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Publikasjoner (10 av 37) Visa alla publikasjoner
Abelsson, A., Appelgren, J. & Axelsson, C. (2019). Low-dose, high-frequency CPR training with feedback for firefighters. International Journal of Emergency Services, 8(1), 64-72
Åpne denne publikasjonen i ny fane eller vindu >>Low-dose, high-frequency CPR training with feedback for firefighters
2019 (engelsk)Inngår i: International Journal of Emergency Services, ISSN 2047-0894, E-ISSN 2047-0908, Vol. 8, nr 1, s. 64-72Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Purpose: The purpose of this paper is to investigate the effects of the intervention of low-dose, high-frequency cardiopulmonary resuscitation (CPR) training with feedback for firefighters for one month. Design/methodology/approach: The study had a quantitative approach. Data were collected through an intervention by means of simulation. The data collection consisted of a pre- and post-assessment of 38 firefighter’s CPR performance. Findings: There was a statistically significant improvement from pre- to post-assessment regarding participants’ compression rates. Compression depth increased statistically significantly to average 2 mm too deep in the group. Recoil decreased in the group with an average of 1 mm for the better. There was a statistically significant improvement in participants’ ventilation volume from pre- to post-assessment. Originality/value: Prehospital staff such as firefighters, police, and ambulance perform CPR under less than optimal circumstances. It is therefore of the utmost importance that these professionals are trained in the best possible way. The result of this study shows that low-dose, high-frequency CPR training with an average of six training sessions per month improves ventilation volume, compression depth, rate, and recoil. This study concludes that objective feedback during training enhances the firefighters’ CPR skills which in turn also could be applied to police and ambulance CPR training.

sted, utgiver, år, opplag, sider
Emerald Group Publishing Limited, 2019
Emneord
CPR, Emergency medical technicians, Firefighter, High frequency, Low-dose, Objective feedback
HSV kategori
Forskningsprogram
Omvårdnad
Identifikatorer
urn:nbn:se:kau:diva-67656 (URN)10.1108/IJES-01-2018-0001 (DOI)000465413600006 ()
Tilgjengelig fra: 2018-06-14 Laget: 2018-06-14 Sist oppdatert: 2019-05-09bibliografisk kontrollert
Abelsson, A., Lindwall, L., Suserud, B.-O. & Rystedt, I. (2018). Ambulance Nurses' Competence and Perception of Competence in Prehospital Trauma Care. Emergency Medicine International, Article ID 5910342.
Åpne denne publikasjonen i ny fane eller vindu >>Ambulance Nurses' Competence and Perception of Competence in Prehospital Trauma Care
2018 (engelsk)Inngår i: Emergency Medicine International, ISSN 2090-2840, E-ISSN 2090-2859, artikkel-id 5910342Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Introduction. We focus on trauma care conducted in the context of a simulated traumatic event. This is in this study defined as a four-meter fall onto a hard surface, resulting in severe injuries to extremities in the form of bilateral open femur fractures, an open tibia fracture, and a closed pelvic fracture, all fractures bleeding extensively. Methods. The simulated trauma care competence of 63 ambulance nurses in prehospital emergency care was quantitatively evaluated along with their perception of their sufficiency. Data was collected by means of simulated trauma care and a questionnaire. Results. Life-saving interventions were not consistently performed. Time to perform interventions could be considered long due to the life-threatening situation. In comparison, the ambulance nurses' perception of the sufficiency of their theoretical and practical knowledge and skills for trauma care scored high. In contrast, the perception of having sufficient ethical training for trauma care scored low. Discussion. This study suggests there is no guarantee that the ambulance nurses' perception of theoretical and practical knowledge and skill level corresponds with their performed knowledge and skill. The ambulance nurses rated themselves having sufficient theoretical and practical knowledge and skills while the score of trauma care can be considered quite low.

