Evidence map›Paper›PMID 41480835›Full record

ArticleScandinavian journal of caring sciences2026

Caring in Ambulance Encounters With Older Patients With Complex Care Needs: A Phenomenographic Study.

Ann-Therese Hedqvist, Mats Holmberg

Abstract read
In one paragraph

Article in Scandinavian journal of caring sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

2 authors.

Ann-Therese HedqvistDepartment of Health and Caring Sciences, Linnaeus University, Kalmar/Växjö, Sweden.ORCID https://orcid.org/0000-0002-3103-9253
Mats HolmbergDepartment of Health and Caring Sciences, Linnaeus University, Kalmar/Växjö, Sweden.ORCID https://orcid.org/0000-0003-1878-0992

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough caring is a core concept in nursing, its meaning is not uniform, and perceptions may vary across care settings. In ambulance care, encounters with older patients with complex care needs present challenges that may shape how caring is understood and practiced. Guided by a lifeworld-led caring perspective, this study explores how caring is perceived and enacted in this specific clinical context.

aimThis study aims to describe variations in nurses' perceptions of caring in ambulance encounters with older patients with complex care needs.

methodsThis qualitative study employed a phenomenographic approach to identify variations in nurses' perceptions of caring in ambulance encounters with older patients with complex needs. Semi-structured interviews with 16 nurses in ambulance care from two regions in Sweden were analysed using a phenomenographic method. ETHICAL CONSIDERATIONS: Ethical approval was granted by the Swedish Ethical Review Authority. All participants provided informed consent to participate.

resultsThe outcome space comprised three qualitatively different ways in which nurses perceived caring: 'Caring as balancing symptoms and medical care', 'Caring as negotiating responsibility', and 'Caring as responding to an ethical demand'.

conclusionsCaring in ambulance encounters with older patients with complex care needs is perceived as a multidimensional and contextually situated practice that integrates clinical, relational, and ethical dimensions. While caring was often expressed in terms of balancing symptoms and medical interventions, it also involved moral sensitivity, relational engagement, and professional responsibility. These findings contribute to a deeper understanding of caring as a lifeworld-led and ethically grounded practice in ambulance care, with implications for education, reflective practice, and policy development.

Indexed as

AmbulancesNurse-Patient RelationsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedQualitative ResearchSwedenambulance carecomplex care needsethical decision‐makinglifeworld‐led carenursesolder agephenomenographyqualitative approach

Identifiers

PMID41480835
PMCPMC12757976

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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.