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  • 1.
    Albinsson, Gunilla
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Elmqvist, Carina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Hörberg, Ulrica
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Nursing students’ and lecturers’ experiences of learning at a university-based nursing student–run health clinic2019Inngår i: Reflective Practice, ISSN 1462-3943, E-ISSN 1470-1103, Vol. 20, nr 4, s. 423-436Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article aims to describe the phenomenon of learning at a university-based nursing student–run health clinic, as experienced by student nurses and lecturers. The study is based on a reflective lifeworld research approach founded on continental philosophy. Eight group interviews were conducted with 38 student nurses and 5 lecturers. The data were explored and analysed for meaning. The results show that learning is supported by a permissive learning environment that builds on both individual and common learning as well as equal relationships within the student group, in relation to the visitors at the health clinic and, to a certain extent, in relation to the lecturers. The most significant finding is that reflective, development-oriented learning takes place when the students, supported by each other and their lecturers, reflect on how to relate to problems and situations. A situation-based learning approach is thus shown to create the prerequisites for lecturers being nearby, reflective dialogue partners but also supervisors in situations where the students ask for support and guidance.

  • 2.
    Almerud Österberg, Sofia
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Elmqvist, CarinaLinnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Kliniska examinationer: Handbok för sjuksköterskestudenter på grund- och avancerad nivå2015Collection/Antologi (Annet vitenskapelig)
    Abstract [sv]

    Detta är en guide till kliniska examinationer som syftar till att du,som student, ska vara väl förberedd och genomföra examinationen på bästa sätt. Innehållet i boken är tänkt att ge en överskådlig och intresseväckande bild av de olika kliniska examinationsformerna.

    Boken är lätt att bära med sig i kliniska undervisningssituationer,den ger konkreta tips kring olika moment i examinationerna.  Författarna till boken är sjuksköterskor, specialistsjuksköterskor  och universitetslärare med mångårig erfarenhet av kliniska examinationer och kliniska slutexaminationer på olika nivåer och i olika utbildningsprogram.

    Målgruppen är studenter i sjuksköterske- och specialistsjuksköterskeprogrammen där kliniska examinationer är en del av utbildningen. Den kan också läsas av lärare vid universitet eller högskolor som inspiration och stöd i arbetet med kliniska examinationer. Liknande böcker finns på den brittiska och amerikanska marknaden men detta är den första i Sverige.

  • 3.
    Elmqvist, Carina
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Akut omhändertagande: i mötet mellan patienter, närstående och olika professioner på skadeplats och på akutmottagning 2011Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Aim:  To describe and develop understanding of  the patient’s first encounter with the involved persons at the scene of an accident and at the emergency department; with a special focus on describing the meaning of emergency care of patients in these caring contexts. 

    Method: The thesis uses a reflective lifeworld research (RLR) approach founded on phenomenological philosophy. The purpose with this approach is to describe the essential meaning and the variations of a phenomenon. Interviews with a lifeworld perspective were used for data collection and analyzed according to the RLR approach for searching for the essence of the phenomenon.  The four essences in the studies (I-IV) establish a general structure for the phenomenon.

    Findings:  Emergency care is characterized by an organisation, whose goal and resources are focused on life-saving, and that encounters a human being with needs of emergency care as well as existential support. The responsibility in emergency care means an intertwining of doing and being.  The one who is in charge takes responsibility for performing or “doing” medical actions, and by “being” close and present in the situation the patient can at the same time feel an existential support. The responsibility for the injured or ill body is handed over to a chain of persons with more and more specialized competence and resources. This hand-over entails a relief for all involved but fails in one link in the chain, namely to explicitly hand back  the responsibility to the patient.  When the patient’s condition allows the distance to be larger the responsibility pales and the existential support decreases. A gap between doing and being arises where the patient is left to regain control and independence. The intertwining of doing and being, which appears as soon as the one in charge is close and present to the patient, facilitates the hand-over to the patient who in a natural way is able to receive the responsibility with possibilities to be able to conclude the encounter.

    Conclusions: A new understanding of emergency care appears which entails more than just life support measures.  Emergency care includes different ways of communication in order to hand over the responsibility and complete the care chain back to the patient in a safe way. The results highlight the importance of empowering patients with a confirming, communicative contact throughout the whole caring process in order for them to retain their identity. There are also implications for educating students and personnel in inter-professional communication and work. In order to assist the intertwining between doing and being there are needs for the development of supportive structures for inter-professional reflection, which in turn would improve the interaction between patients and professionals in their encounter. 

