Evidence map›Paper›PMID 36927353›Full record

ArticleBMC emergency medicine2023

A phenomenological interview study with patients being non-conveyed in the ambulance service.

Jakob Lederman, Caroline Löfvenmark, Therese Djärv, Veronica Lindström, Carina Elmqvist

Open access · goldFull text read
In one paragraph

Article in BMC emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.9field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 16 citations in OpenAlex.

  1. "I just needed help": a qualitative study of patients' experiences with a single responder ambulance.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026
    Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Jakob LedermanDepartment of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden. Jakob.lederman@ki.se.
Caroline LöfvenmarkDepartment of Health promoting science, Sophiahemmet University, Stockholm, Sweden.
Therese DjärvDepartment of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.
Veronica LindströmDepartment of Neurobiology, Care Sciences and Society, section of nursing, Karolinska Institutet, Stockholm, Sweden.
Carina ElmqvistDepartment of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
Karolinska Institutet · SELinnaeus University · SESophiahemmet University College · SEStockholm South General Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-conveyed patients (i.e. patients who are not transported to a hospital after being assessed by ambulance clinicians) represent a significantly increasing proportion of all patients seeking ambulance care. Scientific knowledge about patients' non-conveyance experiences is sparse. This study describes the lived experiences of non-conveyed patients in an ambulance care context.

methodsA reflective lifeworld research (RLR) approach founded on phenomenology is used. Data is derived from nine in-depth interviews with patients not conveyed by the ambulance service in a major Swedish region.

resultsPatients' lived experiences of becoming acutely ill or injured and not conveyed by ambulance to a hospital are characterised by several dynamic movements: losing and regaining situational and bodily control, dependence and autonomy, external competence and inner knowledge, handing over and regaining responsibility, and fear and security.

conclusionsPatients' lived experiences of non-conveyance are complex and versatile. Although non-conveyed patients initially experience strong fear and the loss of situational and bodily control, they gradually feel more secure when experiencing confirmation and trust, which evolves into insecurity and uncertainty. The non-conveyance situation's complexity from a patient's perspective implies the need for ambulance organisations to take measures to prevent further suffering. Non-conveyed patients must be taken seriously in their unique situations, requiring ambulance clinicians to reflect and act with a conscious ethical perspective before, during and after their visit.

Indexed as

AmbulancesEmergency Medical ServicesHospitalsHumansQualitative ResearchUncertaintyAmbulance careCaring encounterEmergency medical services [MeSH]Non-conveyancePatients’ perspectivesPhenomenology

Identifiers

PMID36927353
PMCPMC10021955
OpenAlexW4327680234

What OpenQuestion holds

Textfull text, public
LicenceCC BY
reference markers read1
measurements read1
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.