sted, utgiver, år, opplag, sider
Hindawi Publishing Corporation, 2018
HSV kategori
Forskningsprogram
Omvårdnad
Identifikatorer
urn:nbn:se:kau:diva-67358 (URN)10.1155/2018/5910342 (DOI)000431616600001 ()
Tilgjengelig fra: 2018-05-24 Laget: 2018-05-24 Sist oppdatert: 2019-08-14bibliografisk kontrollert
Lerjestam, K., Willman, A., Andersson, I. & Abelsson, A. (2018). Enhancing the quality of CPR performed by laypeople. Australasian Journal of Paramedicine, 15(4)
Åpne denne publikasjonen i ny fane eller vindu >>Enhancing the quality of CPR performed by laypeople
2018 (engelsk)Inngår i: Australasian Journal of Paramedicine, ISSN 2202-7270, Vol. 15, nr 4Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Introduction The prognosis of survival for a person suffering from cardiac arrest increases when a layperson performs cardiopulmonary resuscitation (CPR) on-site. In Sweden, providing CPR training to people working in public places is considered a social benefit. Objective The aim of this study was to investigate the effect of a 3-hour CPR intervention for electricians. Methods Data were collected through an intervention by means of simulation and consisted of a pre-and post-assessment of the participants’ CPR performance. Results The results show a statistically significant improvement in ventilation (41%) and quality of compression (36%). Conclusion With short rehearsal training, the layperson can significantly improve the quality of CPR given. In a situation of cardiac arrest, this can be crucial for the patient’s survival and continued quality of life.

sted, utgiver, år, opplag, sider
Paramedics Australasia, 2018
Emneord
CPR, Intervention, Layperson, Simulation, adult, Article, compression, electrician, health care quality, heart arrest, human, long term care, lung ventilation, male, middle aged, normal human, quality of life, quantitative study, resuscitation, survival, training
HSV kategori
Forskningsprogram
Omvårdnad
Identifikatorer
urn:nbn:se:kau:diva-72141 (URN)10.33151/ajp.15.4.594 (DOI)2-s2.0-85063771054 (Scopus ID)
Tilgjengelig fra: 2019-05-23 Laget: 2019-05-23 Sist oppdatert: 2019-05-23bibliografisk kontrollert
Abelsson, A., Rystedt, I., Suserud, B.-O. & Lindwall, L. (2018). Learning High-Energy Trauma Care Through Simulation. Clinical Simulation in Nursing, 17, 1-6
Åpne denne publikasjonen i ny fane eller vindu >>Learning High-Energy Trauma Care Through Simulation
2018 (engelsk)Inngår i: Clinical Simulation in Nursing, ISSN 1876-1399, E-ISSN 1876-1402, Vol. 17, s. 1-6Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Simulation provides the opportunity to learn how to care for patients in complexsituations, such as when patients are exposed to high-energy trauma such as motor vehicle accidents.The aim of the study was to describe nurses’ perceptions of high-energy trauma care through simulationin prehospital emergency care. The study had a qualitative design. Interviews were conductedwith 20 nurses after performing a simulated training series. Data were analyzed using a phenomenographicmethod. The result indicates that simulation establishes, corrects, and confirms knowledge andskills related to trauma care in prehosp ital emergency settings. Trauma knowledge is readily availablein memory and can be quickly retrieved in a future trauma situation.

sted, utgiver, år, opplag, sider
Elsevier, 2018
Emneord
simulation, learning, experience, phenomenography, method, ambulance, prehospital emergency care, trauma
HSV kategori
Forskningsprogram
Omvårdnad
Identifikatorer
urn:nbn:se:kau:diva-65548 (URN)10.1016/j.ecns.2017.11.009 (DOI)2-s2.0-85039151313 (Scopus ID)
Tilgjengelig fra: 2018-01-08 Laget: 2018-01-08 Sist oppdatert: 2018-01-08bibliografisk kontrollert
Abelsson, A., Lindwall, L., Suserud, B.-O. & Rystedt, I. (2017). Effect of Repeated Simulation on the Quality of Trauma Care. Clinical Simulation in Nursing, 13(12), 601-608
Åpne denne publikasjonen i ny fane eller vindu >>Effect of Repeated Simulation on the Quality of Trauma Care
2017 (engelsk)Inngår i: Clinical Simulation in Nursing, ISSN 1876-1399, E-ISSN 1876-1402, Vol. 13, nr 12, s. 601-608Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Simulation participants are not dependent on learning during an actual clinical situation. This allows for a learning environment that can be constructed to meet the knowledge and experience needs of the participant. Simulations in a prehospital emergency are an ideal way to address these needs without risking patient safety. Method: Nurses in prehospital emergency care (n = 63) participated in simulation interventions. During the simulation, the performed trauma care was assessed in two groups of participants with different frequency of simulation. Results: Several statistically significant differences and clinical improvements were found within and between the groups. Differences were noted in specific assessments, examinations, care actions, and time from assessment to action. Conclusion: The result suggested that repeated simulation may contribute to a clinical improvement in trauma care, and more frequent simulation may led to even greater improvements. (c) 2017 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc.