  • 4.
    Elmqvist, Carina
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Att vara patient på skadeplats2012Inngår i: Akut vård ur ett patientperspektiv / [ed] Sofia Almerud Österberg & Lena Nordgren, Lund: Studentlitteratur AB, 2012, 1, s. 15-28Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 5.
    Elmqvist, Carina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Emergency care in the encounter between patients, next of kin and different professionals at the scene of an accident and at the emergency department2014Inngår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 22, nr 4, s. 273-273Artikkel i tidsskrift (Annet vitenskapelig)
  • 6.
    Elmqvist, Carina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Inhabiting the interspaces within emergency care2016Inngår i: European Journal for Person Centered Healthcare, ISSN 2052-5648, E-ISSN 2052-5656, Vol. 4, nr 1, s. 196-207Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: To describe and develop an understanding of the patient’s first encounter with different professionals at the scene of an accident and at the emergency department (ED), with a special focus on describing the meaning of emergency care of patients in these care contexts.

    Design and Methods: The study, having a descriptive design, was carried out with a reflective lifeworld (RLR) approach founded on phenomenological philosophy

    Results: The general structure revealed that emergency care is characterized by a hand-over of responsibility, which is characterized by life-saving medical actions and constitutes a doing. Those life-saving actions need a conscious presence, which at the same time means an existential support for the patient that is constituted by a being. The responsibility then intertwines the doing and the being and all persons involved are brought together into a mutual space. When the patient’s condition allows for increased physical distance from the professionals, a gap or an interspace in the intertwining between doing and being arises as well as an interspace in the patient's understanding of the encounter. For the patient and next-of-kin, this interspace means an empty space with paradoxical feelings of being interesting and at the same time uninteresting - a paradox of care. For the professionals, this interspace provides a needed  breathing space, but also feelings of being split between the high demands of efficiency and the patient's need for existential support and a meaningful encounter - an ethical dilemma.

    Discussion: Knowledge of the temporal meaning ofthe encounter, to be here andnow,can give professionals an opportunityto fillthe interspacedespite increasingphysical distance as patient health improves. Furthermore, it will also give professionals an opportunity toreflect on howthe available timeis used.

  • 7.
    Elmqvist, Carina
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV. 641006.
    Kunskapscentrum Akut Vård (KAV)2012Inngår i: AnIva Ventilen, ISSN 0348-6257, Vol. 47, nr 4 JubileumsnummerArtikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 8.
    Elmqvist, Carina
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Närhet, värme och mänsklighet2012Inngår i: SOS : en tidning från SOS Alarm, nr 1Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 9.
    Elmqvist, Carina
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Rethinking the hand-over process2012Inngår i: Journal of Paramedic Practice, ISSN 1759-1376, Vol. 4, nr 1, s. 5-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    RACTThe article focuses on the hand-over process as clinical hand-over of patient. It mentions that hand-over may begin if the fire or the police service are the first responders at the scene of an accident and they hand-over the responsibility for the injured patients to the ambulance. It says that hand-over also starts when the injured is handling over the responsibility for their own body to the first responders.

  • 10.
    Elmqvist, Carina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). 641006.
    Upplevelser av akut omhändertagande2011Inngår i: AnIva Ventilen, ISSN 0348-6257, Vol. 46, nr 4Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 11.
    Elmqvist, Carina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Väntan på skadeplats2016Inngår i: Prehospital akutsjukvård / [ed] Björn-Ove Suserud & Lars Lundberg, Stockholm: Liber, 2016, 2, , s. 560s. 138-148Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 12.
    Elmqvist, Carina
    Växjö universitet, Fakulteten för humaniora och samhällsvetenskap, Institutionen för vårdvetenskap och socialt arbete.
    Väntan på skadeplats2009Inngår i: Prehospital akutsjukvård / [ed] Björn-Ove Suserud och Leif Svensson, Stockholm: Liber, 2009, 1, s. 145-149Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 13.
    Elmqvist, Carina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Almerud Österberg, SofiaLinnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Akut omhändertagande av trauma: på skadeplats och akutmottagning2014Collection/Antologi (Annet vitenskapelig)
  • 14.
    Elmqvist, Carina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). 641006.
    Almerud Österberg, Sofia
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Utvärdering av projekt Första InsatsPerson (FIP)2011Rapport (Annet (populærvitenskap, debatt, mm))
  • 15.
    Elmqvist, Carina
    et al.
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Brunt, David
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Fridlund, Bengt
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Ekebergh, Margaretha
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Being first on the scene of an accident - experiences of 'doing' prehospital emergency care2010Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 24, nr 2, s. 266-273Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Prehospital emergency care includes the care and treatment of patients prior to them reaching hospital. This is generally a field for the ambulance services, but in many cases firemen or police can be the ones to provide the first responses. The aim of this study was to describe and understand experiences of being the first responder on the scene of an accident, as described by policemen, firemen and ambulance staff. A lifeworld perspective was used in four different traumatic situations from southern Sweden. The data consisted of 13 unstructured interviews with first responders. The phenomenological analysis showed that experiences of being the first responder on the scene of an accident is expectations of doing a systematic course of action, dressed in the role of a hero, and at the same time being genuine in an interpersonal encounter. This entails a continuous movement between ‘being’ and ‘doing’. It is not a question of either – or, instead everything is to be understood in relation to each other at the same time. Five constituents further described the variations of the phenomenon; a feeling of security in the uncertainty, a distanced closeness to the injured person, one moment in an eternity, cross-border cooperation within distinct borders and a need to make the implicit explicit. This finding highlights the importance of using policemen and firemen in doing life support measures while waiting for the ambulance staff, and would in turn increase the importance of the relationship between the different professionals on the scene of an accident.

