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Older patients’ perceptions of the Swedish ambulance service : A qualitative exploratory study

Rantala, Andreas LU orcid ; Sterner, Anders ; Frank, Catharina ; Heinrich, Elsa and Holmberg, Bodil (2023) In Australasian Emergency Care 26(3).
Abstract

Background: As worldwide life expectancy increases, the Swedish Ambulance Service is likely to be affected by the demographic shift towards a larger proportion of older persons. An older population tends to increase the demand for ambulances, indicating a need to illuminate older patients’ perspective. Thus, the aim of this study was to explore older patients’ perceptions of the Swedish Ambulance Service. Methods: This interview study employed a descriptive qualitative design with a phenomenographic approach in accordance with Dahlgren and Fallsberg. Results: Three main descriptive categories emerged to describe the underlying conceptions in the interviews; A double-edged encounter, Trust is created by perceived competence, and Safety... (More)

Background: As worldwide life expectancy increases, the Swedish Ambulance Service is likely to be affected by the demographic shift towards a larger proportion of older persons. An older population tends to increase the demand for ambulances, indicating a need to illuminate older patients’ perspective. Thus, the aim of this study was to explore older patients’ perceptions of the Swedish Ambulance Service. Methods: This interview study employed a descriptive qualitative design with a phenomenographic approach in accordance with Dahlgren and Fallsberg. Results: Three main descriptive categories emerged to describe the underlying conceptions in the interviews; A double-edged encounter, Trust is created by perceived competence, and Safety through accessibility in vulnerable situations. Conclusion: Older patients described trust in ambulance clinicians as a prerequisite for feeling safe enough to share their feelings and allow a bodily examination. However, they also criticized the care provided because they questioned the need for certain actions.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Aged, Ambulances, Emergency medical services, Nursing care, Patient, perception
in
Australasian Emergency Care
volume
26
issue
3
publisher
Elsevier
external identifiers
  • pmid:36764911
  • scopus:85147864152
ISSN
2589-1375
DOI
10.1016/j.auec.2023.01.005
language
English
LU publication?
yes
id
b0efd840-b7c9-4970-845a-7650930fbd82
date added to LUP
2023-02-23 15:26:07
date last changed
2024-06-14 00:13:17
@article{b0efd840-b7c9-4970-845a-7650930fbd82,
  abstract     = {{<p>Background: As worldwide life expectancy increases, the Swedish Ambulance Service is likely to be affected by the demographic shift towards a larger proportion of older persons. An older population tends to increase the demand for ambulances, indicating a need to illuminate older patients’ perspective. Thus, the aim of this study was to explore older patients’ perceptions of the Swedish Ambulance Service. Methods: This interview study employed a descriptive qualitative design with a phenomenographic approach in accordance with Dahlgren and Fallsberg. Results: Three main descriptive categories emerged to describe the underlying conceptions in the interviews; A double-edged encounter, Trust is created by perceived competence, and Safety through accessibility in vulnerable situations. Conclusion: Older patients described trust in ambulance clinicians as a prerequisite for feeling safe enough to share their feelings and allow a bodily examination. However, they also criticized the care provided because they questioned the need for certain actions.</p>}},
  author       = {{Rantala, Andreas and Sterner, Anders and Frank, Catharina and Heinrich, Elsa and Holmberg, Bodil}},
  issn         = {{2589-1375}},
  keywords     = {{Aged; Ambulances; Emergency medical services; Nursing care; Patient; perception}},
  language     = {{eng}},
  number       = {{3}},
  publisher    = {{Elsevier}},
  series       = {{Australasian Emergency Care}},
  title        = {{Older patients’ perceptions of the Swedish ambulance service : A qualitative exploratory study}},
  url          = {{http://dx.doi.org/10.1016/j.auec.2023.01.005}},
  doi          = {{10.1016/j.auec.2023.01.005}},
  volume       = {{26}},
  year         = {{2023}},
}