A survey of emergency medical service providers' perspectives regarding relatives influence on acute prehospital treatment of adult patients.

IF 1.9 4区 医学 Q2 ANESTHESIOLOGY Acta Anaesthesiologica Scandinavica Pub Date : 2024-10-01 Epub Date: 2024-06-27 DOI:10.1111/aas.14480
Marie Glad, Ingeborg R Grønlund, Ann Merete Møller
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Abstract

Background: In the field of prehospital emergency medicine, specialized emergency medical service (EMS) providers interact with acutely ill patients and their relatives. The influence of family presence during in-hospital resuscitation is well described. However, no studies have previously assessed the influence of relatives' presence in the acute prehospital setting. The aim of this study was to investigate EMS providers' perspectives on relatives' impact on the acute prehospital treatment of adult patients.

Methods: An online anonymous survey was distributed to all prehospital EMS providers in the Capital Region of Denmark. The survey included 25 research questions on a 5-point Likert scale, investigating relatives' influence on treatment in three different domains: positive, negative, and resuscitation. A higher domain score indicates a high level of agreement or frequency.

Results: Two hundred forty-six EMS providers completed the survey (84 ambulance technicians, 87 paramedics, and 75 physicians). There were no significant differences in the positive domain across professions (p = .175). Physicians had a statistically significant lower median score in the negative domain, compared with ambulance technicians and paramedics (2.50 vs. 2.63 and 2.63, p = .024). In the resuscitation domain, paramedics and physicians had a significant lower median score compared with ambulance technicians (3.00 and 3.00 vs. 3.14, p = .003).

Conclusion: All professions were equally positive towards the relatives' presence and involvement in the acute prehospital setting. Physicians were less likely to be negatively influenced by the presence of relatives compared with ambulance technicians and paramedics. In all professions, increased experience led to improved comfort with handling relatives.

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急诊医疗服务提供者对亲属对成人患者急性院前治疗影响的看法调查。
背景:在院前急救医学领域,专业的急救医疗服务提供者会与急症患者及其亲属进行互动。家属在场对院内复苏的影响已被充分描述。然而,此前还没有研究评估过亲属在场对院前急救的影响。本研究旨在调查急救医疗服务提供者对亲属对成人患者急性院前治疗的影响的看法:向丹麦首都地区的所有院前急救服务提供者发放了一份在线匿名调查问卷。调查包括 25 个研究问题,采用 5 分制李克特量表,调查亲属在积极、消极和复苏三个不同领域对治疗的影响。领域得分越高,表明同意程度或频率越高:246 名急救服务提供者(84 名救护技术人员、87 名护理人员和 75 名医生)完成了调查。不同职业在积极领域没有明显差异(p = .175)。与救护技术人员和护理人员相比,医生在消极领域的中位数得分明显较低(2.50 vs. 2.63 和 2.63,p = .024)。在复苏领域,辅助医务人员和医生的中位数得分明显低于救护技术人员(3.00 和 3.00 vs. 3.14,p = .003):结论:所有职业对亲属在急性院前环境中的存在和参与都持同样积极的态度。与救护技术人员和护理人员相比,医生不太可能受到亲属在场的负面影响。在所有职业中,经验的增加会提高处理亲属的舒适度。
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来源期刊
CiteScore
4.30
自引率
9.50%
发文量
157
审稿时长
3-8 weeks
期刊介绍: Acta Anaesthesiologica Scandinavica publishes papers on original work in the fields of anaesthesiology, intensive care, pain, emergency medicine, and subjects related to their basic sciences, on condition that they are contributed exclusively to this Journal. Case reports and short communications may be considered for publication if of particular interest; also letters to the Editor, especially if related to already published material. The editorial board is free to discuss the publication of reviews on current topics, the choice of which, however, is the prerogative of the board. Every effort will be made by the Editors and selected experts to expedite a critical review of manuscripts in order to ensure rapid publication of papers of a high scientific standard.
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