ArticleBMC nursing2024
Factors influencing non-conveyance care encounters in the ambulance service, registered nurses experiences - a qualitative study.
Article in BMC nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Beyond Clinical Acuity: Cardiac Comorbidity and Complication Profiles and the Prehospital Hospitalization/Transport Decision in Ischemic Heart Disease-A Five-Year Retrospective Emergency Medical Service Study in Astana, Kazakhstan.Healthcare (Basel, Switzerland) · 2026Article
- Patient safety and predictors for subsequent healthcare contact after self-care referral from Swedish ambulance services: a retrospective cohort study.BMC emergency medicine · 2026Article
- An analysis of characteristics and associated factors for re-contacts after EMS non-conveyance: a retrospective cohort study in the Netherlands.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Is non-conveyance solo-ambulances a useful mean to meet the increasing demand for emergency medical services in Denmark?BMC health services research · 2025Article
- An analysis of ambulance re-contacts after non-conveyance: a retrospective cohort study in the Netherlands.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
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Authors and funding
3 authors.
Funding
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Abstract
backgroundThere is a notable variation in the percentage of non-conveyed patients within the ambulance service. Discharging patients at the scene includes a risk of adverse events, and both patients and ambulance clinicians experience the complexity of non-conveyance. Therefore, this study aimed to describe factors influencing the care encounter when care in the ambulance service concludes with non-conveyance.
methodA qualitative study design employing the critical incident technique for data collection through individual interviews, and a qualitative analysis based on Fridlund et al. descriptions was utilized. The study conforms to the COREQ checklist for reporting qualitative research.
resultsFourteen Registered Nurses (RN) described 30 incidents and various factors were identified as influencing the care encounter. The factors included communication, sharing information, maintaining a secure and confident approach, organizational aspects, applying person-centered care in collaboration with the patient, relatives, and other caregivers, and an overall understanding of the patient's entire situation. These factors were integrated into the RNs' decision-making process for non-conveyance.
conclusionThe decision-making process for non-conveyance by RNs is a multifaceted approach that incorporates several factors. Communication, sharing of information, maintaining a secure and confident approach, organizational aspects, applying person-centered care in collaboration with the patient, relatives, and other caregivers, and a comprehensive understanding of the patient's entire situation. These findings have the potential to contribute to the development of guidelines supporting the RNs working in the ambulance service in their decisions regarding non-conveyance. Further research is needed on the patient's and relatives' perspective on non-conveyance otherwise, patient participation and partnership in person-centered care are not possible to achieve.
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