Skjutning konstaterad! Ambulanssjuksköterskans förberedelser vid utlarmning till en plats där en patient blivit skottskadad
Sammanfattning: Abstract Introduction: Social development in Sweden points to an environment where shootings with firearms become an increasingly common phenomenon among criminal groups. With the Terrorist attack of April 7, 2017, the Civil Protection and Preparedness Authority (MSB) has been commissioned by the government to investigate what needs to be resolved in order for society to be better prepared for events with ongoing fatalities. It is important that the experiences created by the staff exposed to these challenges are taken care of and that you can integrate and identify the best strategies that you can use to prepare yourself best for the mission. Aim: The aim was to identify the strategies used by ambulance nurses for preparation during the drive out in a situation where a patient has received a gunshot wound. Method: The study has been conducted with a descriptive qualitative approach. Semi-structured interviews were used to collect retrospective data from 10 ambulance nurses. The collected data was analyzed by critical incident technique and resulted in five final categories. Result: The results show that ambulance nurses use both mental and practical strategies to prepare for the care of a patient with a gunshot wound. The five final categories identified during the analysis were as follows: To talk to the colleague and to get a common strategy for structuring and distributing work, reviewing and repeating relevant algorithms, searching for a policy and thinking about safety, mental stability through calm and structured thoughts with an open mind, going through which equipment is the priority for a life-threatening bleeding and where it is located. Clinical implications: The result of this research project helps staff in the field of ambulance care receive different strategies that can be used to prepare for the care of patients who have been shot. The preparations are linked to their own mental strategies, collaboration with colleagues, collaboration with other actors and preparation for patient care. Key words: Preparation strategies, prehospital care, ambulance nurses, shot injury, critical incident technique.
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