ArticleNursing ethics
Ambulance clinicians' understanding of older patients' self-determination: A vignette study.
Article in Nursing ethics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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Who cites it
6 citing papers in PubMed.
- Ethical challenges and action alternatives: Case reflections in ambulance care.Nursing ethics · 2026Article
- Expanding the Concept of Precision Nursing from a Caring Science Perspective, with Clinical Examples from a Swedish Emergency Care Context.Healthcare (Basel, Switzerland) · 2026Article
- Caring in Ambulance Encounters With Older Patients With Complex Care Needs: A Phenomenographic Study.Scandinavian journal of caring sciences · 2026Article
- Decision-Making for Older Patients in Acute Prehospital Situations: A Scoping Review.Scandinavian journal of caring sciences · 2025Article
- Ambulance clinicians' perspectives on interprofessional collaboration in prehospital emergency care for older patients with complex care needs: a mixed-methods study.BMC geriatrics · 2025Article
- Ethics rounds in the ambulance service: a qualitative evaluation.BMC medical ethics · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOlder patients are often vulnerable and highly dependent on healthcare professionals' assessment in the event of acute illness. In the context of ambulance services, this poses challenges as the assessment is normally conducted with a focus on identifying life-threatening conditions. Such assessment is not fully satisfactory in a patient relationship that also aims to promote and protect patient autonomy.
aimTo describe ambulance clinicians' understanding of older patients' self-determination when the patient's decision-making ability is impaired. RESEARCH
designA qualitative design with an inductive approach, guided by descriptive phenomenology.
participantsIn total, 30 ambulance clinicians, comprised of 25 prehospital emergency nurses, 1 nurse and 4 emergency medical technicians participated in 15 dyadic interviews. ETHICAL CONSIDERATIONS: The research was conducted in accordance with the Declaration of Helsinki, and permission was granted by the Swedish Ethical Review Authority.
findingsThe findings are presented in two themes: (1)
conclusionThe results indicate that older patients with an impaired decision-making ability risk losing the right to self-determination in the context of ambulance services. The clinicians face challenges that significantly affect their ability to handle the older patient's unique needs based on a holistic perspective and their ability to be autonomous.
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Registered trials
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.