The desired competence of the Swedish ambulance nurse according to the professionals – A Delphi study

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

doi:10.1016/j.ienj.2013.10.004

Cited by 60 publications

(107 citation statements)

References 17 publications

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“…An interesting result is that the participants were defining and rating competencies in pharmacology, yet seven of the 40 competencies they agreed to be necessary were generic, for example 'Be able to communicate with other doctors'. We found the same thing in previous studies [21,34]. This indicates that these generic competencies are considered important and difficult to separate from the context in which they are applied.…”

Section: Discussionsupporting

confidence: 86%

Developing a Competency‐based Curriculum in Basic and Clinical Pharmacology – A Delphi Study among Physicians

Midlöv

Höglund

Eriksson

et al. 2015

Basic Clin Pharma Tox

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A new curriculum is planned for the medical school at Lund University, Sweden. Pharmacology, in a broad sense, has been identified as a subject that needs to be strengthened based on needs in the healthcare system. The aim was to identify the competencies in basic and clinical pharmacology that a newly qualified physician needs. Using a modified three-round Delphi technique, 31 physicians were invited to list necessary competencies (round 1). After content analysis, these panel members classified the list by importance on two occasions (rounds 2 and 3) using a 4-point scale (4 = necessary, 3 = desirable, 2 = useful, 1 = not necessary). Competencies with the highest ranks based on necessity were retained. Thirty physicians accepted the invitation and 25 (83%) of them completed all three rounds. Round 1 resulted in 258 suggestions, which were subsequently reduced to 95 competencies. Of these 95 competencies, 40 were considered necessary by at least 75% of the panel members. The degree of consensus increased between round 2 and round 3. Using a modified Delphi technique, we identified 40 competencies that could be transferred to learning outcomes for a new curriculum in basic and clinical pharmacology at medical school.

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Section: Discussionsupporting

confidence: 86%

Developing a Competency‐based Curriculum in Basic and Clinical Pharmacology – A Delphi Study among Physicians

Midlöv

Höglund

Eriksson

et al. 2015

Basic Clin Pharma Tox

Self Cite

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“…Thus, this might engender diverse knowledge and understanding, within the dyadic EMS team, of the aim with the nursing care. On the one hand nursing care in EMS may be understood as a holistic practice based on the patient's lifeworld (Galvin & Todres, 2013) with nurses contributing with a focus that takes into account the patient's whole life situation (Wihlborg et al, 2014). On the other hand, EMS care may be understood as providing urgent and emergency medical treatment, with the aim of reducing mortality levels (Bång et al, 2008;Hagiwara et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…However, several studies highlight the importance of medical assessment and nursing care in parallel with a holistic view on the patient's unique situation (Elmqvist, Fridlund, & Ekebergh, 2008;Svensson et al, 2019;Wireklint Sundström & Dahlberg, 2011). This requires EMS nurses to be able to autonomously initiate, perform and evaluate nursing care (Wihlborg, Edgren, Johansson, & Sivberg, 2014).…”

Section: Backg Rou N Dmentioning

confidence: 99%

Dyadic teams and nursing care: A critical incident study of nurses in the emergency medical service

Holmberg

Nørgaard

Eriksson

et al. 2020

Journal of Clinical Nursing

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Aim and objectives The aim of the study was to describe Emergency Medical Services (EMS) nurses’ experiences of and coping with critical incidents, when providing nursing care as a member of a dyadic team. Background Nursing care in EMS is a complex task, taking into account the physical, psychological as well as existential dimensions of the patient's suffering. In this, EMS nurses are dependent on the dyadic team. Teams in EMS are described as essential for providing safe medical care. However, nursing care also comprises relationships with patients as a means of reducing patient suffering. Design The study has an inductive descriptive qualitative design, in adherence to the COREQ‐checklist. Methods A critical incident technique was used. Thirty‐five EMS nurses were interviewed individually, with a focus on dyadic teams providing nursing care. The interviews were analysed with the aim of defining main areas, categories and sub‐categories. Results The experiences of critical incidents emerged to form two main areas: “Functional co‐operation” and “Dysfunctional co‐operation,” comprising seven categories and sixteen sub‐categories. Their coping with critical incidents encompassed two main areas: “Adapting oneself” and “Adapting nursing care and the colleague,” comprising four categories and eight sub‐categories. Conclusions Reflection as part of the daily practice emerges as important for the development of nursing care both in relation to individual team members and also the dyadic team as a unit. In addition, the results highlight consensus within dyadic teams regarding the objectives of nursing care, as well as the importance of defined roles. Relevance to clinical practice This study underlines the importance of strengthening the dyadic EMS team's ability to co‐operate using common goals and knowledge within clinical nursing care. The individual team members’ different roles have to be explicit. In addition, clinical care has to be organised to generate preconditions for mutual performance monitoring through collegial feedback and reflection.

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“…However, in other countries, such as Sweden, Finland, Belgium (Sjölin, ), Thailand, Malaysia (Rahman et al, ), Indonesia (Suryanto, Boyle, & Plummer, ), and Brazil (Ribeiro, Silveira, & Castanheira, ), nurses also provide pre‐hospital services. As a result, the pre‐hospital setting is now defined as a new field for the professional practice of nurses (Ribeiro et al, ; Wihlborg, Edgren, Johansson, & Sivberg, ). In Iran, due to the insufficient number of EMTs, nurses are among pre‐hospital care providers (Rahmani, Hassankhani, Mills, & Dadashzadeh, ).…”

Section: Introductionmentioning

confidence: 99%

Iranian pre‐hospital emergency care nurses' strategies to manage workplace violence: A descriptive qualitative study

et al. 2019

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Aim:To explore the experiences of Iranian nurses working in pre-hospital emergency care services and the strategies used to manage of workplace violence.Background: Pre-hospital emergency nurses are subject to workplace violence; however, little research addresses their experiences, particularly related to their strategies in dealing with workplace violence. Methods:A descriptive qualitative study that involved nineteen male nurses who were working in pre-hospital services collected data using semi-structured interviews and analysed it using qualitative content analysis.Results: Data analysis yielded four descriptive categories including no reaction to violence (tolerance and acceptance as common workplace conflicts), situational management (patient and scene management), confrontation (direct and indirect) and escaping the scene. Patient management was the dominant strategy used and had the best outcomes related to both patient and personnel safety. Conclusion:This study showed that pre-hospital nurses use different strategies to manage violence and patient management was a common and useful strategy for managing workplace violence. However, the pre-hospital nurses have little training, insufficient support and are poorly prepared to manage workplace violence. Implications for Nursing Management:The development of context-based guidelines, continuing education, better-equipped ambulances that include medical and defence equipment, as well as better coordination of the police force in ambulance operations, can help to reduce workplace violence. K E Y W O R D S emergency medical technician, nurse strategies, pre-hospital emergency care, workplace violence | 1191 DADASHZADEH Et Al. How to cite this article: Dadashzadeh A, Rahmani A, Hassankhani H, Boyle M, Mohammadi E, Campbell S. Iranian pre-hospital emergency care nurses' strategies to manage workplace violence: A descriptive qualitative study. J Nurs

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The desired competence of the Swedish ambulance nurse according to the professionals – A Delphi study

Cited by 60 publications

References 17 publications

Developing a Competency‐based Curriculum in Basic and Clinical Pharmacology – A Delphi Study among Physicians

Developing a Competency‐based Curriculum in Basic and Clinical Pharmacology – A Delphi Study among Physicians

Dyadic teams and nursing care: A critical incident study of nurses in the emergency medical service

Iranian pre‐hospital emergency care nurses' strategies to manage workplace violence: A descriptive qualitative study

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