  • 16.
    Elmqvist, Carina
    et al.
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Frank, Catarina
    Karolinska Institutet.
    Att vara patient på akutmottagningen2012Inngår i: Akut vård ur ett patientperspektiv / [ed] Sofia Almerud Österberg & Lena Nordgren, Lund: Studentlitteratur AB, 2012, 1, s. 51-64Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 17.
    Elmqvist, Carina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Frank, Catharina
    Karolinska Univ.
    Patients' strategies to deal with their situation at an emergency department2015Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 29, nr 1, s. 145-151Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    IntroductionThe care in the emergency department (ED) is often characterised by high standards of efficiency and rapid treatment and the encounter between patient and staff can be described as both short and fragmented. Research within this field has mostly been performed with quantitative measurements and patients are both satisfied and vulnerable in their care at an ED. There is a lack of qualitative studies about patient's strategies to deal with their situation. AimThe aim was to describe patient's strategies for dealing with their situation at an ED. MethodsSecondary analysis has been made of 13 qualitative interviews grounded in a lifeworld perspective. The interviews were analysed by qualitative content analysis. ResultsThe results showed that patients' strategies to deal with the situation at the ED are passive or active. The passive strategy is being patient and the active strategies varied in terms of having hidden tactics, using visible tactics and using families as support. ConclusionThese findings increase the importance of gaining knowledge about these strategies so that the staff at the ED can support the patients so they do not have to use them.

  • 18.
    Elmqvist, Carina
    et al.
    Växjö universitet, Fakulteten för humaniora och samhällsvetenskap, Institutionen för vårdvetenskap och socialt arbete.
    Fridlund, Bengt
    Växjö universitet, Fakulteten för humaniora och samhällsvetenskap, Institutionen för vårdvetenskap och socialt arbete.
    Ekebergh, Margaretha
    Växjö universitet, Fakulteten för humaniora och samhällsvetenskap, Institutionen för vårdvetenskap och socialt arbete.
    More than medical treatment: The patient´s first encounter with prehospital emergency care2008Inngår i: Journal of Emergency Nursing, ISSN 0099-1767, E-ISSN 1527-2966, Vol. 16, nr 3, s. 185-192Artikkel i tidsskrift (Fagfellevurdert)
  • 19.
    Elmqvist, Carina
    et al.
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Fridlund, Bengt
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Ekebergh, Margaretha
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    On a hidden game board: the patient’s first encounter with emergency care at the emergency department2012Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 21, nr 17-18, s. 2609-2616Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aims and objectives.  Describe and understand the patient’s first encounter in emergency care at the emergency department, as experienced by the patient, next of kin and first providers from different professions.

    Background.  The emergency department is most often described as having high levels of satisfaction with the quality of care delivered. Although the patients appreciate clinical competence, quick assessment and technical skills, a close connection between patient satisfaction and vulnerability has been shown.

    Design.  A lifeworld research perspective was used in four different situations at the emergency department.

    Methods.  The data consisted of 14 open-ended interviews with patients, next of kin and first providers.

    Results.  The analysis showed that narratives of the past, present and future characterises the encounter where mutual narratives form a foundation for those involved in the encounter. Five constituents further described the variations; vague rules and conflicting expectations in the encounter, an encounter with the biological body, ‘courtesy encounters’, isolated in a timeless encounter, striving for meaning in the encounter.

