scholarly journals Out-of-hospital emergency care providers’ work and clinical skills in Finland: A follow-up study

2017 ◽  
Vol 6 (1) ◽  
pp. 51
Author(s):  
Riitta Mikkola ◽  
Mari Salminen-Tuomaala ◽  
Eija Paavilainen ◽  
Päivi Leikkola
Keyword(s):  
Educational Intervention ◽  
Emergency Care ◽  
Clinical Competence ◽  
Clinical Skills ◽  
Further Education ◽  
Care Providers ◽  
Hospital Emergency ◽  
Hospital District ◽  
Follow Up Study

Objective: This follow-up study is part of a larger study on emergency medical services. Its purpose was to describe emergency care providers’ perceptions of their work, its challenges and their clinical competence. The study aimed at producing knowledge of the perceived influence of an educational intervention, to be used in developing emergency care providers’ further and updating education.Methods: Data were collected from staff working in out-of-hospital emergency care of a hospital district in Finland using a questionnaire developed for this purpose. The results were analyzed statistically using SPSS for Windows 24.Results: Over 90% of the respondents found that their work was interesting and provided sufficient challenges. The majority were also interested in continuous professional development. After the educational intervention, respondents found the work somewhat more challenging and slightly more strenuous both physically and mentally compared to the first survey. Respondents more commonly reported that new capacities were required at work and they rated their practical skills lower than in the first survey. However, work in a multiprofessional environment was found less challenging. Over 70% of the respondents planned to have further education in the near future. They rated their clinical skills as good, but slightly lower compared to the first survey.Conclusions: The results regarding work, its challenges and self-rated clinical competence remained the same or were somewhat poorer after the educational intervention. The results help improve the education to meet the needs of emergency staff.

scholarly journals Encountering and counselling patients and family members in out-of-hospital emergency care in non-conveyance situations: Follow-up study in Finland

2018 ◽  
Vol 14 (2) ◽  
Author(s):  
Eija Paavilainen ◽  
Riitta Mikkola ◽  
Mari Salminen-Tuomaala ◽  
Päivi Leikkola
Keyword(s):  
Educational Intervention ◽  
Emergency Care ◽  
Family Members ◽  
Positive Development ◽  
Care Providers ◽  
Hospital Emergency ◽  
Hospital District ◽  
Care Services ◽  
Rapid Action ◽  
Emergency Care Services

Rather little is known about emergency care in out-of-hospital settings, for example in patients’ homes, where acute situations often emerge and require rapid action from those present. Research evidence concerning the issue is crucial for the development of emergency care services and for responding to patients’ and professionals’ needs. This study aims to describe how out-of-hospital emergency staff experience encountering and counselling patients and their family members and making non-conveyance decisions after having attended an educational intervention dealing with these issues. Data were collected by electronic questionnaires sent to all out-of-hospital emergency staff members (N=238) of a hospital district in Finland in 2014 and in 2016. Data were mainly analyzed using statistical methods. The educational intervention did not affect respondents’ self-perceived encountering and counselling skills much, although some positive development was observed. The educational intervention had some positive effect on emergency care providers’ encountering and counselling skills. Especially the attention given to family members in care situations increased. The training appears to be in the right direction, but it must be continued. The continuously increasing knowledge of patients’ and family members’ care and counselling experiences also helps staff to understand situations from client perspective, bringing a new dimension to emergency care services.

Impact of educational intervention and reinforcement on adverse drug reporting by nursing students: A prospective follow up study

2020 ◽  
Vol 1 (1) ◽  
pp. 36
Author(s):  
Manisha Bisht ◽  
Puneet Dhamija ◽  
Bhomik Goel ◽  
Vasantha Kalyani ◽  
ShailendraS Handu
Keyword(s):  
Nursing Students ◽  
Educational Intervention ◽  
Follow Up Study

scholarly journals Quality of solo ambulance care by physician assistants versus ambulance nurses for non-conveyed patients in the Netherlands: An observational study

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 357
Author(s):  
Lilian Vloet ◽  
Daniël Winterink ◽  
Aico Gerritsen ◽  
Wim Heutz ◽  
Thijs van Zonneveld ◽  
...  
Keyword(s):  
Patient Experience ◽  
Emergency Care ◽  
Physician Assistants ◽  
Care Process ◽  
Care Providers ◽  
Follow Up Care ◽  
Clinically Significant ◽  
And Behavior ◽  
Ambulance Nurse

Background The aim of this study was to compare the ambulance care process, follow-up care and patient experience between physician assistants and ambulance nurses operating as solo ambulance care providers, for a non-conveyed patient population. Methods An observational design was used. Characteristics of patients and events and the care process were retrieved from the ambulance registration database. Data on follow-up care and patient experience were collected through questionnaires. Results Of the included solo ambulance events, 49/379 (12.9%) were performed by physician assistants, 330/379 (87.1%) were performed by ambulance nurses. For initial complaints and the on-scene diagnoses there were no significant differences between the physician assistants and ambulance nurses. 90/165 (54.5%) of the patients requested follow-up care after being non-conveyed with no significant association between the PA and ambulance nurse group (p=.293). For type of follow-up care, 91.9% of the follow-up emergency care requests in this study came from patients treated by an ambulance nurse. There were no significant differences in patients’ experience for clinician attitude and behavior, treatment, and communication between physician assistants and ambulance nurses, although pain management and explanation about the non-conveyance decision could be improved Conclusions Besides small statistical but not clinically significant differences, this study indicated comparable solo ambulance care provided by a physician assistant or an ambulance nurse concerning the care process, follow-up care and patient experience. Patients treated by physician assistants seek less follow-up emergency care after non-conveyance, compared to ambulance nurses. Overall, patients experienced good attitude and behavior, treatment, and communication of the solo ambulance professional. Future well powered studies to gain insight in effects of PAs in ambulance care are needed, as well as studies in which PAs apply all additional skills they are licensed to.

