scholarly journals Nurse preceptors' experience‐based strategies for supporting learning in the ambulance service—A combined focus group and dyadic interview study

Author(s):  
Kim Wallin ◽  
Carina Werkander Harstäde ◽  
Anders Bremer ◽  
Ulrica Hörberg
2008 ◽  
Vol 2 (4) ◽  
pp. 259 ◽  
Author(s):  
Young-Mee Lee ◽  
Jung-Hyun Kim ◽  
Yu-Jin Oh ◽  
Min-June Lee

BMJ Open ◽  
2016 ◽  
Vol 6 (2) ◽  
pp. e008681 ◽  
Author(s):  
J K Tijdink ◽  
K Schipper ◽  
L M Bouter ◽  
P Maclaine Pont ◽  
J de Jonge ◽  
...  

Healthcare ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 41 ◽  
Author(s):  
Andreas Rantala ◽  
Lina Behm ◽  
Helena Rosén

Quality within all areas of healthcare should be systemically monitored and ensured. However, the definition of quality is complex and diverse. In the ambulance service (AS), quality has traditionally been defined as response time, but this measurement eliminates the possibility of addressing other characteristics of quality, such as the care provided. This study aimed to explore what constitutes quality in the context of the ambulance service as experienced by ambulance clinicians, physicians, and managers. A focus group study was conducted with 18 participants. The three focus groups were analyzed with the focus group method developed by Kreuger and Casey. The participants highlighted patient involvement, information and care, as well as adherence to policies, regulations, and their own standards as representing quality in the AS. This study demonstrates that quality is in the eye of the beholder. As quality seems to be viewed similarly by patients and ambulance clinicians, physicians, and managers, stakeholders should aim for a paradigm shift where patients’ experience of the care is just as important as various time measures.


BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e015038 ◽  
Author(s):  
Maria Randmaa ◽  
Maria Engström ◽  
Christine Leo Swenne ◽  
Gunilla Mårtensson

ObjectivesTo investigate different professionals’ (nurse anaesthetists’, anaesthesiologists’, and postanaesthesia care unit nurses’) descriptions of and reflections on the postoperative handover.DesignA focus group interview study with a descriptive design using qualitative content analysis of transcripts.SettingOne anaesthetic clinic at two hospitals in Sweden.ParticipantsSix focus groups with 23 healthcare professionals involved in postoperative handovers. Each group was homogeneous regarding participant profession, resulting in two groups per profession: nurse anaesthetists (n=8), anaesthesiologists (n=7) and postanaesthesia care unit nurses (n=8).ResultsPatterns and five categories emerged: (1) having different temporal foci during handover, (2) insecurity when information is transferred from one team to another, (3) striving to ensure quality of the handover, (4) weighing the advantages and disadvantages of the bedside handover and (5) having different perspectives on the transfer of responsibility. The professionals’ perceptions of the postoperative handover differed with regard to temporal foci and transfer of responsibility. All professional groups were insecure about having all information needed to ensure the quality of care. They strived to ensure quality of the handover by: focusing on matters that deviated from the normal course of events, aiding memory through structure and written information and cooperating within and between teams. They reported that the bedside handover enhances their control of the patient but also that it could threaten the patient's privacy and that frequent interruptions could be disturbing.ConclusionsThe present findings revealed variations in different professionals’ views on the postoperative handover. Healthcare interventions are needed to minimise the gap between professionals’ perceptions and practices and to achieve a shared understanding of postoperative handover. Furthermore, to ensure high-quality and safe care, stakeholders/decision makers need to pay attention to the environment and infrastructure in postanaesthesia care.


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