International Emergency Nursing Vol. 63 July 2022
Pre-hospital emergency nurse specialist’s experiences in caring for patients with non-specific chief complaints in the ambulance – A qualitative interview study
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Title
International Emergency Nursing Vol. 63 July 2022
Pre-hospital emergency nurse specialist’s experiences in caring for patients with non-specific chief complaints in the ambulance – A qualitative interview study
Pre-hospital emergency nurse specialist’s experiences in caring for patients with non-specific chief complaints in the ambulance – A qualitative interview study
Subject
Emergency medical services, Non-specific chief complaints, Emergency medicine, Nursing, Pre-hospital emergency nurse, Pre-hospital assessment
Description
Background: Pre-hospital emergency nurse (PEN) specialists are faced with patients presenting with non-specific
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.
Objective: The aim of the current study was to explore PEN specialists’ experiences in caring for patients pre-
senting with non-specific chief complaints.
Design: A qualitative study design with eleven individual interviews of PENs, between 2018 and 2020. Qualitative content analysis was used.
Results: The analyses generated three categories including subcategories. The categories were “Unexplained
suffering”. “Systematic approach and experience enhances medical safety”. “Organizational processes can be
optimized”. The relation between the categories compiled as In-depth ́ systematic assessment is perceived to
reduce suffering and increases patient safetý.
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.
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.
Objective: The aim of the current study was to explore PEN specialists’ experiences in caring for patients pre-
senting with non-specific chief complaints.
Design: A qualitative study design with eleven individual interviews of PENs, between 2018 and 2020. Qualitative content analysis was used.
Results: The analyses generated three categories including subcategories. The categories were “Unexplained
suffering”. “Systematic approach and experience enhances medical safety”. “Organizational processes can be
optimized”. The relation between the categories compiled as In-depth ́ systematic assessment is perceived to
reduce suffering and increases patient safetý.
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.
Creator
R. Ivic, V. Vicente, L. Kurland, J. Svensson, R. Sahdev Klintemård, M. Castren, K. Bohm
Publisher
Elsevier Ltd.
Date
July 2022
Contributor
Sri Wahyuni
Rights
1755-599X
Format
PDF
Language
English
Type
Text
Coverage
International Emergency Nursing Vol. 63 July 2022
Files
Citation
R. Ivic, V. Vicente, L. Kurland, J. Svensson, R. Sahdev Klintemård, M. Castren, K. Bohm, “International Emergency Nursing Vol. 63 July 2022
Pre-hospital emergency nurse specialist’s experiences in caring for patients with non-specific chief complaints in the ambulance – A qualitative interview study,” Repository Horizon University Indonesia, accessed April 4, 2025, https://repository.horizon.ac.id/items/show/1736.
Pre-hospital emergency nurse specialist’s experiences in caring for patients with non-specific chief complaints in the ambulance – A qualitative interview study,” Repository Horizon University Indonesia, accessed April 4, 2025, https://repository.horizon.ac.id/items/show/1736.