Nursing Competencies in Ambulance Needs at Prehospital: A Scoping Review
DOI:
https://doi.org/10.31965/infokes.Vol21.Iss2.960Keywords:
Prehospital, Ambulance, Nurse, CompetenciesAbstract
Prehospital care has historically provided medical care with the aim of saving lives and preventing disability. Prehospital services that are accommodated by ambulances have complex and unpredictable care arrangements, so ambulance personnel, namely nurses, must prepare themselves to deal with all situations and conditions. This study aims to describe the competencies possessed by nurses while on duty in prehospital ambulances. This research is a literature study from several databases, and we obtained 20 articles for analysis. The results of the article analysis show that nurses who work in prehospital ambulances must have the competence to be able to save patients' lives, which is formed from knowledge, attitudes, and skills. Knowledge that must be possessed by ambulance nurses includes assessment, triage, and situation analysis. The positive attitudes of ambulance nurses include decision-making, communication, collaboration, caring, ethics, and culture. The skills possessed by ambulance nurses are BHD, intubation, examination of vital signs, interpretation of supporting examinations, and drug management. Ambulance nurses can improve their emergency care competencies through continuous education and training.
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References
Abelsson, A., & Lindwall, L. (2012). The Prehospital assessment of severe trauma patients` performed by the specialist ambulance nurse in Sweden - a phenomenographic study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 20, 67. https://doi.org/10.1186/1757-7241-20-67
Abelsson, A., & Lindwall, L. (2018). Ethical dilemmas in prehospital emergency care – from the perspective of specialist ambulance nurse students. International Journal of Ethics Education, 3(2), 181–192. https://doi.org/10.1007/s40889-018-0055-5
Abelsson, A., Lindwall, L., Suserud, B.-O., & Rystedt, I. (2018). Ambulance Nurses’ Competence and Perception of Competence in Prehospital Trauma Care. Emergency Medicine International, 2018, 5910342. https://doi.org/10.1155/2018/5910342
Acquisto, N. M., Cushman, J. T., Rice, A. D., & Edwards, C. J. (2020). Collaboration by emergency medicine pharmacists and prehospital services providers. American Journal of Health-System Pharmacy, 77(12), 918–921. https://doi.org/10.1093/ajhp/zxaa082
AlMarzooq, A. M. (2020). Emergency Department Nurses’ Knowledge Regarding Triage. International Journal of Nursing, 7(2), 29–44. https://doi.org/10.15640/ijn.v7n2a5
Alnutaifi, N. (2021). Knowledge and Skills of Cardiopulmonary Resuscitation among Critical Care Nurses in Kuwaiti Hospitals. American Journal of Nursing Research, 9(2), 64–70. https://doi.org/10.12691/ajnr-9-2-4
Axelsson, C., Herrera, M. J., & Bång, A. (2016). How the context of ambulance care influences learning to become a specialist ambulance nurse a Swedish perspective. Nurse Education Today, 37, 8–14. https://doi.org/10.1016/j.nedt.2015.10.029
Bøtker, M. T., Jacobsen, L., Rudolph, S. S., & Knudsen, L. (2018). The role of point of care ultrasound in prehospital critical care: A systematic review. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 26, 51. https://doi.org/10.1186/s13049-018-0518-x
Boyle, M. J., & Eastwood, K. (2018). Drug calculation ability of qualified paramedics: A pilot study. World Journal of Emergency Medicine, 9(1), 41. https://doi.org/10.5847/wjem.j.1920-8642.2018.01.006
