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Abelsson, A., Rystedt, I., Suserud, B.-O. & Lindwall, L. (2018). Learning High-Energy Trauma Care Through Simulation. Clinical Simulation in Nursing, 17, 1-6
Open this publication in new window or tab >>Learning High-Energy Trauma Care Through Simulation
2018 (English)In: Clinical Simulation in Nursing, ISSN 1876-1399, E-ISSN 1876-1402, Vol. 17, p. 1-6Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
simulation, learning, experience, phenomenography, method, ambulance, prehospital emergency care, trauma
National Category
Health Sciences
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-65548 (URN)10.1016/j.ecns.2017.11.009 (DOI)2-s2.0-85039151313 (Scopus ID)
Available from: 2018-01-08 Created: 2018-01-08 Last updated: 2018-01-08Bibliographically approved
Abelsson, A., Appelgren, J. & Axelsson, C. (2018). Low-dose, high-frequency CPR training with feedback for firefighters. International Journal of Emergency Services
Open this publication in new window or tab >>Low-dose, high-frequency CPR training with feedback for firefighters
2018 (English)In: International Journal of Emergency Services, ISSN 2047-0894, E-ISSN 2047-0908Article in journal (Refereed) Epub ahead of print
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.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2018
Keywords
CPR, Emergency medical technicians, Firefighter, High frequency, Low-dose, Objective feedback
National Category
Health Sciences
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-67656 (URN)10.1108/IJES-01-2018-0001 (DOI)2-s2.0-85047663183 (Scopus ID)
Available from: 2018-06-14 Created: 2018-06-14 Last updated: 2018-06-21Bibliographically approved
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
Open this publication in new window or tab >>Effect of Repeated Simulation on the Quality of Trauma Care
2017 (English)In: Clinical Simulation in Nursing, ISSN 1876-1399, E-ISSN 1876-1402, Vol. 13, no 12, p. 601-608Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Elsevier, 2017
National Category
Health Sciences
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-65918 (URN)10.1016/j.ecns.2017.07.006 (DOI)000415717300002 ()
Note

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

Available from: 2018-01-25 Created: 2018-01-25 Last updated: 2018-04-17Bibliographically approved
Abelsson, A. & Lindwall, L. (2017). What is dignity in prehospital emergency care?. Nursing Ethics, 24(3), 268-278
Open this publication in new window or tab >>What is dignity in prehospital emergency care?
2017 (English)In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 24, no 3, p. 268-278Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Sage Publications, 2017
Keywords
Ambulance nurse; content analysis; critical incidents; human dignity; prehospital emergency care
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-37574 (URN)10.1177/0969733015595544 (DOI)000401584200002 ()26260441 (PubMedID)
Available from: 2015-08-19 Created: 2015-08-19 Last updated: 2018-01-05Bibliographically approved
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
Open this publication in new window or tab >>CPR performed in the military environment
2016 (English)In: Society in Europe for Simulation Applied to Medicine Lisbon 16/6 2016., Lisabon, 2016Conference paper, Oral presentation with published abstract (Refereed)
Place, publisher, year, edition, pages
Lisabon: , 2016
Keywords
CPR Military Simulation
National Category
Medical and Health Sciences Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-43282 (URN)
Conference
SESAM 2016 - Society in Europe for Simulation Applied to Medicine, Lisbon 16/6 2016
Available from: 2016-06-16 Created: 2016-06-16 Last updated: 2016-07-04Bibliographically approved
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
Open this publication in new window or tab >>Learning by simulation in prehospital emergency care: an integrative literature review
2016 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 30, no 2, p. 234-240Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2016
Keywords
accident and emergency; acute care; advanced nursing practice; clinical nurse specialist; emergency; paramedical care
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-38787 (URN)10.1111/scs.12252 (DOI)000383802300003 ()26333061 (PubMedID)
Available from: 2015-12-04 Created: 2015-12-04 Last updated: 2017-12-01Bibliographically approved
Abelsson, A. (2015). 2 minuters träning per arbetspass.. Samverkan 112, April
Open this publication in new window or tab >>2 minuters träning per arbetspass.
2015 (Swedish)In: Samverkan 112, ISSN 1650-7487, Vol. AprilArticle in journal (Other academic) Published
National Category
Educational Sciences
Identifiers
urn:nbn:se:kau:diva-37191 (URN)
Available from: 2015-07-28 Created: 2015-07-28 Last updated: 2015-12-30Bibliographically approved
Abelsson, A. (2015). Att träna på en patient som går att starta om. In: : . Paper presented at 1:a NT-Forskningskonferensen Karlstad 5 maj..
Open this publication in new window or tab >>Att träna på en patient som går att starta om
2015 (Swedish)Conference paper, Oral presentation with published abstract (Other academic)
National Category
Educational Sciences Nursing
Identifiers
urn:nbn:se:kau:diva-37206 (URN)
Conference
1:a NT-Forskningskonferensen Karlstad 5 maj.
Available from: 2015-07-28 Created: 2015-07-28 Last updated: 2015-09-04Bibliographically approved
Abelsson, A. (2015). Dom ser döda ut allihop: Att våga fatta svåra beslut. Samverkan 112, April
Open this publication in new window or tab >>Dom ser döda ut allihop: Att våga fatta svåra beslut
2015 (Swedish)In: Samverkan 112, ISSN 1650-7487, Vol. AprilArticle in journal (Other academic) Published
National Category
Medical and Health Sciences Nursing
Identifiers
urn:nbn:se:kau:diva-37190 (URN)
Available from: 2015-07-28 Created: 2015-07-28 Last updated: 2016-01-12Bibliographically approved
Abelsson, A. (2015). Full scale pre-hospital care scenario: Prehsopital workshop. In: : . Paper presented at Society in Europe for Simulation Applied to Medicine Belfast 25 juni..
Open this publication in new window or tab >>Full scale pre-hospital care scenario: Prehsopital workshop
2015 (English)Conference paper, Oral presentation only (Refereed)
National Category
Medical and Health Sciences Nursing
Identifiers
urn:nbn:se:kau:diva-37209 (URN)
Conference
Society in Europe for Simulation Applied to Medicine Belfast 25 juni.
Available from: 2015-07-28 Created: 2015-07-28 Last updated: 2017-10-31Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-1641-6321

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