sted, utgiver, år, opplag, sider
Elsevier, 2017
HSV kategori
Forskningsprogram
Omvårdnad
Identifikatorer
urn:nbn:se:kau:diva-65918 (URN)10.1016/j.ecns.2017.07.006 (DOI)000415717300002 ()
Merknad

Ingick som manuskript i avhandlingen med titeln Simulering som lärande inom prehospital akutsjukvård.

Tilgjengelig fra: 2018-01-25 Laget: 2018-01-25 Sist oppdatert: 2018-04-17bibliografisk kontrollert
Abelsson, A. & Bisholt, B. (2017). Nurse students learning acute care by simulation: Focus on observation and debriefing. Nurse Education in Practice, 24, 6-13
Åpne denne publikasjonen i ny fane eller vindu >>Nurse students learning acute care by simulation: Focus on observation and debriefing
2017 (engelsk)Inngår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 24, s. 6-13Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Introduction: Simulation creates the possibility to experience acute situations during nursing education which cannot easily be achieved in clinical settings. Aim: To describe how nursing students learn acute care of patients through simulation exercises, based on observation and debriefing. Design: The study was designed as an observational study inspired by an ethnographic approach.MethodData was collected through observations and interviews. Data was analyzed using an interpretive qualitative content analysis.Results: Nursing students created space for reflection when needed. There was a positive learning situation when suitable patient scenarios were presented. Observations and discussions with peers gave the students opportunities to identify their own need for knowledge, while also identifying existing knowledge. Reflections could confirm or reject their preparedness for clinical practice. The importance of working in a structured manner in acute care situations became apparent. However, negative feedback to peers was avoided, which led to a loss of learning opportunity.Conclusion: High fidelity simulation training as a method plays an important part in the nursing students' learning. The teacher also plays a key role by asking difficult questions and guiding students towards accurate knowledge. This makes it possible for the students to close knowledge gaps, leading to improved patient safety.

sted, utgiver, år, opplag, sider
Elsevier, 2017
Emneord
Nurse education, Simulation, Observation, Debriefing, Content analysis
HSV kategori
Identifikatorer
urn:nbn:se:kau:diva-48164 (URN)10.1016/j.nepr.2017.03.001 (DOI)000402020900002 ()
Tilgjengelig fra: 2017-03-16 Laget: 2017-03-16 Sist oppdatert: 2019-07-09bibliografisk kontrollert
Abelsson, A. (2017). Simulering som lärande inom prehospital akutsjukvård. (Doctoral dissertation). Karlstad: Karlstads universitet
Åpne denne publikasjonen i ny fane eller vindu >>Simulering som lärande inom prehospital akutsjukvård
2017 (svensk)Doktoravhandling, med artikler (Annet vitenskapelig)
Alternativ tittel[en]
Simulation as learning in prehospital emergency care
Abstract [sv]

Den prehospitala akutsjukvården är ett komplext kunskapsfält som innebär att vårdaren skall kunna bemöta patient och närstående, bedöma skada, sjukdom och den aktuella situationen samt avgöra vilka vårdåtgärder som skall prioriteras.

Patientens lidande kan lindras genom att vårdaren tränar färdigheter i ett prehospitalt kontext. Detta främjar en god och säker vård samt stärker patientens möjligheter till överlevnad.

Resultatet visar på behovet av simulering inom prehospital akutsjukvård. Med simulering lär sig vårdaren att hantera realistiska, dynamiska och komplexa vårdsituationer, vilket skapar kunskaper, färdigheter och erfarenheter av omhändertagande av patient drabbad av högenergitrauma. Simuleringens utformning och miljö skapar förutsättningar för lärandet vilket framkommer i interventionsstudien.