Bremer, A., Andersson Hagiwara, M., Tavares, W., Paakkonen, H., Nyström, P., & Andersson, H. (2020). Translation and further validation of a global rating scale for the assessment of clinical competence in prehospital emergency care. Nurse Education in Practice, 47, 102841. https://doi.org/10.1016/j.nepr.2020.102841
Castrèn, M., Mäkinen, M., Nilsson, J., & Lindström, V. (2017). The effects of interprofessional education – Self-reported professional competence among prehospital emergency care nursing students on the point of graduation – A cross-sectional study. International Emergency Nursing, 32, 50–55. https://doi.org/10.1016/j.ienj.2017.02.004
Chen, Y., Yang, Y., Peng, W., & Wang, H. (2021). Influence and analysis of ambulance on the containment of COVID-19 in China. Safety Science, 139(March 2020), 105160. https://doi.org/10.1016/j.ssci.2021.105160
Coll-Badell, M., Jiménez-Herrera, M. F., & Llaurado-Serra, M. (2017). Emergency Nurse Competence in Electrocardiographic Interpretation in Spain: A Cross-Sectional Study. Journal of Emergency Nursing, 43(6), 560–570. https://doi.org/10.1016/j.jen.2017.06.001
Colldén Benneck, J., & Bremer, A. (2019). Registered nurses’ experiences of near misses in ambulance care – A critical incident technique study. International Emergency Nursing, 47(October 2018), 100776. https://doi.org/10.1016/j.ienj.2019.05.002
Dúason, S., Gunnarsson, B., & Svavarsdóttir, M. H. (2021). Patient handover between ambulance crew and healthcare professionals in Icelandic emergency departments: a qualitative study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 29(1), 1–11. https://doi.org/10.1186/s13049-021-00829-x
Duko, B., Geja, E., Oltaye, Z., Belayneh, F., Kedir, A., & Gebire, M. (2019). Triage knowledge and skills among nurses in emergency units of Specialized Hospital in Hawassa, Ethiopia: Cross sectional study. BMC Research Notes, 12(1), 19–22. https://doi.org/10.1186/s13104-019-4062-1
Forslund, K. (2007). Challenges in prehospital emergency care. Universitetsbiblioteket. Retrieved from http://www.diva-portal.org/smash/record.jsf?pid=diva2%3A135139&dswid=-1410
Gerchow, L., Burka, L. R., Miner, S., & Squires, A. (2021). Language barriers between nurses and patients: A scoping review. Patient Education and Counseling, 104(3), 534–553. https://doi.org/10.1016/j.pec.2020.09.017
Hansda, U., Sahoo, S., Biswas, S., Mohanty, C., Barik, S., & Giri, P. (2020). How much ambulance personnel know about basic life support (BLS)? A hospital-based study from Eastern India. Journal of Family Medicine and Primary Care, 9(11), 5601. https://doi.org/10.4103/jfmpc.jfmpc_680_20
Hoikka, M., Silfvast, T., & Ala-Kokko, T. I. (2017). A high proportion of prehospital emergency patients are not transported by ambulance: a retrospective cohort study in Northern Finland. Acta Anaesthesiologica Scandinavica, 61(5), 549–556. https://doi.org/10.1111/aas.12889
Holmberg, M., Fagerberg, I., & Wahlberg, A. C. (2017). The knowledge desired by emergency medical service managers of their ambulance clinicians – A modified Delphi study. International Emergency Nursing, 34, 23–28. https://doi.org/10.1016/j.ienj.2017.03.007
Hörberg, A., Lindström, V., Scheja, M., Conte, H., & Kalén, S. (2019). Challenging encounters as experienced by registered nurses new to the emergency medical service: explored by using the theory of communities of practice. Advances in Health Sciences Education, 24(2), 233–249. https://doi.org/10.1007/s10459-018-9862-x
