Nurses' experience of prehospital sepsis assessment: a qualitative study

被引:0
作者
Reeves, Lara [1 ,2 ,3 ]
Rubenson-Wahlin, Rebecka [1 ,2 ]
Andersson, Emma Hei Rim [2 ]
Bjerkander, Matteus [2 ]
Djarv, Therese [3 ,4 ]
Bohm, Katarina [2 ,5 ]
Vicente, Veronica [1 ,2 ]
机构
[1] Ambulance Med Serv Stockholm Ambulanssjukvarden St, Dept AISAB, Stockholm, Sweden
[2] Karolinska Inst, Dept Clin Sci & Educ, Stockholm, Sweden
[3] Karolinska Univ Hosp, Emergency Dept, Stockholm, Sweden
[4] Karolinska Inst, Dept Med Solna, Stockholm, Sweden
[5] Soder Sjukhuset, Dept Emergency Med, Stockholm, Sweden
关键词
Sepsis; emergency nursing; prehospital environment; clinical experience; practice guidelines; EMERGENCY MEDICAL-SERVICES; SEPTIC SHOCK; ANTIBIOTICS; SURVIVAL; THERAPY; IMPACT; TIME; CARE;
D O I
10.1080/10376178.2024.2370930
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
BackgroundSepsis is a frequent cause of global deaths with time critical diagnosis and treatment impacting outcomes. Prehospital emergency nurses are pivotal in assessment that influences timely diagnosis.AimTo gain a deep understanding of nurse's experiences when caring for those with suspected sepsis.Design and MethodsA qualitative study using semi-structured interviews and inductive content analysis according to the Elo Kyng & auml;s method.FindingsEarly identification of sepsis by prehospital emergency nurses (n = 13) was augmented through a combination of clinical experience and the implementation of practice guidelines. There were three key components to practice improvement a) clinical experience, b) continuous education and c) explicit guidelines.ConclusionsIdentification of sepsis in the prehospital environment can shorten the time to treatment for patients with sepsis. Early identification can be achieved by continuous education in the Emergency Medical Service (EMS), ensuring experienced personnel and including the EMS in medical guidelines.
引用
收藏
页码:673 / 682
页数:10
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