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Factors facilitating or hampering nurses identification of stroke in emergency calls
Södersjukhuset Hospital Stockholm ; Karolinska Institutet.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
Södersjukhuset Hospital Stockholm.
Karolinska Institutet.
Show others and affiliations
2015 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 71, no 11, 2609-2621 p.Article in journal (Refereed) Published
Abstract [en]

Aims. To explore the factors that facilitate or hamper identification of stroke in emergency calls concerning patients with stroke who have fallen or been in a lying position.

Background. Early identification of stroke in emergency calls is vital but can be complicated as the patients may be unable to express themselves and the callers generally are bystanders. In a previous study, we found presentation of fall or the patient being in a lying position to be the major problem in 66% of emergency calls concerning, but not dispatched as acute stroke.

Design. A qualitative study using interpretive phenomenology.

Methods. Analysis of transcribed emergency calls concerning 29 patients with stroke diagnoses at hospital discharge, in 2011 and presented with fall/lying position.

Findings. Patients' ability to express themselves, callers' knowledge of the patient and of stroke, first call-takers' and nurses' authority, nurses' coaching and nurses' expertise skills facilitated or hindered the identification of stroke. Certain aspects are adjustable, but some are determined by the situation or on callers' and patients' abilities and thus difficult to change. Nurses' expertise skills were the only theme found to have a decisive effect of the identification of stroke on its own.

Conclusion. To increase identification of stroke in emergency calls concerning stroke, the first call-takers' and nurses' action, competence and awareness of obstacles are crucial and if strengthened would likely increase the identification of stroke in emergency calls. In complicated cases, nurses' expertise skills seem essential for identification of stroke.

Place, publisher, year, edition, pages
2015. Vol. 71, no 11, 2609-2621 p.
Keyword [en]
dispatching, emergency call, emergency medical service, facilitators, identification, nurse, nursing, obstacles, prehospital, stroke
National Category
Nursing
Research subject
Health and Caring Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-46974DOI: 10.1111/jan.12729ISI: 000362515300014PubMedID: 26183379OAI: oai:DiVA.org:lnu-46974DiVA: diva2:866066
Available from: 2015-10-30 Created: 2015-10-30 Last updated: 2016-05-12Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
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