Utifrån resultatet i föreliggande forskning utvecklas en modell för lärande med hjälp av simulering.

Abstract [en]

The overall aim of the research was to deepen the understanding of learning through simulation in prehospital emergency care.

Method: In this research, qualitative and quantitative methods are used as well as integrative literature studies (I, II). Qualitative data from the interview studies (III, V) were analyzed by phenomenographic methodology. Quantitative data from the intervention study (IV) were analyzed using descriptive and analytical statistics.

Results: Research on simulation and learning within the prehospital trauma care context is relatively rare (I). Simulation of realistic scenarios where the caregivers are exposed to stress contributes to strengthen caregiver knowledge, skills and experience (II). Caregivers request simulation opportunities regarding critical and emergency situations (III). They describe that learning through regular simulation provides in-depth knowledge and skills in the care of a patient exposed to high-energy trauma (V). Interventions with repeated simulation opportunities related to the care of the patient exposed to high-energy trauma give some improvement in care provided at the site of the accident (IV).

Conclusion: Through simulation, the caregivers develop knowledge and skills and receive enhanced confidence in the care of an injured and sick patient. The research suggests several areas with potential for improvement with regard to the care of patients exposed to high-energy trauma. A model has been developed for systematic trauma simulation.

 

sted, utgiver, år, opplag, sider
Karlstad: Karlstads universitet, 2017. s. 123
Serie
Karlstad University Studies, ISSN 1403-8099 ; 13
Emneord
simulation, learning, nurse, high-energy trauma, ambulance, simulering, lärande, sjuksköterska, högenergitrauma, ambulans
HSV kategori
Forskningsprogram
Omvårdnad
Identifikatorer
urn:nbn:se:kau:diva-48243 (URN)978-91-7063-765-0 (ISBN)978-91-7063-766-7 (ISBN)
Disputas
2017-05-12, 1A305, Lagerlöfsalen, Universitetsgatan 2, Karlstad, 10:00 (svensk)
Opponent
Veileder
Tilgjengelig fra: 2017-04-21 Laget: 2017-04-03 Sist oppdatert: 2019-05-27bibliografisk kontrollert
Abelsson, A. & Lindwall, L. (2017). What is dignity in prehospital emergency care?. Nursing Ethics, 24(3), 268-278
Åpne denne publikasjonen i ny fane eller vindu >>What is dignity in prehospital emergency care?
2017 (engelsk)Inngår i: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 24, nr 3, s. 268-278Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BACKGROUND: Ethics and dignity in prehospital emergency care are important due to vulnerability and suffering. Patients can lose control of their body and encounter unfamiliar faces in an emergency situation.

OBJECTIVE: To describe what specialist ambulance nurse students experienced as preserved and humiliated dignity in prehospital emergency care.

RESEARCH DESIGN: The study had a qualitative approach.

METHOD: Data were collected by Flanagan's critical incident technique. The participants were 26 specialist ambulance nurse students who described two critical incidents of preserved and humiliated dignity, from prehospital emergency care. Data consist of 52 critical incidents and were analyzed with interpretive content analysis.

ETHICAL CONSIDERATIONS: The study followed the ethical principles in accordance with the Declaration of Helsinki.

FINDINGS: The result showed how human dignity in prehospital emergency care can be preserved by the ambulance nurse being there for the patient. The ambulance nurses meet the patient in the patient's world and make professional decisions. The ambulance nurse respects the patient's will and protects the patient's body from the gaze of others. Humiliated dignity was described through the ambulance nurse abandoning the patient and by healthcare professionals failing, disrespecting, and ignoring the patient.

DISCUSSION: It is a unique situation when a nurse meets a patient face to face in a critical life or death moment. The discussion describes courage and the ethical vision to see another human.