    Discussion.  Instead of expecting the patients to know the unwritten rules of the emergency department, the first providers could give clear information about expected waiting times and what to expect in the encounter. The challenge is to make a meaningful comprehensible context for all involved which can be generated in the interpersonal encounter.

    Relevance to clinical practice.  The findings highlight the importance of disclosing the rules of the game by means of giving clear information which would give possibilities for the patient to maintain control, for strengthening the nurse’s role as the patients’ advocate and for strengthening the effort for an emergency department to become more of a learning organisation.

  • 20.
    Elmqvist, Carina
    et al.
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Fridlund, Bengt
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Ekebergh, Margaretha
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Trapped between doing and being: First providers´ experience of “front line” work2012Inngår i: International emergency nursing, ISSN 1878-013X, Vol. 20, nr 3, s. 113-119Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    A common focus in research studies within the Emergency Department (ED) is physician patient relations, experiences of the triage model and nurses´ experiences of caring. Little has, however, been written about different first providers´ experiences of working on the “front line” at the ED. The aim of this study was to describe and understand experiences of being the first provider on the “front line” at the ED, as expressed by nurse assistants, registered nurses and physicians. A reflective lifeworld research approach was used in four different caring situations. The data consisted of eight open-ended interviews with first providers. The analysis showed that being the first provider on the “front line” at the ED entails a continuous movement between providing and responding through performing “life-saving” actions and at the same time create a good relationship with the patient and the next of kin. Five constituents further described the variations of the phenomenon. The readiness to save lives creates a perceived stress of time pressure and the first providers adopt different strategies to cope with the work. Instead of leaving the first providers to find their own way to cope with the complex situation, there are needs for a redesigning of the internal work process within ED organizations.

  • 21.
    Elmqvist, Carina
    et al.
    Växjö universitet, Fakulteten för humaniora och samhällsvetenskap, Institutionen för vårdvetenskap och socialt arbete. 641006.
    Glemne, Mats
    Växjö universitet, Fakulteten för humaniora och samhällsvetenskap, Institutionen för pedagogik.
    Hälsa på campus - Kärnverksamhet2008Rapport (Annet (populærvitenskap, debatt, mm))
  • 22.
    Elmqvist, Carina
    et al.
    Växjö universitet, Fakulteten för humaniora och samhällsvetenskap, Institutionen för vårdvetenskap och socialt arbete. 641006.
    Glemne, Mats
    Växjö universitet, Fakulteten för humaniora och samhällsvetenskap, Institutionen för pedagogik.
    Svensson, Idor
    Växjö universitet, Fakulteten för humaniora och samhällsvetenskap, Institutionen för pedagogik.
    Kompetenscentrum för hälsa2009Rapport (Annet (populærvitenskap, debatt, mm))
  • 23.
    Elmqvist, Carina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Johansson, Christina
    Länssjukhuset Kalmar, Sweden.
    Tiger Axelsson, Malin
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Kliniskt träningscentrum: en miljö som främjar ett reflekterat lärande2015Inngår i: Reflektion i lärande och vård: en utmaning för sjuksköterskan / [ed] Mia Berglund, Margaretha Ekebergh, Lund: Studentlitteratur AB, 2015, 1, s. 129-143Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 24.
    Elmqvist, Carina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Lindahl, Jeanette
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Akutsjukvård för barn 0-18 år2013Inngår i: Omvårdnad på avancerad nivå: kärnkompetenser inom sjuksköterskans specialistområden / [ed] Anna-Karin Edberg, Anna Ehrenberg, Febe Friberg, Lars Wallin, Helle Wijk & Joakim Öhlén, Lund: Studentlitteratur AB, 2013, 1Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 25.
    Elmqvist, Carina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Lindahl, Jeanette
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Vårdmiljöns betydelse på akutmottagningen2013Inngår i: Omvårdnad på avancerad nivå: kärnkompetenser inom sjuksköterskans specialistområden / [ed] Anna-Karin Edberg, Anna Ehrenberg, Febe Friberg, Lars Wallin, Helle Wijk & Joakim Öhlén, Lund: Studentlitteratur AB, 2013, 1Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 26.
    Elmqvist, Carina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Montan, Carl
    Karolinska University Hospital.
    Sohl, Ann
    Region Kronoberg.
    Trauma2016Inngår i: Omvårdnad & kirurgi / [ed] Christine Kumlien & Jenny Rystedt, Lund: Studentlitteratur AB, 2016, 1, s. 57-74Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 27.
    Elmqvist, Carina
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Rask, Mikael
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Berglund, Henrik
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Stöd under och efter akut omhändertagande2014Inngår i: Akut omhändertagande av trauma: på skadeplats och akutmottagning / [ed] Carina Elmqvist & Sofia Almerud Österberg, Lund: Studentlitteratur AB, 2014, 1, s. 179-198Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 28.
    Elmqvist, Carina
    et al.
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV. 641006.
    Sandvide, Åsa
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Integrerade interprofessionella lärandemiljöer2012Rapport (Annet (populærvitenskap, debatt, mm))
  • 29.
    Forsgärde, Elin-Sofie
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    From Attebring, Mona
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Elmqvist, Carina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Powerlessness: dissatisfied patients' and relatives' experiences of their emergency department visit2016Inngår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 25, nr March 2016, s. 32-36Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim

