Reflective and collaborative skills enhances Ambulance nurses’ competence – A study based on qualitative analysis of professional experiences

Wihlborg, Jonas; Edgren, Gustaf; Johansson, Anders; Sivberg, Bengt

doi:10.1016/j.ienj.2016.06.002

Cited by 50 publications

(56 citation statements)

References 17 publications

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“…In relation to non-conveyance, the current educational focus during specialist nurse training is perceived as obsolete and only prepares ACs for a limited part of their upcoming clinical reality: caring for acutely sick patients. Similar results have been reported previously, although not specifically from a non-conveyance context 12 30 38. Additionally, our results offer an in-depth insight regarding the clinical consequences of inadequate non-conveyance education.…”

Section: Discussionsupporting

confidence: 90%

“…Therefore, it is problematic, and indeed paradoxical, that there is an absence of performance feedback following these assessments. Clinical performance feedback is imperative for facilitating performance improvement and maintaining competence 38 41. Furthermore, subsequent clinical performance feedback can cause a shift in patient safety culture on a systematic level, instigating a more accepting atmosphere in which individuals dare to discuss and reflect on errors committed in clinical practice 41.…”

Section: Discussionmentioning

confidence: 99%

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Assessing non-conveyed patients in the ambulance service: a phenomenological interview study with Swedish ambulance clinicians

et al. 2019

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ObjectivesTo combat overcrowding in emergency departments, ambulance clinicians (ACs) are being encouraged to make on-site assessments regarding patients’ need for conveyance to hospital, and this is creating new and challenging demands for ACs. This study aimed to describe ACs’ experiences of assessing non-conveyed patients.DesignA phenomenological interview study based on a reflective lifeworld research approach.SettingThe target area for the study was Stockholm, Sweden, which has a population of approximately 2.3 million inhabitants. In this area, 73 ambulances perform approximately just over 200 000 ambulance assignments annually, and approximately 25 000 patients are non-conveyed each year.Informants11 ACs.MethodsIn-depth open-ended interviews.ResultsACs experience uncertainty regarding the accuracy of their assessments of non-conveyed patients. In particular, they fear conducting erroneous assessments that could harm patients. Avoiding hasty decisions is important for conducting safe patient assessments. Several challenging paradoxes were identified that complicate the non-conveyance situation, namely; responsibility, education and feedback paradoxes. The core of the responsibility paradox is that the increased responsibility associated with non-conveyance assessments is not accompanied with appropriate organisational support. Thus, frustration is experienced. The education paradox involves limited and inadequate non-conveyance education. This, in combination with limited support from non-conveyance guidelines, causes the clinical reality to be perceived as challenging and problematic. Finally, the feedback paradox relates to the obstruction of professional development as a result of an absence of learning possibilities after assessments. Additionally, ACs also described loneliness during non-conveyance situations.ConclusionsThis study suggests that, for ACs, performing non-conveyance assessments means experiencing a paradoxical professional existence. Despite these aggravating paradoxes, however, complex non-conveyance assessments continue to be performed and accompanied with limited organisational support. To create more favourable circumstances and, hopefully, safer assessments, further studies that focus on these paradoxes and non-conveyance are needed.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Assessing non-conveyed patients in the ambulance service: a phenomenological interview study with Swedish ambulance clinicians

et al. 2019

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“…Para a coleta de dados, foi utilizado um formulário estruturado, de autoria das pesquisadoras, aplicado pelas mesmas por meio de entrevista. Suécia, 69% eram homens (6) . Quanto à idade dos enfermeiros que atuam no APH, os dados demonstram a presença de uma equipe de enfermagem com um perfil relativamente jovem, indo ao encontro de que a maioria dos profissionais está na faixa etária mais produtiva de suas vidas.…”

Section: Coleta Dos Dadosunclassified

Características Dos Enfermeiros No Atendimento Pré-Hospitalar: Concepções Sobre a Formação E Exercício Profissional

