The experiences of patients and family members after being discharged at scene following an emergency ambulance attendance. A rapid evidence review

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2025-05-14 DOI:10.1016/j.ienj.2025.101618

Sarah Doran , Marishona Ortega , Gregory Adam Whitley

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引用次数: 0

Abstract

Introduction

A large proportion of emergency calls to the ambulance service are non-life-threatening, resulting in some patients being discharged by paramedics at the scene. Negative patient and family member experiences during a clinical encounter may have lasting effects. We aimed to explore the experiences of patients and family members who were discharged on scene after ambulance attendance.

Methods

A rapid evidence review was conducted. MEDLINE and CINAHL Complete databases were searched simultaneously for all articles published before the 15th March 2024. Study screening and data extraction was performed. The included studies were critically appraised, and a thematic synthesis was conducted.

Results

Five papers representing patients and family members from Australia, Sweden, Finland, and Denmark were included. Patients and family members experienced: fear and uncertainty at transitional points; reassurance from sharing responsibility; relief from a normal physical assessment; confidence from informative worsening advice; being listened to and validated; reliance on each other; and empowerment through being involved in decision making.

Conclusion

Patients and family members have varied experiences when being discharged at scene. The limited number of available studies highlights the need for further research to be conducted internationally.

查看原文本刊更多论文

病人及家属在接受紧急救护后出院后的经历。快速证据审查

导语救护车服务的大部分紧急呼叫都没有生命危险，导致一些患者在现场被护理人员释放。在临床接触中，患者和家庭成员的负面经历可能会产生持久的影响。我们的目的是探讨病人和家属的经验，他们在救护车服务后出院现场。方法进行快速证据回顾。同时检索MEDLINE和CINAHL Complete数据库，检索2024年3月15日之前发表的所有文章。进行研究筛选和数据提取。对纳入的研究进行了批判性评价，并进行了专题综合。结果共纳入来自澳大利亚、瑞典、芬兰和丹麦的患者及家属论文5篇。患者和家属经历：过渡时期的恐惧和不确定；分担责任带来的安心；从正常的身体评估中解脱出来；从信息性的恶化建议中获得信心；被倾听和被认可；相互依赖；通过参与决策而获得权力。结论患者和家属在现场出院时有不同的经历。现有的研究数量有限，突出表明需要在国际上进行进一步的研究。

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

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.