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首页> 外文期刊>BMC Emergency Medicine >Experience of using video support by prehospital emergency care physician in ambulance care - an interview study with prehospital emergency nurses in Sweden
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Experience of using video support by prehospital emergency care physician in ambulance care - an interview study with prehospital emergency nurses in Sweden

机译：在救护车护理中使用视频支持的经验 - 在救护车护理中 - 在瑞典急救护士采访研究

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摘要

When in need of emergency care and ambulance services, the ambulance nurse is often the first point of contact for the patient with healthcare. This role requires comprehensive knowledge of the ambulance nurse to be able to assign the right level of care and, if necessary, to provide self-care advice for patients with no further conveyance to hospital. Recently, an application was developed for transmitting real-time video to facilitate consultation between ambulance nurses and prehospital physicians in the role of regional medical support (RMS) for ambulance care. The use of video communication as a complement of medical support when referring to self-care is still an unexplored method in a prehospital setting. Our study aimed to elucidate ambulance nurses’ experience of video consultation with RMS physician during the assessment of patients considered to be triaged to self-care. We conducted a qualitative design study using semi-structured interviews with open questions. Twelve ambulance nurses were included in the study. To explore the ambulance nurses’ experience of performing video consultation with RMS physician, in cases when a patient was assessed and triaged to self-care, a content analysis was performed. A main category emerged from the results: “ Video consultation as decision support in the ambulance care promotes increased patient participation and for the ambulance nurses, it creates a feeling of increased patient safety “. The main category was based and formed on the following categories: “ Simultaneous presence of ambulance nurse and a physician increases patient participation during the assessment resulting in a confident care decision “. “Interprofessional collaboration strengthens the medical assessment”. “Video technology promotes accessibility for patients needs in the ambulance care regardless of emergency level”. Ambulance nurses experienced that the use of video consultation increases patient involvement and confidence in healthcare when both the ambulance nurse and the physician were present when deciding on self-care advice. The live imaging allowed the ambulance nurse and prehospital physician to reach a consensus on the patient’s current medical care needs, which in turn led to a feeling of increased patient safety for the ambulance nurses.
机译：当需要紧急护理和救护车服务时，救护车护士通常是医疗保健患者的第一个接触点。这种作用需要对救护车护士的全面了解能够分配正确的护理水平，并在必要时为没有进一步运输医院的患者提供自我保健建议。最近，开发了一个申请，用于传输实时视频，促进救护车护士和常产医生在区域医疗支持（RMS）对救护车护理的作用。在引用自我护理时，使用视频通信作为医疗支持的补充，仍然是在前孢子设置中的未开发方法。我们的研究旨在在评估被认为是自我护理的患者的评估期间阐明救护者护士与rms医师的视频咨询经验。我们使用具有开放性问题的半结构化访谈进行了定性设计研究。这项研究中包括十二名救护车护士。为了探索救护车护士的经验，通过rms医师进行视频咨询，在评估患者并向自我保健进行分析时，进行了内容分析。结果中出现了一个主要类别：“作为救护车护理中决策支持的视频咨询促进了增加的患者参与和救护车护士，它创造了患者安全增加的感觉”。主要类别基于下列类别：“救护车护士的同时存在和医生在评估期间增加患者参与导致自信的关怀决定”。 “贸易协作加强了医学评估”。 “无论紧急水平如何，视频技术促进患者需要的患者需求的可用性”。当救护车护士和医生在决定自我保健建议时，救护车护士经历了使用视频咨询的使用增加了患者参与和对医疗保健的信心。现场成像允许救护车护士和盛泊医师在患者目前的医疗需求方面达成共识，这反过来导致了救护车护士的患者安全性增加的感觉。

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