Prehospital Providers' Perceptions on Providing Patient and Family Centered Care

Ayub, Emily M.; Sampayo, Esther M.; Shah, Manish I.; Doughty, Cara

doi:10.1080/10903127.2016.1241326

Cited by 28 publications

(26 citation statements)

References 18 publications

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“…13,14,[16][17][18] • Promote education and awareness among EMS providers about the unique physical characteristics, physiologic responses, and psychosocial needs of children with an illness or injury. [19][20][21] • Implement practices to reduce pediatric medication errors. 22,23 • Include pediatric-specific measures in periodic performanceimprovement practices that address morbidity and mortality.…”

Section: Recommendationsmentioning

confidence: 99%

“…In addition, allow family members to remain close to their children during resuscitation activities and to practice cultural or religious customs as long as they are not interfering with patient care. 19 • Have policies and procedures in place to allow a family member or guardian to accompany a pediatric patient during transport when appropriate and feasible. 19 • Consider using resources compiled by the Emergency Medical Services for Children program when implementing the recommendations noted here.…”

Section: Recommendationsmentioning

confidence: 99%

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Pediatric Readiness in Emergency Medical Services Systems

Moore¹,

Shah²,

Owusu‐Ansah³

et al. 2020

Pediatrics

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on pediatric readiness in emergency medical services systems. Prehospital emergency care typically involves emergency medical technicians, paramedics, and other licensed medical providers who work in emergency medical services (EMS) systems in ground ambulances and fixedor rotor-wing aircraft that are dispatched to an emergency when either a bystander calls 9-1-1 or when a patient requires interfacility transport for a medical illness or traumatic injury. Because prehospital emergency care of children plays a critical role in the continuum of health care, which also involves primary prevention, hospital-based acute care, rehabilitation, and return to the medical home, the unique needs of children must be addressed by EMS systems. 1-5 Pediatric readiness encompasses the presence of equipment and medications, usage of guidelines and policies, availability of education and training, incorporation of performance-improvement practices, and integration of EMS physician medical oversight to equip EMS systems to deliver optimal care to children. 6-8 It has been shown that emergency departments are more prepared to care for children when a pediatric emergency care coordinator is responsible for championing and making recommendations for policies, training, and resources pertinent to the emergency care of children. 9,10 The specialty of EMS medicine has the potential to derive similar benefits when members of the EMS community are personally

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Section: Recommendationsmentioning

confidence: 99%

Section: Recommendationsmentioning

confidence: 99%

Pediatric Readiness in Emergency Medical Services Systems

Moore¹,

Shah²,

Owusu‐Ansah³

et al. 2020

Pediatrics

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show abstract

“…Previous research has instead mainly focused on the personnel's experiences of caring for children in the ambulance service. The personnel state that overall, caring for children and their parents is complex and difficult (Gunnvall, Augustsson, Lindstrom, & Vicente, 2017;Svensson & Fridlund, 2008) and that they need further training (Alisic et al, 2017;Ayub, Sampayo, Shah, & Doughty, 2017;Cushman et al, 2010;Gunnvall et al, 2017). Despite the lack of knowledge on parents' experiences while their child is cared for in the ambulance service, it is known that children in the ages between newborn to 10 years old are very dependent on their parents (UNICEF, 1989).…”

Section: Backg Rou N Dmentioning

confidence: 99%

Parents’ experiences of the caring encounter in the ambulance service—A qualitative study

Jepsen

Rooth

Lindström

2019

Journal of Clinical Nursing

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Aims and objectives To explore the experiences of the caring encounter in the ambulance service among parents to children aged 0–14 years. Background The care provided by the ambulance team is often associated with emergency medicine, traumatology and disaster medicine. But to develop care in the ambulance service, it is imperative to understand what the parents want and value in the care for their child. Design A qualitative study design was used. Methods Interviews was used for data collection, 16 caring encounters described by 14 parents were analysed using qualitative content analysis. Reporting of this research adheres to the COREQ guidelines. Results The parents described the importance of giving the family enough time in the situation, creating a safe environment and involving the parents in the care. In cases where the parents felt insecure, there had been lack of communication and lack of sensitivity, and the ambulance team did not invite the parents to be participate in the care. Conclusions There is a need to strengthen the family‐centred care in the ambulance service. Not inviting the parents in the care and use of equipment that was nonfunctioning or not adjustable for the children’s age caused lack of trust and increased the level of stress among the parents. The parents had a positive experience and felt included when the team were calm, responsive and gave them the chance to be participants in their child’s care. Relevance to clinical practice The prehospital emergency care nurses need to be prepared for caring of children and their parents. The ambulance team also need to understand their role in providing care of children. Lack of confidence in treating children may be perceived as nonfamily‐centred care. There is need of further training concerning family‐centred care in the ambulance service.

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“…Planning for the reunification of children and families is often an overlooked element of disaster planning but is an important consideration in disaster response plans for both EMS and receiving facilities. 67,72 Part of providing patient-and familycentered care also involves using effective communication strategies and technology. In a qualitative study of EMS providers who participated in simulated resuscitations of pediatric patients, providers identified several strategies to promote patient-and family-centered care.…”

Section: Patient and Medication Safetymentioning

confidence: 99%

“…These included providing emotional support to caregivers, maintaining a calm demeanor, empowering families to feel involved, designating a person to narrate and preemptively describe interventions in lay terms, summarizing between interventions, allowing a line of sight between the caregiver and child, and allowing the bystander the opportunity to return if temporarily removed for interfering with patient care. 72 The diversity of languages that EMS providers encounter continues to grow, and methods for accessing language services can enhance the ability of EMS personnel to communicate with non-English-speaking patients and family members. Organizations such as the NAEMT have recommended that EMS agencies adopt procedures to ensure effective communication in culturally diverse communities.…”

Section: Patient and Medication Safetymentioning

confidence: 99%

Pediatric Readiness in Emergency Medical Services Systems

et al. 2019

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Ill and injured children have unique needs that can be magnified when the child' s ailment is serious or life-threatening. This is especially true in the outof-hospital environment. Providing high-quality out-of-hospital care to children requires an emergency medical services (EMS) system infrastructure designed to support the care of pediatric patients. As in the emergency department setting, it is important that all EMS agencies have the appropriate resources, including physician oversight, trained and competent staff, education, policies, medications, equipment, and supplies, to provide effective emergency care for children. Resource availability across EMS agencies is variable, making it essential that EMS medical directors, administrators, and personnel collaborate with outpatient and hospital-based pediatric experts, especially those in emergency departments, to optimize prehospital emergency care for children. The principles in the policy statement "Pediatric Readiness in Emergency Medical Services Systems" and this accompanying technical report establish a foundation on which to build optimal pediatric care within EMS systems and serve as a resource for clinical and administrative EMS leaders. DEFINITIONS • Emergency medical services (EMS): An intricate and comprehensive system, which in a coordinated response, provides the arrangements of personnel, facilities, and equipment for the effective, coordinated, and timely delivery of health and safety services to provide emergency care. 1,2 • Out of hospital: A term used in emergency medicine to mean "in the field," "in the community," "at the patient's home or workplace," or "prehospital." Assessments performed and treatments given out of

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Prehospital Providers' Perceptions on Providing Patient and Family Centered Care

Cited by 28 publications

References 18 publications

Pediatric Readiness in Emergency Medical Services Systems

Pediatric Readiness in Emergency Medical Services Systems

Parents’ experiences of the caring encounter in the ambulance service—A qualitative study

Pediatric Readiness in Emergency Medical Services Systems

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