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“You have to live with some risk, it’s part of the profession”. Specialist ambulance nurses’ perceptions of assignments involving ongoing lethal violence

Stendahl, Susanne ; Rollgard, Linda ; Behm, Lina and Rantala, Andreas LU orcid (2023) In Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 31. p.1-9
Abstract
Background
As a result of several violent terrorist incidents, authorities in Sweden have shifted from previous approaches of being certain that it is safe for the ambulance service to enter the scene, to a one where “safe enough” is sufficient, potentially making it possible to save more lives. The aim was therefore to describe specialist ambulance nurses' perceptions of the new approach to assignments involving incidents with ongoing lethal violence.

Methods
This interview study employed a descriptive qualitative design with a phenomenographic approach in accordance with Dahlgren and Fallsberg.

Results
Five categories containing conceptual descriptions were developed from the analysis: Collaboration, Unsafe... (More)
Background
As a result of several violent terrorist incidents, authorities in Sweden have shifted from previous approaches of being certain that it is safe for the ambulance service to enter the scene, to a one where “safe enough” is sufficient, potentially making it possible to save more lives. The aim was therefore to describe specialist ambulance nurses' perceptions of the new approach to assignments involving incidents with ongoing lethal violence.

Methods
This interview study employed a descriptive qualitative design with a phenomenographic approach in accordance with Dahlgren and Fallsberg.

Results
Five categories containing conceptual descriptions were developed from the analysis: Collaboration, Unsafe environments, Resources, Unequipped and Risk taking and self-protection.

Conclusions
The findings highlight the need to ensure that the ambulance service is a learning organisation, where clinicians with experience of an ongoing lethal violence event can pass on and share their knowledge with colleagues to prepare mentally for such an event. Potentially compromised security in the ambulance service when dispatched to ongoing lethal violence incidents needs to be addressed. (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
volume
31
article number
17
pages
1 - 9
publisher
BioMed Central (BMC)
external identifiers
  • scopus:85151810541
  • pmid:37020308
ISSN
1757-7241
DOI
10.1186/s13049-023-01082-0
language
English
LU publication?
yes
id
e8b293d5-1810-423f-b3f6-cdeec7ae773b
date added to LUP
2023-04-05 16:58:50
date last changed
2024-01-19 21:08:28
@article{e8b293d5-1810-423f-b3f6-cdeec7ae773b,
  abstract     = {{Background<br/>As a result of several violent terrorist incidents, authorities in Sweden have shifted from previous approaches of being certain that it is safe for the ambulance service to enter the scene, to a one where “safe enough” is sufficient, potentially making it possible to save more lives. The aim was therefore to describe specialist ambulance nurses' perceptions of the new approach to assignments involving incidents with ongoing lethal violence.<br/><br/>Methods<br/>This interview study employed a descriptive qualitative design with a phenomenographic approach in accordance with Dahlgren and Fallsberg.<br/><br/>Results<br/>Five categories containing conceptual descriptions were developed from the analysis: Collaboration, Unsafe environments, Resources, Unequipped and Risk taking and self-protection.<br/><br/>Conclusions<br/>The findings highlight the need to ensure that the ambulance service is a learning organisation, where clinicians with experience of an ongoing lethal violence event can pass on and share their knowledge with colleagues to prepare mentally for such an event. Potentially compromised security in the ambulance service when dispatched to ongoing lethal violence incidents needs to be addressed.}},
  author       = {{Stendahl, Susanne and Rollgard, Linda and Behm, Lina and Rantala, Andreas}},
  issn         = {{1757-7241}},
  language     = {{eng}},
  month        = {{04}},
  pages        = {{1--9}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine}},
  title        = {{“You have to live with some risk, it’s part of the profession”. Specialist ambulance nurses’ perceptions of assignments involving ongoing lethal violence}},
  url          = {{http://dx.doi.org/10.1186/s13049-023-01082-0}},
  doi          = {{10.1186/s13049-023-01082-0}},
  volume       = {{31}},
  year         = {{2023}},
}