scholarly journals The need for purposeful teaching, learning and assessment of crisis resource management principles and practices in the undergraduate pre-hospital emergency care curriculum: A narrative literature review

2021 ◽  
Vol 18 ◽  
Author(s):  
Mugsien Rowland ◽  
Anthonio Oladele Adefuye ◽  
Craig Vincent-Lambert
Keyword(s):  
Resource Management ◽  
Situation Awareness ◽  
Emergency Care ◽  
Care Setting ◽  
Clinical Skills ◽  
Hospital Setting ◽  
Technical Skills ◽  
Care Plan ◽  
Crisis Resource Management ◽  
Hospital Emergency

IntroductionTraditionally, undergraduate emergency medical care (EMC) training programs have, over the years, typically focussed on developing individuals with proficiency in clinical skills who can perform complex procedures in the act of administering safe and effective emergency care in the pre-hospital setting. A shortcoming of this training relates to the attention given to the soft skills needed to work efficiently in a team-based environment. Crisis resource management (CRM) is a structured, evidence-based approach to training that is designed to enhance teamwork performance in critical circumstances where the absence of coordinated teamwork could lead to undesired outcomes. MethodsA narrative review of GOOGLE SCHOLAR, MEDLINE, PUBMED, CINAHL as well as paramedic-specific journals was conducted. Articles were included if they examined the importance of CRM in pre-hospital emergency care; training undergraduate pre-hospital emergency care students on the principles and practices of CRM; and non-technical skills in pre-hospital emergency care. DiscussionResearchers found limited articles related to CRM and the pre-hospital emergency care setting. Our findings reveal that CRM focusses on addressing non-technical skills necessary for effective teamwork and that those identified to be relevant for effective teamwork in pre-hospital emergency care setting include situation awareness, decision-making, verbal communication, teamwork as well as leadership and followership skills. ConclusionEffective team management is a core element of expert practice in emergency medicine. When practised in conjunction with medical and technical expertise, CRM can reduce the incidence of clinical error and contribute to effective teamwork and the smooth running of a pre-hospital emergency care plan.

Workers' Clinical Skills at Out-of-Hospital Emergency Care

2015 ◽  
Vol 05 (06) ◽  
Author(s):  
Mari Salminen Tuomaala ◽  
Päivi Leikkola ◽  
Riitta Mikkola ◽  
Eija Paavilainen
Keyword(s):  
Emergency Care ◽  
Clinical Skills ◽  
Hospital Emergency

scholarly journals Out-of-hospital emergency care providers' work and challenges in a changing care environment

2017 ◽  
Vol 32 (1) ◽  
pp. 253-260 ◽  
Author(s):  
Riitta Mikkola ◽  
Eija Paavilainen ◽  
Mari Salminen-Tuomaala ◽  
Päivi Leikkola
Keyword(s):  
Emergency Care ◽  
Care Providers ◽  
Hospital Emergency ◽  
Care Environment

Coordination of Primary Care Providers: A Follow-Up Study

1990 ◽  
Vol 67 (6) ◽  
pp. 471-475
Author(s):  
W HOWARD McALISTER ◽  
DEBBIE L HETTLER
Keyword(s):  
Primary Care ◽  
Primary Care Providers ◽  
Care Providers ◽  
Follow Up Study

scholarly journals Mindfulness predicts less depression, anxiety, and social impairment in emergency care personnel: A longitudinal study

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0260208
Author(s):  
Maren Westphal ◽  
Melanie Wall ◽  
Thomas Corbeil ◽  
Dagmar I. Keller ◽  
Monika Brodmann-Maeder ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Health Care Providers ◽  
Emergency Care ◽  
Social Impairment ◽  
Care Providers ◽  
Dispositional Mindfulness ◽  
Anxiety Depression ◽  
Support At Work

Medical personnel working in emergency rooms (ER) are at increased risk of mental health problems and suicidality. There is increasing evidence that mindfulness-based interventions can improve burnout and other mental health outcomes in health care providers. In contrast, few longitudinal prospective studies have examined protective functions of dispositional mindfulness in this population. The objective of this study was to examine whether mindfulness prospectively predicts anxiety, depression, and social impairment in a sample of emergency care professionals. The authors administered online surveys to ER personnel prior to work in ER, and at 3 and 6 months follow up. Participants were 190 ER personnel (73% residents, 16% medical students, 11% nurses). Linear mixed effects regression was used to model longitudinal 3-month and 6-month follow up of depression, anxiety, and social impairment. Predictors included time-varying contemporaneous work stressors, perceived social support at work and life events, and baseline dispositional mindfulness, demographics, and workplace characteristics. Mindfulness indexed when starting ER work predicted less depression, anxiety, and social impairment 6 months later. Mindfulness remained a strong predictor of mental health outcomes after controlling for time-varying stressful events in emergency care, negative life events, and social support at work. Mindfulness moderated the adverse impact of poor social support at work on depression. To our knowledge, this is the first longitudinal study to show that mindfulness prospectively and robustly predicts anxiety, depression, and social impairment. Results support the role of mindfulness as a potential resilience factor in at-risk health care providers.

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