    The aim of this study was to disclose the meaning of patients and relatives lived experience of dissatisfaction when visiting an emergency department.

    Introduction

    Even though most patients are pleased with the emergency department care, there are areas that dissatisfy them, for example lack of communication and unoccupied wait time. However, there are few studies that describe both patients and relatives experience of dissatisfaction.

    Methods

    This explorative study uses a phenomenological hermeneutic approach where patients and relatives were interviewed.

    Results

    Patients and relatives meaning of dissatisfaction mainly contain powerlessness, struggling for control over the situation, lacking knowledge and information, receiving and providing support.

    Conclusions

    The results showed that the experiences of dissatisfaction were similar among patients and relatives. They suffer in the same way when being treated like objects during their visits. Nursing rounds are one way to decrease dissatisfaction by making patients and relatives participating in the care continually updated with information.

  • 30.
    Gustafsson, Ingrid
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Elmqvist, Carina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    From Attebring, Mona
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Johansson, Ingrid
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Rask, Mikael
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    The nurse anesthetists´adherence to Swedish national recommendations to maintain normothermia in patients during surgery2017Inngår i: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 32, nr 5, s. 409-418Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose

    The aim of this study was to determine if nurse anesthetists (NAs) have access, knowledge, and adhere to recommended guidelines to maintain normal body temperature during the perioperative period.

    Design

    A descriptive survey design.

    Methods

    Questionnaires were sent to heads of the department (n = 56) and NAs in the operating departments in Sweden.

    Finding

    The level of access to the recommendations is high, but only one third of the operating departments have included the recommendations in their own local guidelines. The NAs' adherence was low, between 5% and 67%, and their knowledge levels were 57% to 60%.

    Conclusions

    A high level of knowledge, access, and adherence are important for the organization of operating departments to prevent barriers against implementation of new recommendations or guidelines. There are needs for education about patients' heat loss due to redistribution and clear recommendations.

  • 31.
    Göransson, K.
    et al.
    Karolinska Inst, Stockholm, Sweden.
    Parenti, N.
    Imola Hosp, Imola, Italy.
    Elmqvist, Carina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Wirekllint, S. C.
    Comparison of a four and a five-point triage party reliability (Italy vs Sweden)2014Inngår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 22, nr 4, s. 289-289Artikkel i tidsskrift (Annet vitenskapelig)
  • 32.
    Herault, Romain Christian
    et al.
    Linnéuniversitetet, Fakulteten för teknik (FTK), Institutionen för datavetenskap och medieteknik (DM).
    Lincke, Alisa
    Linnéuniversitetet, Fakulteten för teknik (FTK), Institutionen för datavetenskap och medieteknik (DM).
    Milrad, Marcelo
    Linnéuniversitetet, Fakulteten för teknik (FTK), Institutionen för datavetenskap och medieteknik (DM).
    Forsgärde, Elin-Sofie
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Elmqvist, Carina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Using 360-degrees interactive videos inpatient trauma treatment education: design, development and evaluationaspects2018Inngår i: Smart Learning Environments, E-ISSN 2196-7091, Vol. 5, artikkel-id 26Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Extremely catastrophic situations are rare in Sweden, which makes training opportunities important to ensure competence among emergency personnel who should be actively involved during such situations. There is a requirement to conceptualize, design, and implement an interactive learning environment that allows the education, training and assessment of these catastrophic situations more often, and in different environments, conditions and places. Therefore, to address these challenges, a prototype system has been designed and developed, containing immersive, interactive 360-degrees videos that are available via a web browser. The content of these videos includes situations such as simulated learning scenes of a trauma team working at the hospital emergency department. Various forms of interactive mechanisms are integrated within the videos, to which learners should respond and act upon. The prototype was tested during the fall term of 2017 with 17 students (working in groups), from a specialist nursing program, and four experts. The video recordings of these study sessions were analyzed and the outcomes are presented in this paper. Different group interaction patterns with the proposed tool were identified. Furthermore, new requirements for refining the 360-degrees interactive video, and the technical challenges associated with the production of this content, have been found during the study. The results of our evaluation indicate that the system can provide the students with novel interaction mechanisms, to improve their skills, and it can be used as a complementary tool for the teaching and learning methods currently used in their education process.