Jansson, J., Josse Eklund, A., Larsson, M., & Nilsson, J. (2020). Prehospital care nurses’ self reported competence: A cross-sectional study. International Emergency Nursing, 52(July), 100896. https://doi.org/10.1016/j.ienj.2020.100896
Ketelaars, R., Reijnders, G., van Geffen, G. J., Scheffer, G. J., & Hoogerwerf, N. (2018). ABCDE of prehospital ultrasonography: a narrative review. Critical Ultrasound Journal, 10(1). https://doi.org/10.1186/s13089-018-0099-y
Kumboyono, K., Refialdinata, J., Wihastuti, T. A., Rachmawati, S. D., & Aziz, A. N. (2018). Health-Seeking Behavior of Patients with Acute Coronary Syndrome and Their Family Caregivers. Prehospital and Disaster Medicine, 33(6), 614–620. https://doi.org/10.1017/S1049023X18001036
Kurniawan, M. H., & Hariyati, R. T. S. (2019). Patient assessment responses in nursing practice to enhance patient safety: A systematic review. Enfermeria Clinica, 29, 459–463. https://doi.org/10.1016/j.enfcli.2019.04.068
Magnusson, C., Herlitz, J., & Axelsson, C. (2020). Pre-hospital triage performance and emergency medical services nurse’s field assessment in an unselected patient population attended to by the emergency medical services: A prospective observational study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 28(1), 1–19. https://doi.org/10.1186/s13049-020-00766-1
Maharmeh, M., Alasad, J., Salami, I., Saleh, Z., & Darawad, M. (2016). Clinical Decision-Making among Critical Care Nurses: A Qualitative Study. Health, 08(15), 1807–1819. https://doi.org/10.4236/health.2016.815173
Massa, M. S. (2018). Nurse’S Knowledge on the Initial Assessment for Primary Survey of Emergency Patient At Emergency Department. International Journal of Public Health and Clinical Sciences, 5(6), 124–131. https://doi.org/10.32827/ijphcs.5.6.124
Nadim, G., Laursen, C. B., Pietersen, P. I., Wittrock, D., Sørensen, M. K., Nielsen, L. B., Rasmussen, C. H., Christensen, H. M., Helmerik, S., Jørgensen, G., Titlestad, I. L., Lassen, A. T., & Mikkelsen, S. (2021). Prehospital emergency medical technicians can perform ultrasonography and blood analysis in prehospital evaluation of patients with chronic obstructive pulmonary disease: a feasibility study. BMC Health Services Research, 21(1), 1–12. https://doi.org/10.1186/s12913-021-06305-7
Nilsson, J., Johansson, S., Nordström, G., & Wilde-Larsson, B. (2020). Development and Validation of the Ambulance Nurse Competence Scale. Journal of Emergency Nursing, 46(1), 34–43. https://doi.org/10.1016/j.jen.2019.07.019
Nilsson, T., & Lindström, V. (2017). Nursing students’ perceptions of learning nursing skills in the ambulance service. Nurse Education in Practice, 24, 1–5. https://doi.org/10.1016/j.nepr.2017.02.011
Rikhotso, M., Perrie, H., Scribante, J., & Jooma, Z. (2021). Cardiopulmonary resuscitation skills profile and knowledge of nurses working in an academic hospital. SA Heart, 18(1), 40–46. https://doi.org/10.24170/18-1-4772
Rubenson Wahlin, R., Ponzer, S., Lövbrand, H., Skrivfars, M., Lossius, H. M., & Castrén, M. (2016). Do male and female trauma patients receive the same prehospital care?: An observational follow-up study. BMC Emergency Medicine, 16(1), 1–9. https://doi.org/10.1186/s12873-016-0070-9
Sedlár, M. (2020). Cognitive skills of emergency medical services crew members: A literature review. BMC Emergency Medicine, 20(1). https://doi.org/10.1186/s12873-020-00330-1
Sjölin, H., Lindström, V., Vicente, V., Hult, H., Ringsted, C., & Kurland, L. (2020). Prehospital emergency nurses’ experiences of care in critical incidents. International Emergency Nursing, 51(May), 100890. https://doi.org/10.1016/j.ienj.2020.100890
