ArticleScandinavian journal of trauma, resuscitation and emergency medicine2026
'We feel abandoned out here': teamwork dilemmas among rural health professionals in distributed emergency settings.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn rural northern Sweden, community hospitals serve as essential first-response centres. During emergencies, general practitioners remotely collaborate on-call with on-site nurses via videoconferencing. This setup of geographically distributed teams enables healthcare delivery across long distances. However, little is known about how healthcare professionals make sense of and negotiate roles and responsibilities in such distributed emergency settings. Hence, the aim of this study was to analyse how healthcare professionals position themselves and others in interprofessional teams when collaborating in distributed emergency settings in rural areas.
methodsInterprofessional focus group interviews (n = 17) were conducted with staff (one nursing assistant, one registered nurse and one physician per focus group) at community hospitals in rural northern Sweden, following full-scale, simulated, in-situ team training. The analysis was inspired by Billig's concept of ideological dilemmas and Wetherell's concept of interpretative repertoires.
resultsParticipants drew on three interpretative repertoires-Involvement, Responsibility and competence, and Control and dependency-to account for teamwork in distributed emergency settings. Across these repertoires, participants accounted for involvement as both enabled and difficult to sustain, responsibility as not readily transferred, and control as limited and dependent on others' accounts. These ways of accounting reflected ongoing dilemmas, as professionals positioned themselves in relation to competing demands when acting under conditions of distance, uncertainty and mediated access to the clinical situation.
conclusionsDistributed teamwork reshapes the conditions for collaboration in emergency care, as roles and responsibilities become continuously negotiated in relation to tensions concerning involvement, responsibility and control. As a result, collaboration is unevenly achieved and cannot be taken for granted. CLINICAL TRIAL NUMBER: Not applicable.
Indexed as
Identifiers
What OpenQuestion holds
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.