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Patient satisfaction with prehospital emergency care following a hip fracture : A prospective questionnaire-based study

Larsson, Glenn LU ; Strömberg, Ulf LU ; Rogmark, Cecilia LU and Nilsdotter, Anna LU (2018) In BMC Nursing 17(1).
Abstract

Background: Older patients with a hip fracture require specialized emergency care and their first healthcare encounter before arriving at the hospital is often with the ambulance service. Since 2005 there has been a registered nurse on the crew of every ambulance in Sweden in order to provide prehospital emergency care and to prepare the patients for hospitalization. It is important to investigate patient satisfaction with prehospital emergency care following a hip fracture to ensure that their expectations of good care are met. The aim of this study was to investigate patient satisfaction with prehospital emergency care following a hip fracture by comparing two similar emergency care contexts. Methods: The study was conducted using the... (More)

Background: Older patients with a hip fracture require specialized emergency care and their first healthcare encounter before arriving at the hospital is often with the ambulance service. Since 2005 there has been a registered nurse on the crew of every ambulance in Sweden in order to provide prehospital emergency care and to prepare the patients for hospitalization. It is important to investigate patient satisfaction with prehospital emergency care following a hip fracture to ensure that their expectations of good care are met. The aim of this study was to investigate patient satisfaction with prehospital emergency care following a hip fracture by comparing two similar emergency care contexts. Methods: The study was conducted using the Consumer Emergency Care Satisfaction Scale (CECSS) on patients treated for hip fracture in prehospital emergency care. The data were collected within a randomized controlled study for the purpose of comparing prehospital fast track care (PFTC) and the traditional type of transport to an accident and emergency department (A&E). Results: Questionnaire data from 287 patients, 188 women (66%) and 99 men (34%) with a mean age of 80.9years, were analysed. More than 80% of the patients selected the most positive response alternatives, but 16% were dissatisfied with the nursing information provided. Patients in PFTC responded more positively on specific caring behaviour than those transported to the A&E department in the traditional way. Conclusion: Patient satisfaction with prehospital emergency care following a hip fracture is an important outcome and this study highlights the fact that patients expressed a high level of satisfaction with the prehospital emergency care provided by ambulance nurses in both care contexts under study. However, some areas need to be improved in terms of nursing information.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Prehospital emergency care, Patient satisfaction, Hip fracture, Ambulance nurse
in
BMC Nursing
volume
17
issue
1
publisher
BioMed Central
external identifiers
  • scopus:85052001861
ISSN
1472-6955
DOI
10.1186/s12912-018-0307-x
language
English
LU publication?
yes
id
2cbcb57b-c13f-43b9-96d9-8310d9401afe
date added to LUP
2018-10-01 16:14:03
date last changed
2019-02-20 11:28:37
@article{2cbcb57b-c13f-43b9-96d9-8310d9401afe,
  abstract     = {<p>Background: Older patients with a hip fracture require specialized emergency care and their first healthcare encounter before arriving at the hospital is often with the ambulance service. Since 2005 there has been a registered nurse on the crew of every ambulance in Sweden in order to provide prehospital emergency care and to prepare the patients for hospitalization. It is important to investigate patient satisfaction with prehospital emergency care following a hip fracture to ensure that their expectations of good care are met. The aim of this study was to investigate patient satisfaction with prehospital emergency care following a hip fracture by comparing two similar emergency care contexts. Methods: The study was conducted using the Consumer Emergency Care Satisfaction Scale (CECSS) on patients treated for hip fracture in prehospital emergency care. The data were collected within a randomized controlled study for the purpose of comparing prehospital fast track care (PFTC) and the traditional type of transport to an accident and emergency department (A&amp;E). Results: Questionnaire data from 287 patients, 188 women (66%) and 99 men (34%) with a mean age of 80.9years, were analysed. More than 80% of the patients selected the most positive response alternatives, but 16% were dissatisfied with the nursing information provided. Patients in PFTC responded more positively on specific caring behaviour than those transported to the A&amp;E department in the traditional way. Conclusion: Patient satisfaction with prehospital emergency care following a hip fracture is an important outcome and this study highlights the fact that patients expressed a high level of satisfaction with the prehospital emergency care provided by ambulance nurses in both care contexts under study. However, some areas need to be improved in terms of nursing information.</p>},
  articleno    = {38},
  author       = {Larsson, Glenn and Strömberg, Ulf and Rogmark, Cecilia and Nilsdotter, Anna},
  issn         = {1472-6955},
  keyword      = {Prehospital emergency care, Patient satisfaction, Hip fracture, Ambulance nurse},
  language     = {eng},
  month        = {08},
  number       = {1},
  publisher    = {BioMed Central},
  series       = {BMC Nursing},
  title        = {Patient satisfaction with prehospital emergency care following a hip fracture : A prospective questionnaire-based study},
  url          = {http://dx.doi.org/10.1186/s12912-018-0307-x},
  volume       = {17},
  year         = {2018},
}