Andrade

Silva

2019

revenf

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Objetivo: analisar as características dos enfermeiros no Atendimento Pré-Hospitalar, sua formação profissional e dificuldades no exercício da profissão. Metodologia: estudo descritivo-exploratório, realizado com sete enfermeiros, por meio de uma entrevista estruturada, no Serviço de Atendimento Móvel de Urgência de um município do Sul de Minas Gerais, Brasil. Resultados: os enfermeiros são egressos de faculdades privadas; possuem formação específica e encontram dificuldades no exercício profissional. Conclusão: a formação específica não garante a inexistência de dificuldades no exercício profissional no atendimento pré-hospitalar e estas evocam a necessidade de aperfeiçoamento, atualização constante e educação em saúde da população.Palavras-chave: Enfermagem; Enfermagem em emergência; Serviços médicos de emergência.CHARACTERISTICS OF NURSES IN PRE-HOSPITAL CARE: CONCEPTIONS ABOUT PROFESSIONAL TRAINING AND PROFESSIONAL PRACTICEObjective: to analyze the characteristics of nurses working in pre-hospital care, their professional training and difficulties in the exercise of their profession. Methodology: a descriptive-exploratory study, was performed with seven nurses working in the Mobile Emergency Care Service of a city in the South of Minas Gerais, Brazil. Results: nurses are graduates of private colleges; Have specific training and encounter difficulties in their professional practice. Conclusion: the specific training does not guarantee the absence of difficulties in the professional practice in prehospital care and these evocate the need for improvement, constant updating and health education of the populationDescriptors: Nursing; Emergency nursing; Emergency Medical Services.CARACTERÍSTICAS DE LOS ENFERMEROS EM LA ATENCIÓN PRE-HOSPITALAR: CONCEPCIONES SOBRE LA FORMACIÓN Y EL EJERCICIO PROFESIONALObjetivo: analizar las características de los enfermeros que actúan en el Servicio Pre-Hospitalario, su formación profesional y dificultades en el ejercicio de la profesión. Metodología: estudio descriptivo-exploratorio, realizado con siete enfermeros actuantes en el Servicio de Atención Móvil de Urgencia de un municipio del Sur de Minas Gerais, Brasil. Resultados: los enfermeros son egresados de colegios privados; Tienen formación específica y encuentran dificultades en el ejercicio profesional. Conclusión: la formación específica no garantiza la inexistencia de dificultades en el ejercicio profesional en la atención prehospitalaria y éstas evocan la necesidad de perfeccionamiento, actualización constante y educación en salud de la población.Descriptores: Enfermería; Enfermería en emergência; Servicios médicos de emergência.

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“…It has become essential for instructors to develop college students' collaborative skills [1,2]. Lecture-based instruction is currently the most commonly used teaching strategy.…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, research has shown that teachers' instructional development can be greatly influenced by their reflections on their teaching practices [30,31]. Reflection and reflective practice can play an important role in helping develop professional competence in health professions [2,[30][31][32][33]. Reflecting on their teaching can help teachers gain an understanding of what teaching areas they need to improve to enhance students' learning.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the effectiveness of student learning and teacher instruction on team-based learning during quality control of diagnostic imaging

Tsai

Jao

2020

Medical Education Online

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Background: Team-Based Learning (TBL), which is a student-centered instructional approach, has been applied in various health-related courses, but research on the effectiveness of TBL in radiologic technology is limited. More research is needed to examine the effectiveness of TBL within the field of radiologic technology as well as to study teachers' reflective practices for instructional development in TBL. Objectives: This study examines the effectiveness of TBL on students' learning and course instructors' instructional development during quality control activities in diagnostic imaging. Design: This study employed an action research approach with mixed-methods. The study was categorized using four TBL modules as the topics: film/screen receptors and processors, radiography, mammography, and computed tomography. Quantitative data included pre-test scores on individual readiness assurance tests (IRAT-pre), group readiness assurance tests (GRAT), and post-test scores on individual readiness assurance tests (IRAT-post). Qualitative data included students' responses to open-ended questions about their experience with TBL and transcripts of instructors' interviews. Results: Forty junior college students participated in the study. A non-parametric test was conducted to compare the scores. The results showed that the GRAT score was significantly higher than the IRAT-pre-score, and the IRAT-post score was significantly higher than the IRAT-pre-score. The IRAT-post score was significantly higher than the GRAT score for the first and fourth modules, but IRAT-post score was significantly lower than the GRAT score on the second and third modules. Using direct content analysis, five themes were coded around instructional development, while 15 themes were coded to understand students' experiences with TBL. Conclusions: TBL can be an effective instructional approach to improve students' understanding of radiologic technology content. The results of this research can help instructors decide what action plan to implement to increase the effectiveness of TBL when further employing it for radiologic technology courses.

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Reflective and collaborative skills enhances Ambulance nurses’ competence – A study based on qualitative analysis of professional experiences

Cited by 50 publications

References 17 publications

Assessing non-conveyed patients in the ambulance service: a phenomenological interview study with Swedish ambulance clinicians

Assessing non-conveyed patients in the ambulance service: a phenomenological interview study with Swedish ambulance clinicians

Características Dos Enfermeiros No Atendimento Pré-Hospitalar: Concepções Sobre a Formação E Exercício Profissional

Evaluation of the effectiveness of student learning and teacher instruction on team-based learning during quality control of diagnostic imaging

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