  • 33.
    Herault, Romain Christian
    et al.
    Linnéuniversitetet, Fakulteten för teknik (FTK), Institutionen för datavetenskap och medieteknik (DM).
    Lincke, Alisa
    Linnéuniversitetet, Fakulteten för teknik (FTK), Institutionen för datavetenskap och medieteknik (DM).
    Milrad, Marcelo
    Linnéuniversitetet, Fakulteten för teknik (FTK), Institutionen för datavetenskap och medieteknik (DM).
    Forsgärde, Elin-Sofie
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Elmqvist, Carina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Svensson, Anders
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Design and Evaluation of a 360 Degrees Interactive Video System to Support Collaborative Training for Nursing Students in Patient Trauma Treatment2018Inngår i: 26TH INTERNATIONAL CONFERENCE ON COMPUTERS IN EDUCATION (ICCE 2018) / [ed] Yang, JC Chang, M Wong, LH Rodrigo, MMT, Asia-Pacific Society for Computers in Education, 2018, s. 298-303Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Extreme catastrophe situations are rare in Sweden, which makes training opportunities important to secure the competence among emergency personnel that should be actively involved during those situations. There is a need to conceptualize, design and implement interactive learning environments that allow to educate, train and assess these catastrophe situations more often and in different settings, conditions and places. In order to address these challenges, a prototype system has been designed and developed containing immersive interactive 360 degrees educational videos that are available via a web browser. The content of these videos includes simulated learning scenes of a trauma team working at the hospital emergency department. Different types of interaction mechanisms are integrated within the videos in which learners should act upon and respond. The prototype was tested during the fall term 2017 with 17 students from the specialist nursing program, and four medical experts. These activities were assessed in order to get new insights into issues related to the proposed approach and feedback connected to the usefulness, usability and learnability of the suggested prototype. The initial outcomes of the evaluation indicate that the system can provide students with novel interaction mechanisms to improve their skills and it can be applied as a complementary tool to the methods used currently in their education.

  • 34.
    Holmberg, Pär
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Nilsson, Johanna
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Elmqvist, Carina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Lindqvist, Gunilla
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Nurses' encounters with children as next of kin to parents with a cancer diagnosis on oncology wards2019Inngår i: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, s. 1-8Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    It is a challenge for registered nurses (RNs) to meet children and young people who have a parent diagnosed with cancer. These children often suffer from shock, anxiety, outrage, fear and stress. Recent studies indicate that when next of kin have a professional person to talk to, their wellbeing increases. Moreover, when these children are involved in their parent’s care they also begin to trust the nurse caring for their parent. However, there is little known of how nurses respond to a child’s needs. Thus, aim of this study was to describe RNs’ experiences of encounters with children as next of kin to a parent diagnosed with cancer. A qualitative descriptive study based on semi-structured group interviews, with a latent content analysis was carried out. One theme, ‘sense of security’ including three categories ‘balanced meeting’, ‘de-dramatize healthcare’ and ‘learn from one another’ was identified. Beyond the categories, there are six sub-categories: ‘sense of insecurity’, ‘caring approach’, ‘providing information’, ‘participation’, ‘processing and follow-up’ and ‘increased knowledge’. The findings of this study highlight the importance of strengthening the RN's ability to create a caring relationship with children as next of kin.

  • 35.
    Jacobson, Lisa
    Dagens Medicin.
    Mänsklighet viktig i akuta situationer2011Inngår i: Dagens medicin, ISSN 1104-7488, nr 36 (7 Sep)Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
    Abstract [sv]

    En hand att hålla i eller att höra sitt namn kan upplevas som livräddande för en person som varit med om en olycka.