Suryanto, Boyle, M., & Plummer, V. (2017). The pre-hospital and healthcare system in Malang, Indonesia. Australasian Journal of Paramedicine, 14(2). https://doi.org/10.33151/ajp.14.2.554
Suryanto, Plummer, V., & Copnell, B. (2016). Collaboration between nurses and physicians in an Indonesian Emergency Department. Australasian Emergency Nursing Journal, 19(2), 82–89. https://doi.org/10.1016/j.aenj.2016.04.001
Svensson, C., Bremer, A., & Holmberg, M. (2019). Ambulance nurses’ experiences of patient relationships in urgent and emergency situations: A qualitative exploration. Clinical Ethics, 14(2), 70–79. https://doi.org/10.1177/1477750919851050
Tavares, W., Bowles, R., & Donelon, B. (2016). Informing a Canadian paramedic profile: Framing concepts, roles and crosscutting themes. BMC Health Services Research, 16(1), 1–16. https://doi.org/10.1186/s12913-016-1739-1
Tawfik, L., Al Nobani, M., & Tageldin, T. (2021). Airway Management in the Pre-Hospital Setting. In Special Considerations in Human Airway Management. IntechOpen. https://doi.org/10.5772/intechopen.94999
Todorova, L., Johansson, A., & Ivarsson, B. (2021). Perceptions of ambulance nurses on their knowledge and competence when assessing psychiatric mental illness. Nursing Open, 8(2), 946–956. https://doi.org/10.1002/nop2.703
Torabi, M., Borhani, F., Abbaszadeh, A., & Atashzadeh-Shoorideh, F. (2020). Barriers to ethical decision-making for pre-hospital care professionals. Nursing Ethics, 27(2), 407–418. https://doi.org/10.1177/0969733019848044
Vázquez-Casares, A., & Vidal, J. (2020). Specific competencies of prehospital emergency nursing: The views of Spanish university professors. Journal of Continuing Education in Nursing, 51(12), 556–567. https://doi.org/10.3928/00220124-20201113-06
Vicente, V., Johansson, A., Selling, M., Johansson, J., Möller, S., & Todorova, L. (2021). Experience of using video support by prehospital emergency care physician in ambulance care - an interview study with prehospital emergency nurses in Sweden. BMC Emergency Medicine, 21(1), 1–10. https://doi.org/10.1186/s12873-021-00435-1
Waldrop, D. P., Waldrop, M. R., McGinley, J. M., Crowley, C. R., & Clemency, B. (2020). Managing Death in the Field: Prehospital End-of-Life Care. Journal of Pain and Symptom Management, 60(4), 709-716.e2. https://doi.org/10.1016/j.jpainsymman.2020.05.004
Wibring, K., Lingman, M., Herlitz, J., Blom, L., Gripestam, O. S., & Bång, A. (2021). Guideline adherence among prehospital emergency nurses when caring for patients with chest pain: a prospective cohort study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 29(1), 1–9. https://doi.org/10.1186/s13049-021-00972-5
Widyani, F. N. A., Basuki, A. P., & Nuswantoro, D. (2020). Triage Knowledge of Emergency Rooms Nurses at Dr Soetomo Regional General Hospital. Indonesian Journal of Anesthesiology and Reanimation, 2(1), 13–19. https://doi.org/10.20473/ijar.V2I12020.13-19
Yayasan Ambulans Gawat Darurat 118. (2020). Basic Trauma & Cardiac Life Support. Tangerang Selatan: Yayasan Ambulans Gawat Darurat 118.
Yoon, J. (2021). Development of emergency nursing care competency scale for school nurses. BMC Nursing, 20(1), 1–11. https://doi.org/10.1186/s12912-021-00580-9
Yulviana, R., Harnani, Y., & Oktaviani, W. (2020). The Relationship between Effective Communication of Nurses and the Level of Patient Satisfaction in the Inpatient Installation of Mandau Duri Regional Hospital in 2019. Journal of Midwifery and Nursing, 2(2), 268-278. Retrieved from https://iocscience.org/ejournal/index.php/JMN/article/view/719
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