ArticleInternational journal of qualitative studies on health and well-being2021
The dialogue as decision support; lived experiences of extended collaboration when an ambulance is called.
Article in International journal of qualitative studies on health and well-being, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Decision-Making for Older Patients in Acute Prehospital Situations: A Scoping Review.Scandinavian journal of caring sciences · 2025Article
- Balancing care needs - a qualitative study on prehospital emergency nurses' experiences of providing self-care advice and home referrals for frail older patients.BMC emergency medicine · 2025Article
- Bracing for the next wave: A critical incident study of frontline decision-making, adaptation and learning in ambulance care during COVID-19.Journal of advanced nursing · 2025Article
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- Family & bystander experiences of emergency ambulance services care: a scoping review.BMC emergency medicine · 2023Article
- GP roles in emergency medical services: a systematic mapping review and narrative synthesis.BJGP open · 2023Article
- Analysing Power Relations among Older Norwegian Patients and Spanish Migrant Nurses in Home Nursing Care: A Critical Discourse Analysis Approach from a Transcultural Perspective.Healthcare (Basel, Switzerland) · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aimed to describe extended collaboration in situations when an ambulance was called, as experienced by older patients, a significant other, and ambulance- and primary healthcare (PHC) centre personnel.
methodsThe study used a phenomenological reflective lifeworld research (RLR) approach. Participants included in three specific situations with extended collaboration were interviewed: three older patients, one significant other, three ambulance personnel and four personnel at the PHC centre. The transcribed interviews were analysed for meanings of the phenomenon.
resultsThe extended collaboration means that decisions were supported through dialogue by bridging knowledge spaces between person, within-team and across-team levels. Through dialogue experience and knowledge were shared and certainty in decisions was increased. The extended collaboration was built on trust, responsibility taken, shared and entrusted, and the common goal of adapted care for the unique patient. A need for further improvement and transparency was elucidated.
conclusionsThe difficulty of making care decisions stresses the importance of available extended collaboration based on the dialogue between patients, significant others, and ambulance- and PHC centre personnel to increase certainty in decisions. Collaboration further requires respectful encounters, trust, responsibility and a common goal of adapting the care for the unique patient.
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Registered trials
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