  • 36.
    Jonsson, Annica
    Vårdfokus.
    Mänsklig närvaro allra viktigast2011Inngår i: Vårdfokus, ISSN 2000-5717, nr 10Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 37.
    Lindahl, Jeanette
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Elmqvist, Carina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Thulesius, Hans
    Lund University, Sweden;Region Kronoberg, Sweden.
    Edvardsson, David
    La Trobe University, Australia;Umeå University, Sweden.
    Psychometric evaluation of the Swedish language Person-centred Climate Questionnaire - family version2015Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 29, nr 4, s. 859-864Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    In a holistic view of care, the family is important for the patient as well as for the staff and integration of family members in health care is a growing trend. Yet, family participation in the care is sparsely investigated and valid assessment instruments are needed.

    Setting

    Data were collected from 200 family members participating in an intervention study at an emergency department (ED) in Sweden.

    Method

    The Person-centred Climate Questionnaire – Family (PCQ-F) is a measure for how family members perceive the psychosocial climate. PCQ-F is a self-report instrument that contains 17 items assessing safety, everydayness and hospitality – three subscale dimensions that mirror the Swedish patient version of the questionnaire, the PCQ-P.

    Aim

    The aim of this study was to evaluate the psychometric properties of the Swedish version of the PCQ-F in an ED context.

    Results

    The psychometric properties of the PCQ-F were evaluated using statistical estimates of validity and reliability and showed high content validity and internal consistency. Cronbach's Alpha was >0.7 and item–total correlations were >0.3 and <0.7.

    Conclusion

    In terms of psychometrics, the findings in this study indicate that the PCQ-F can be used with satisfactory validity and reliability to explore to what degree family members perceive ED settings as being person-centred, safe, welcoming and hospitable within an everyday and decorated physical environment. As the PCQ already exists in a valid and reliable patient (PCQ-P) and staff (PCQ-S) version, this new family member version is a significant addition to the literature as it enables further comparative studies of how diverse care settings are perceived by different stakeholders.

  • 38.
    Lindahl, Jeanette
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Thulesius, Hans
    Region Kronoberg.
    Edvardsson, D.
    Elmqvist, Carina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Caring Optimized Physical Environment (COPE) at an emergency department in Sweden2014Inngår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 22, nr 4, s. 287-288Artikkel i tidsskrift (Annet vitenskapelig)
  • 39.
    Ozolins, Lise-Lotte
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Elmqvist, Carina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Hörberg, Ulrica
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    A nursing student-run health clinic: an innovative project based on reflective lifeworld-led care and education2014Inngår i: Reflective Practice, ISSN 1462-3943, E-ISSN 1470-1103, Vol. 15, nr 4, s. 415-426Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Nursing students need support in order to be able to intertwine caring science theory with practice through reflection. In this theoretical paper a nursing student-run health clinic based on lifeworld led learning and caring is described and propounded as providing such support. The student nurses are offered possibilities for integrating theoretical and practical knowledge by the re-location of parts of the theoretical courses to this innovative learning environment. In applying a phenomenological attitude, both in the learning situation and in the caring situation, the natural (unreflective) attitude is challenged in order for the student nurses to gain a deeper and broader understanding of caring science within their caring practice and vice versa. This means that the nursing students can develop a reflective caring approach that is important in order to become both sensitive and sensible nurses. This paper can be supportive for nurse educators in developing nursing education to meet the needs of the modern society. Our perspective on health, well-being and reflective learning can also inspire persons who work in clinical practice and with health promotion.

  • 40.
    Rudenstam, Charlotte
    Omvårdnadsmagasinet.
    Viktigt patientmöte vid akut omhändertagande2011Inngår i: Omvårdnadsmagasinet, ISSN 1652-0858, nr 5Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 41.
    Svensson, Anders
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Almerud Österberg, Sofia
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Fridlund, Bengt
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Stening, Kent
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Elmqvist, Carina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Firefighters as First Incident Persons: breaking the chain of events and becoming a new link in the chain of survival2018Inngår i: International Journal of Emergency Services, ISSN 2047-0894, E-ISSN 2047-0908, Vol. 7, nr 2, s. 120-133Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose In order to shorten the response time, two part-time fire departments (FDs) in Sweden initialize a first incident person (FIP) assignment. This is done by alarming the crew manager as an FIP, responding in a separate emergency vehicle, and by arriving at the scene before rest of the crew. The purpose of this paper is to explore and describe experiences of the FIP assignment within an FD. Design/methodology/approach A multimethod design was used, influenced by Creswell and Plano Clark's (2011) explanatory sequential mixed method design including emergency reports, a questionnaire and interviews. Findings The results show that the FIP assignment was a function that secured an early presence at the scene of an accident or emergency situations, which is beneficial for society in the form of a safety factor, for the firefighters in the form of early prior information on what to expect at the scene and for the patient in the form of early existential support and increased chances of survival. Originality/value In order to prevent full scenarios to happen and get the chance to save lives, an early response must be ensured. Hence, studies must be made in different settings, based on its unique conditions. This study indicates that by implementing FIP in FDs placed in a rural area, the FIP can break the chain of events and becoming a new link in the chain of survival.

