International Emergency Nursing Vol. 54 January 2021
The experience of non-conveyance following emergency medical service
triage from the perspective of patients and their relatives: A qualitative study
Dublin Core
Title
International Emergency Nursing Vol. 54 January 2021
The experience of non-conveyance following emergency medical service
triage from the perspective of patients and their relatives: A qualitative study
The experience of non-conveyance following emergency medical service
triage from the perspective of patients and their relatives: A qualitative study
Subject
Emergency ambulance service (MeSH), Psychosocial impact (MeSH), Qualitative research (MeSH), Non-conveyance, Patient and relatives, Follow-up
Description
Background: As many as 25% of all Dutch ambulance emergency service assignments result in non-conveyance of the patient to the hospital. Little is known about how patients and their relatives experience being left at home by an ambulance nurse after an acute request for medical help.
Aim: To gain insight into the experience of patients and their relatives with a high urgency request for ambulance assistance that results in non-conveyance, with the ultimate goal of offering adequate follow-up.
Method: A qualitative design based on semi-structured interviews with fifteen patients and seven relatives, conducted between September and November 2018.
Results: Four themes emerged from the thematic analysis: Fear as the prominent emotion, four components of confidence in decision-making, different consequences and coping between patient and relative(s) over time and the perceived need for evaluation afterwards.
Conclusion: The experience after non-conveyance has several phases in which fear, reassurance, confirmation (for relatives) and shame (for patients) follow each other throughout the care process. Complex interpersonal skills of ambulance nurses congruent with the concept of person-centred care can modulate this impact. These findings offer starting points for the optimisation of training programmes within the ambulance care sector.
Aim: To gain insight into the experience of patients and their relatives with a high urgency request for ambulance assistance that results in non-conveyance, with the ultimate goal of offering adequate follow-up.
Method: A qualitative design based on semi-structured interviews with fifteen patients and seven relatives, conducted between September and November 2018.
Results: Four themes emerged from the thematic analysis: Fear as the prominent emotion, four components of confidence in decision-making, different consequences and coping between patient and relative(s) over time and the perceived need for evaluation afterwards.
Conclusion: The experience after non-conveyance has several phases in which fear, reassurance, confirmation (for relatives) and shame (for patients) follow each other throughout the care process. Complex interpersonal skills of ambulance nurses congruent with the concept of person-centred care can modulate this impact. These findings offer starting points for the optimisation of training programmes within the ambulance care sector.
Creator
Silvie C.M. van Doorn, RN, MSc, Ruud C. Verhalle, RN, MSc, Remco H.A. Ebben, RN, PhD, Donna M. Frost, RN, PhD, Lilian C.M. Vloet, RN, PhD, Carin P.M. de Brouwer, PhD
Publisher
Elsevier Ltd.
Date
January 2021
Contributor
Sri Wahyuni
Rights
1755-599X
Format
PDF
Language
English
Type
Text
Coverage
International Emergency Nursing Vol. 54 January 2021
Files
Citation
Silvie C.M. van Doorn, RN, MSc, Ruud C. Verhalle, RN, MSc, Remco H.A. Ebben, RN, PhD, Donna M. Frost, RN, PhD, Lilian C.M. Vloet, RN, PhD, Carin P.M. de Brouwer, PhD, “International Emergency Nursing Vol. 54 January 2021
The experience of non-conveyance following emergency medical service
triage from the perspective of patients and their relatives: A qualitative study,” Repository Horizon University Indonesia, accessed September 20, 2024, https://repository.horizon.ac.id/items/show/1593.
The experience of non-conveyance following emergency medical service
triage from the perspective of patients and their relatives: A qualitative study,” Repository Horizon University Indonesia, accessed September 20, 2024, https://repository.horizon.ac.id/items/show/1593.