Care relationship and interaction between patients and ambulance clinicians: A qualitative meta-synthesis from a person-centred perspective.

IF 1.9 4区 医学 Q2 NURSING
Scandinavian Journal of Caring Sciences Pub Date : 2024-03-01 Epub Date: 2023-11-23 DOI:10.1111/scs.13225
Viivi Tikkanen, Kay Sundberg
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引用次数: 0

Abstract

Background: Ambulance care is characterised by disaster medicine, traumatology and care for acute illnesses and accidents. The focus of ambulance care is clearly on medical care, whereas interpersonal interaction between patients and ambulance clinicians appears less prioritised. A patient within ambulance care needs to be listened to, be taken seriously, be treated with empathy and be seen as a unique person. These are fundamental to delivering Person-centred care.

Aim: The purpose is to describe how the care relationship and interaction between patients and ambulance clinicians in prehospital emergency care are described in the literature and how they can be interpreted from a person-centred perspective.

Data sources and review methods: A qualitative meta-synthesis was used. Data collection was carried out with PubMed, CINAHL Plus and Web of Science in September-October 2022 and in August-September 2023. The first article searching applied a timeline 1990-2022 and the second applied a timeline 2022-2023. A total of 13 studies employing a qualitative approach were evaluated and included in the interpretive analysis.

Results: Three themes were identified: A good care relationship, Decision-making and Hindrances to practising person-centred care in ambulance care. Trust, good communication and respect for patients' dignity were the most important parts of the good care relationship between patients and ambulance clinicians. Decision-making regarding the examination of patients, medical treatment and transport to the receiving care unit was one of the tasks that ambulance clinicians do independently but in cooperation with patients and family members. Person-centred care within ambulance care may be hindered due to environmental factors, attitudes and behaviour of ambulance clinicians and patient-related factors.

Conclusion: Many ambulance clinicians have already adopted Person-centred care, but several factors can hinder Person-centred care in interactions with patients. Although the results build on a limited number of studies, they indicate that person-centred care needs to be further developed and studied for high-quality ambulance care.

病人和救护车临床医生之间的护理关系和互动:从以人为本的角度进行定性综合。
背景:救护车护理的特点是灾难医学、创伤学和对急性疾病和事故的护理。救护车护理的重点显然是医疗护理,而患者和救护车临床医生之间的人际互动似乎不那么优先。接受救护车护理的病人需要被倾听,被认真对待,被同情对待,被视为一个独特的人。这些是提供以人为本的护理的基础。目的:目的是描述文献中如何描述院前急救护理中患者和救护车临床医生之间的护理关系和互动,以及如何从以人为本的角度解释它们。资料来源及综述方法:采用定性综合方法。数据收集于2022年9 - 10月和2023年8 - 9月通过PubMed、CINAHL Plus和Web of Science进行。第一篇文章搜索应用了1990-2022年的时间线,第二篇文章搜索应用了2022-2023年的时间线。共有13项采用定性方法的研究被评估并纳入解释分析。结果:确定了三个主题:良好的护理关系,决策和妨碍在救护车护理中实践以人为本的护理。信任、良好的沟通和尊重患者的尊严是患者与救护车临床医生之间良好护理关系的最重要组成部分。关于病人的检查、医疗和运送到接收护理单位的决策是救护车临床医生独立完成但与病人和家属合作的任务之一。由于环境因素、救护车临床医生的态度和行为以及与患者相关的因素,救护车护理中以人为本的护理可能会受到阻碍。结论:许多救护车临床医生已经采用了以人为本的护理,但有几个因素会阻碍以人为本的护理与患者的互动。虽然结果建立在有限数量的研究基础上,但它们表明,以人为本的护理需要进一步发展和研究高质量的救护车护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.60
自引率
5.30%
发文量
71
期刊介绍: Scandinavian Journal of Caring Sciences is an established quarterly, peer reviewed Journal with an outstanding international reputation. As the official publication of the Nordic College of Caring Science, the Journal shares their mission to contribute to the development and advancement of scientific knowledge on caring related to health, well-being, illness and the alleviation of human suffering. The emphasis is on research that has a patient, family and community focus and which promotes an interdisciplinary team approach. Of special interest are scholarly articles addressing and initiating dialogue on theoretical, empirical and methodological concerns related to critical issues. All articles are expected to demonstrate respect for human dignity and accountability to society. In addition to original research the Journal also publishes reviews, meta-syntheses and meta-analyses.
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