Evidence map›Paper›PMID 39260870›Full record

ArticleBMJ open2024

Prehospital emergency nurses' experiences of caring for patients with suspected acute myocardial infarction: an interview study.

Sebastian Bjöhle, Veronica Vicente, Caroline Eriksson, Katarina Bohm, Maja Dodd, Rebecka R Wahlin, Jakob Lederman

Abstract read
In one paragraph

Article in BMJ open, 2024. 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
–field-weighted citation impact
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.

  1. Article
  2. Article
  3. Article
  4. Observational
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

7 authors.

Sebastian BjöhleDepartment of Clinical Science and Education, Södersjukhuset, Karolinska Institute, Stockholm, Sweden sebastian.bjohle@ki.se.ORCID 0009-0000-5645-5766
Veronica VicenteDepartment of Clinical Science and Education, Södersjukhuset, Karolinska Institute, Stockholm, Sweden.
Caroline ErikssonDepartment of Clinical Science and Education, Södersjukhuset, Karolinska Institute, Stockholm, Sweden.
Katarina BohmDepartment of Clinical Science and Education, Södersjukhuset, Karolinska Institute, Stockholm, Sweden.ORCID 0000-0002-2680-0220
Maja DoddDepartment of Medicine, Karolinska Institute, Huddinge, Sweden.
Rebecka R WahlinDepartment of Clinical Science and Education, Södersjukhuset, Karolinska Institute, Stockholm, Sweden.
Jakob LedermanDepartment of Clinical Science and Education, Södersjukhuset, Karolinska Institute, Stockholm, Sweden.ORCID 0000-0001-9180-161X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDespite the prevalence of emergency medical service assignments related to chest discomfort, limited research delves into nurses' experiences of caring for such patients. This study aimed to illuminate prehospital emergency nurses' (PENs') experiences of caring for patients with suspected acute myocardial infarction (AMI).

designA qualitative interview study.

settingTwo Swedish emergency medical service organisations in two different regions.

participantsConsecutive inclusion of 12 PENs. DATA ANALYSIS: An inductive content analysis according to Elo and Kyngäs.

resultsThe results underline the active role of PENs in providing care for patients with AMI in the emergency medical service. They emphasise the ability to identify classic symptoms and the need for an open-minded approach to diffuse presentations. Ensuring patient security, projecting knowledge and composure are decisive for instilling a sense of safety. Healthcare providers feel profound responsibility and a fear of errors, especially in critical situations with potential patient deterioration. Prioritisation in time-sensitive cases leans towards medical interventions and immediate transportation. Continuing education is essential to enhance patient management and safety. Effective communication and trust are vital for urgent patient care, and prompt activation of the ST-elevation myocardial infarction pathway is recognised as imperative. Malfunctions result in frustration, underlining the importance of pathway functionality.

conclusionsPENs have immense responsibility for the swift and knowledgeable management of patients with suspected AMI. Balancing patient involvement and urgent medical measures is challenging, emphasising the critical role of mental preparedness and comprehensive education. The study underlines the significance of effective communication and trust between healthcare providers, particularly in time-sensitive scenarios. Establishing feedback mechanisms for prehospital staff is important for advancing prehospital emergency care in this patient category.

Indexed as

Emergency Medical ServicesMyocardial InfarctionQualitative ResearchAdultAttitude of Health PersonnelEmergency NursingFemaleHumansInterviews as TopicMaleMiddle AgedNursesNurse's RoleSwedenaccident & emergency medicinecardiologymyocardial infarctionnursesqualitative research

Identifiers

PMID39260870
PMCPMC11409269

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.