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Patient participation: A challenge within contemporary ambulance care?
University of Borås.
University of Borås.ORCID iD: 0000-0001-7865-3480
2016 (English)In: PreHospen Conference 2016: Where all care begins : 7th PreHospen Conference in Prehospital Emergency Care 10-11 March 2016, Högskolan i Borås, 2016, p. 82-82Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background: Patient participation should be understood in relation to vulnerability, power and responsibility. Patients in ambulance care have urgent care needs and are vulnerable in an asymmetrical relationship with the clinicians. This places great responsibility on the clinicians to use their power for the benefit of the patient. An invitation to participate requires an informed consent and depends on the patient’s willingness and ability to participate. Hence, as- sessment of the patient’s decision-making ability is central together with a caring approach to enhance trust and confidence. Undoubtedly, patient partici- pation is a challenge within contemporary ambu- lance care – where failure is likely to cause suffering.

Methods: Patient participation in ambulance care is discussed from philosophical, patient and person-centred perspectives in relation to empirical research of Bremer et al. (2012), Holmberg et al. (2014; 2015) and Rantala et al. (2015). 

Results: Patients are comfortable in their surrender to ambulance clinicians, obeying commands and being important while involved in the care. However, pa- tients are powerless when they experience ambulan- ce clinicians’ care as excessive, having a strong desire of being acknowledged in their suffering. This can be achieved by seeing the patient as capable and in- volve the patient and significant others in the deci- sion-making. In addition ambulance clinicians have an ambition to be pliable to the patient’s wishes, inviting the patient in a shared decision-making.

Conclusions: Patient participation in ambulance care can be understood as important for the patient’s wellbeing. However, unequal distribution of power within the ambulance clinician-patient relationship may challenge patient autonomy and interests. Is it pos- sible to achieve genuine patient participation in the context of ambulance care?

Place, publisher, year, edition, pages
Högskolan i Borås, 2016. p. 82-82
Keywords [en]
Patient participation, ambulance care, vulnerability, power, responsibility
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-62739OAI: oai:DiVA.org:lnu-62739DiVA, id: diva2:1092673
Conference
PreHospen Conference 2016 : Where all care begins : 7th PreHospen Conference in Prehospital Emergency Care 10-11 March 2016
Available from: 2017-05-03 Created: 2017-05-03 Last updated: 2017-11-09Bibliographically approved

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf