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Emergency Medical Services physicians’ perceptions of ambulance nurses’ responsibility for referring patients to primary care and self-care - a Swedish national survey
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Kalmar County Hospital, Sweden;University of Borås, Sweden. (iCARE)ORCID iD: 0000-0001-7865-3480
Helsingborg County Hospital, Sweden.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Kalmar County Hospital, Sweden. (iCARE)ORCID iD: 0000-0002-0961-5250
University of Borås, Sweden.
2018 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 8, no Suppl 1, p. A6-A6Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Background: Based on guidelines developed by EMS physicians, registered nurses in the Swedish ambulance services sometimes by-pass the emergency department and refer non-urgent patients to primary care and self-care. However, these referrals are associated with problems that may jeopardize patient safety and patient participation.

Aim: To identify the EMS physicians’ perceptions of ambulance nurses’ responsibilities and prerequisites to refer patients to primary care and self-care.

Methods: A national survey of all EMS physicians (n=51) using study specific questions with close-ended and open response options, analysed with descriptive statistics and thematic analysis.

Results: The response rate was 78% (n=40). The majority of the physicians (95%) perceived that nurses should be able to refer patients to primary care and self-care. One fourth (25%) perceived specialist nurses in ambulance care as the most appropriate professionals. The majority of the physicians (65%) perceived that referral to primary care maintain patient safety, whereas fewer (50%) assessed the referral as safe for the patient. All perceived that feedback should be given to nurses when the referral was incorrect. The majority perceived it important to extend the nurses’ authority to refer to primary care (63%) and self-care (55%).

Conclusion: There is no consensus among the EMS physicians regarding responsibilities and conditions for nurses’ referral of patients. Registered nurses with basic education are expected to be able to refer, while there is varying opinion regarding requirements of specialist trained ambulance nurses to refer patients. Professional experience as a nurse is perceived more important than formal education.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2018. Vol. 8, no Suppl 1, p. A6-A6
Keywords [en]
EMS physicians, Ambulance nurses, Competence, Referral, Responsibility, Patient safety, National survey
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:lnu:diva-73097DOI: 10.1136/bmjopen-2018-EMS.16OAI: oai:DiVA.org:lnu-73097DiVA, id: diva2:1199255
Conference
EMS2018, Copenhagen, Denmark, April 16-18, 2018
Available from: 2018-04-19 Created: 2018-04-19 Last updated: 2019-08-28Bibliographically approved

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Bremer, AndersÅrestedt, Kristofer

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