues among nurses to identify and adopt stress-alleviating measures [10].</text>
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