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Lone and lonely in a double ambivalence situation as experienced by callers while waiting for the ambulance in a rural environment
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. (Centre of Interprofessional Collaboration within Emergency care (CICE))
Luleå University of Technology, Sweden.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. (Centre of Interprofessional Collaboration within Emergency care (CICE))
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Cooperat. (Centre of Interprofessional Collaboration within Emergency care (CICE))
2019 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background In a rural environment where distances and access to ambulance resources in people's immediate area are limited, other responders like firefighters dispatched to perform a first aid before ambulance arrives in areas where a longer response time exists; an assignment called 'While Waiting for the Ambulance' (WWFA). Knowledge is limited about the experience from a caller's perspective when a person has a life-threatening condition needing emergency help and both firefighters in a WWFA assignment and ambulance staff are involved. Aim The aim of the study is to describe the emergency situation involving a WWFA assignment in a rural environment from the caller's perspective. Method A descriptive design using qualitative methodology with a reflective lifeworld research (RLR) approach was used for this study, including in-depth interviews with eight callers. Results An emergency situation involving WWFA assignment in a rural environment mean a sense of being lone and lonely with a vulnerability in while waiting to hand over responsibility for the affected person. Ambivalence in several dimensions arises with simultaneous and conflicting emotions. A tension between powerlessness and power of action where the throw between doubt and hope are abrupt with a simultaneous pendulum between being in a chaos and in a calm. Conclusion A double ambivalence emerges between, on one hand feeling alone in the situation and having full control, on the other hand, with trust handing over the responsibility, thereby losing control. Contact with the emergency medical dispatcher becomes a saving lifeline to hold onto, and access to emergency help in the immediate area of WWFA is valuable and important. Trust and confidence are experienced when callers are met with empathy, regardless of personal acquaintance with arriving responders.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019.
Keywords [en]
ambulance staff, caller, CPR, emergency medical dispatcher, emergency situation, firefighters, first aid, reflective lifeworld research, responder, rural environment
National Category
Nursing
Research subject
Health and Caring Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-89970DOI: 10.1111/scs.12767ISI: 000492266600001PubMedID: 31614024OAI: oai:DiVA.org:lnu-89970DiVA, id: diva2:1368815
Available from: 2019-11-08 Created: 2019-11-08 Last updated: 2019-11-08

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Nord-Ljungquist, HelenaFridlund, BengtElmqvist, Carina

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