  • 42.
    Svensson, Anders
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Fridlund, Bengt
    Jönköping University.
    Wångmar, Erik
    Linnéuniversitetet, Fakulteten för samhällsvetenskap (FSV), Institutionen för statsvetenskap (ST).
    Elmqvist, Carina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Home healthcare nurses’ experiences of being on stand by as a first responder in a ‘While Waiting For the Ambulance’ assignment2016Inngår i: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 36, nr 4, s. 184-191Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of the study is to describe experiences of the ‘While Waiting for the Ambulance’ (WWFA) assignment, as described by home healthcare nurses (HHCNs). Since the early 1990s, municipal resources in Sweden, preferably firefighters, have been dispatched on WWFA. In order to further assist the local residents on an island in the southwest of Sweden, HHCNs have recently begun accompanying firefighters on WWFA. A reflective lifeworld approach was used for data analysis including in-depth interviews with eight HHCNs. When WWFA was established, the HHCNs experienced lack of clarity in where their responsibilities start and end. A split role is described, and there is a paradox in that the responders are meant to collaborate toward saving lives, when the assignment itself has a lack of collaborative structure. Ethical dilemmas and inner emotional worries led to the nurses expressing a need for support before, during and after WWFA.

  • 43.
    Säll-Hansson, Karin
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Elmqvist, Carina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Lindqvist, Gunilla
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Stening, Kent
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Meanings of chronic pain in patient interactions with health services2016Inngår i: Meanings of pain / [ed] Simon van Rysewyk, Springer, 2016, 1, , s. 295-307s. 295-307Kapittel i bok, del av antologi (Annet vitenskapelig)
    Abstract [en]

    Chronic pain causes suffering for patients and managing chronic pain is one of the most common assignments in the health service. Health care professionals can profoundly influence the meaning patients and their families attribute to pain experience. Patients with chronic pain may feel discredited and called into question by skeptical medical professionals. Patients may have to fight to receive entitled care and to suggest suitable treatments. To contribute to medical decision-making and improved patient outcomes, health care professionals should integrate phenomenological narratives and stories about pain into health care in parallel with consulting the medical evidence. Professional care structures should not make health care professionals feel torn between meeting patient needs for existential support and the demand of meeting high clinical work-loads. Narratives and stories can provide shared structures that allow patients and medical professionals to make decisions that feel meaningful, accurate, and clear. Many patients use psychological strategies in their everyday lives in order to live meaningfully with persistent pain; but, this is not enough. Healthcare professionals need “dare to open up and accept personal and deep conversations with patients” about their pain experiences and the lived consequences of persistent pain.

  • 44.
    Wireklint, Sara
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Region Kronoberg.
    Elmqvist, Carina
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Parenti, Nicola
    University of Modena, Italy.
    Göransson, Katarina E.
    Karolinska Institutet.
    A descriptive study of registered nurses’ application of the triage scale RETTS©: a Swedish reliability study2018Inngår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 38, s. 21-28Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    From a patient safety perspective, it is of great importance that decision support systems such as triage scales are evidence based. In the most recent national survey, the majority of Swedish Emergency Departments (EDs) apply the Swedish triage scale known as the Medical Emergency Triage Treatment Scale (METTS), subsequently renamed the Rapid Emergency Triage Treatment Scale (RETTS©). Despite national widespread implementation, there has been limited research on METTS/RETTS©.

    Aim

    To determine the reliability of application by registered nurses of the RETTS© triage scale in two Swedish emergency departments.

    Methods

    In this prospective, cross-sectional study at two EDs, 46 written patient scenarios were triaged by 28 registered nurses (RNs). Data were analysed with descriptive statistics and Fleiss kappa (κ).

    Results

    The RNs allocated 1281 final triage levels. There was concordance in seven (15%) of the scenarios, and dispersion over two or more triage levels in 39 (85%). Dispersion across the stable/unstable patient boundary was found in 21 (46%) scenarios. Fleiss κ was 0.562, i.e. moderate agreement.

    Conclusion

    The inability of the triage scale to distinguish between stable/unstable patients can lead to serious consequences from a patient safety perspective. No general pattern regarding concordance or dispersion was found.

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