CONCLUSION: Dignity was preserved when the ambulance nurse showed respect and protected the patient in prehospital emergency care. The ambulance nurse students' ethical obligation results in the courage to see when a patient's dignity is in jeopardy of being humiliated. Humiliated dignity occurs when patients are ignored and left unprotected. This ethical dilemma affects the ambulance nurse students badly due to the fact that the morals and attitudes of ambulance nurses are reflected in their actions toward the patient.

sted, utgiver, år, opplag, sider
Sage Publications, 2017
Emneord
Ambulance nurse; content analysis; critical incidents; human dignity; prehospital emergency care
HSV kategori
Forskningsprogram
Omvårdnad
Identifikatorer
urn:nbn:se:kau:diva-37574 (URN)10.1177/0969733015595544 (DOI)000401584200002 ()26260441 (PubMedID)
Tilgjengelig fra: 2015-08-19 Laget: 2015-08-19 Sist oppdatert: 2018-01-05bibliografisk kontrollert
Abelsson, A. & Lundberg, L. (2016). CPR performed in the military environment. In: Society in Europe for Simulation Applied to Medicine Lisbon 16/6 2016.: . Paper presented at SESAM 2016 - Society in Europe for Simulation Applied to Medicine, Lisbon 16/6 2016. Lisabon
Åpne denne publikasjonen i ny fane eller vindu >>CPR performed in the military environment
2016 (engelsk)Inngår i: Society in Europe for Simulation Applied to Medicine Lisbon 16/6 2016., Lisabon, 2016Konferansepaper, Oral presentation with published abstract (Fagfellevurdert)
sted, utgiver, år, opplag, sider
Lisabon: , 2016
Emneord
CPR Military Simulation
HSV kategori
Forskningsprogram
Omvårdnad
Identifikatorer
urn:nbn:se:kau:diva-43282 (URN)
Konferanse
SESAM 2016 - Society in Europe for Simulation Applied to Medicine, Lisbon 16/6 2016
Tilgjengelig fra: 2016-06-16 Laget: 2016-06-16 Sist oppdatert: 2016-07-04bibliografisk kontrollert
Abelsson, A., Rystedt, I., Suserud, B.-O. & Lindwall, L. (2016). Learning by simulation in prehospital emergency care: an integrative literature review. Scandinavian Journal of Caring Sciences, 30(2), 234-240
Åpne denne publikasjonen i ny fane eller vindu >>Learning by simulation in prehospital emergency care: an integrative literature review
2016 (engelsk)Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 30, nr 2, s. 234-240Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BACKGROUND: Acquiring knowledge and experience on high-energy trauma is often difficult due to infrequent exposure. This creates a need for training which is specifically tailored for complex prehospital conditions. Simulation provides an opportunity for ambulance nurses to focus on the actual problems in clinical practice and to develop knowledge regarding trauma care. The aim of this study was to describe what ambulance nurses and paramedics in prehospital emergency care perceive as important for learning when participating in simulation exercises.

METHODS: An integrative literature review was carried out. Criteria for inclusion were primary qualitative and quantitative studies, where research participants were ambulance nurses or paramedics, working within prehospital care settings, and where the research interventions involved simulation.

RESULTS: It was perceived important for the ambulance nurses' learning that scenarios were advanced and possible to simulate repeatedly. The repetitions contributed to increase the level of experience, which in turn improved the patients care. Moreover, realism in the simulation and being able to interact and communicate with the patient were perceived as important aspects, as was debriefing, which enabled the enhancement of knowledge and skills. The result is presented in the following categories: To gain experience, To gain practice and To be strengthened by others.

CONCLUSION: Learning through simulation does not require years of exposure to accident scenes. The simulated learning is enhanced by realistic, stressful scenarios where ambulance nurses interact with the patients. In this study, being able to communicate with the patient was highlighted as a positive contribution to learning. However, this has seldom been mentioned in a previous research on simulation. Debriefing is important for learning as it enables scrutiny of one's actions and thereby the possibility to improve and adjust one's caring. The effect of simulation exercises is important on patient outcome.

sted, utgiver, år, opplag, sider
Wiley-Blackwell, 2016
Emneord
accident and emergency; acute care; advanced nursing practice; clinical nurse specialist; emergency; paramedical care
HSV kategori
Forskningsprogram
Omvårdnad
Identifikatorer
urn:nbn:se:kau:diva-38787 (URN)10.1111/scs.12252 (DOI)000383802300003 ()26333061 (PubMedID)
Tilgjengelig fra: 2015-12-04 Laget: 2015-12-04 Sist oppdatert: 2017-12-01bibliografisk kontrollert
Organisasjoner
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0002-1641-6321