The dialogue as decision support; lived experiences of extended collaboration when an ambulance is called
(2021) In International Journal of Qualitative Studies on Health and Well-being 16(1).- Abstract
Purpose: This study aimed to describe extended collaboration in situations when an ambulance was called, as experienced by older patients, a significant other, and ambulance- and primary healthcare (PHC) centre personnel. Methods: The study used a phenomenological reflective lifeworld research (RLR) approach. Participants included in three specific situations with extended collaboration were interviewed: three older patients, one significant other, three ambulance personnel and four personnel at the PHC centre. The transcribed interviews were analysed for meanings of the phenomenon. Results: The extended collaboration means that decisions were supported through dialogue by bridging knowledge spaces between person, within-team and... (More)
Purpose: This study aimed to describe extended collaboration in situations when an ambulance was called, as experienced by older patients, a significant other, and ambulance- and primary healthcare (PHC) centre personnel. Methods: The study used a phenomenological reflective lifeworld research (RLR) approach. Participants included in three specific situations with extended collaboration were interviewed: three older patients, one significant other, three ambulance personnel and four personnel at the PHC centre. The transcribed interviews were analysed for meanings of the phenomenon. Results: The extended collaboration means that decisions were supported through dialogue by bridging knowledge spaces between person, within-team and across-team levels. Through dialogue experience and knowledge were shared and certainty in decisions was increased. The extended collaboration was built on trust, responsibility taken, shared and entrusted, and the common goal of adapted care for the unique patient. A need for further improvement and transparency was elucidated. Conclusions: The difficulty of making care decisions stresses the importance of available extended collaboration based on the dialogue between patients, significant others, and ambulance- and PHC centre personnel to increase certainty in decisions. Collaboration further requires respectful encounters, trust, responsibility and a common goal of adapting the care for the unique patient.
(Less)
- author
- Forsgärde, Elin Sofie ; Svensson, Anders ; Rööst, Mattias LU ; Fridlund, Bengt LU and Elmqvist, Carina
- organization
- publishing date
- 2021
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Aged, emergency medical services, experiences of care, intersectoral collaboration, patients, prehospital emergency care, primary health care, reflective lifeworld research
- in
- International Journal of Qualitative Studies on Health and Well-being
- volume
- 16
- issue
- 1
- article number
- 1970095
- publisher
- Taylor & Francis
- external identifiers
-
- scopus:85113555042
- pmid:34427535
- ISSN
- 1748-2623
- DOI
- 10.1080/17482631.2021.1970095
- language
- English
- LU publication?
- yes
- id
- 42e1a6b3-4d4f-417b-b1f8-fd931ab25de6
- date added to LUP
- 2021-09-09 09:31:04
- date last changed
- 2024-04-20 12:06:27
@article{42e1a6b3-4d4f-417b-b1f8-fd931ab25de6,
abstract = {{<p>Purpose: This study aimed to describe extended collaboration in situations when an ambulance was called, as experienced by older patients, a significant other, and ambulance- and primary healthcare (PHC) centre personnel. Methods: The study used a phenomenological reflective lifeworld research (RLR) approach. Participants included in three specific situations with extended collaboration were interviewed: three older patients, one significant other, three ambulance personnel and four personnel at the PHC centre. The transcribed interviews were analysed for meanings of the phenomenon. Results: The extended collaboration means that decisions were supported through dialogue by bridging knowledge spaces between person, within-team and across-team levels. Through dialogue experience and knowledge were shared and certainty in decisions was increased. The extended collaboration was built on trust, responsibility taken, shared and entrusted, and the common goal of adapted care for the unique patient. A need for further improvement and transparency was elucidated. Conclusions: The difficulty of making care decisions stresses the importance of available extended collaboration based on the dialogue between patients, significant others, and ambulance- and PHC centre personnel to increase certainty in decisions. Collaboration further requires respectful encounters, trust, responsibility and a common goal of adapting the care for the unique patient.</p>}},
author = {{Forsgärde, Elin Sofie and Svensson, Anders and Rööst, Mattias and Fridlund, Bengt and Elmqvist, Carina}},
issn = {{1748-2623}},
keywords = {{Aged; emergency medical services; experiences of care; intersectoral collaboration; patients; prehospital emergency care; primary health care; reflective lifeworld research}},
language = {{eng}},
number = {{1}},
publisher = {{Taylor & Francis}},
series = {{International Journal of Qualitative Studies on Health and Well-being}},
title = {{The dialogue as decision support; lived experiences of extended collaboration when an ambulance is called}},
url = {{http://dx.doi.org/10.1080/17482631.2021.1970095}},
doi = {{10.1080/17482631.2021.1970095}},
volume = {{16}},
year = {{2021}},
}