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Det som ej kom på tal, finns tillgängligt i patientjournal: Ambulanssjuksköterskans inställning till användandet av patientjournal
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
2020 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
What was not mentioned, is available in the medical records : The ambulance nurse´s attitude towards the usage of medical records (English)
Abstract [sv]

Introduktion: Ambulanssjukvården är under utveckling. I flera ambulansverksamheter har ambulanspersonal fått möjligheten att använda sig av patientens journal för att läsa om tidigare sjukdomshistoria i samband med bedömningar. I några verksamheter har även ambulanspersonal fått möjligheten att genomföra uppföljning på patienter de vårdat genom att läsa patientjournalen i efterhand.

Syfte: Kartläggning av ambulanssjuksköterskans erfarenheter och inställning till journalåtkomst före, under och efter den prehospitala bedömningen.

Metod: Studien genomfördes som en kvantitativ enkätundersökning och redovisas med deskriptiv och analytisk statistik. Enkäten innehöll även frågor med öppna svar som sammanställts med induktiv ansats. Deltagarna bestod av legitimerade och specialistutbildade sjuksköterskor från ambulansverksamheten i en region i mellersta Sverige (n=230).

Resultat: Resultatet visade att ambulanssjuksköterskan i flera situationer upplevt att de saknat relevant patientrelaterad bakgrundsinformation och att de ansåg att journalåtkomst kan vara en lösning på detta problem. Resultatet visade även att uppföljning med hjälp av patientjournalen upplevdes ha en kompetenshöjande effekt.

Konklusion: Tillgång till patientjournal i ambulanssjukvården kan förbättra patientomhändertagande samt bidra till förhöjd kompetens hos personalen och därmed verka till en förbättrad vårdkvalité.

Abstract [en]

Introduction: The Ambulance services is constantly evolving. In several parts of the country, the possibility for ambulance personnel to access to the patients past medical records has been implemented when making their assessment. In some regions, there is also the possibility to follow up patients with the help of the patient records.

Aim: The aim of the study is to survey the ambulance nurse's and nurse's experiences and attitudes towards access of the patients past medical records before, during and after the prehospital assessment.

Method: The study was performed as a quantitative survey and presented with descriptive and analytical statistics. The participants consisted of legitimate- and specialist nurses from the ambulance operations in a region in central Sweden (n=230). The survey contained some questions with open answers that has been compiled by inductive reasoning.

Results: The results showed that in several health-related situations, the nurse experienced a lack of relevant patient-related background information and that access to the patient’s medical record could be a solution to this problem. The results also showed that follow-up with the help of the patient record had an ability to increase competence.

Conclusion: Access to patient records in ambulance services can improve patient care and contribute to increased staff competence and thus promote an improved quality of care.

Place, publisher, year, edition, pages
2020. , p. 26
Keywords [en]
Ambulance nurse, medical records, quantitative survey.
Keywords [sv]
Ambulanssjuksköterska, patientjournal, kvantitativ studie.
National Category
Nursing
Identifiers
URN: urn:nbn:se:kau:diva-77102OAI: oai:DiVA.org:kau-77102DiVA, id: diva2:1402777
Subject / course
Nursing Science
Educational program
Study Programme for Specialist Nursing in Prehospital Nursing (60 ECTS credits)
Supervisors
Examiners
Available from: 2020-03-04 Created: 2020-02-28 Last updated: 2020-03-04Bibliographically approved

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