"Like a rainy weather inside of me": Qualitative content analysis of telephone consultations concerning back pain preceding out-of-hospital cardiac arrest
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"Like a rainy weather inside of me" : Qualitative content analysis of telephone consultations concerning back pain preceding out-of-hospital cardiac arrest. / Jensen, Britta; Vardinghus-Nielsen, Henrik; Mills, Elisabeth Helen Anna; Møller, Amalie Lykkemark; Gnesin, Filip; Zylyftari, Nertila; Kragholm, Kristian; Folke, Fredrik; Christensen, Helle Collatz; Blomberg, Stig Nikolaj; Torp-Pedersen, Christian; Boggild, Henrik.
I: International Emergency Nursing, Bind 64, 101200, 2022.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - "Like a rainy weather inside of me"
T2 - Qualitative content analysis of telephone consultations concerning back pain preceding out-of-hospital cardiac arrest
AU - Jensen, Britta
AU - Vardinghus-Nielsen, Henrik
AU - Mills, Elisabeth Helen Anna
AU - Møller, Amalie Lykkemark
AU - Gnesin, Filip
AU - Zylyftari, Nertila
AU - Kragholm, Kristian
AU - Folke, Fredrik
AU - Christensen, Helle Collatz
AU - Blomberg, Stig Nikolaj
AU - Torp-Pedersen, Christian
AU - Boggild, Henrik
PY - 2022
Y1 - 2022
N2 - Introduction: Cardiac arrest patients presenting with back pain are at risk of not receiving the appropriate help when calling emergency medical services. In telephone consultations regarding patients with back pain pre-ceding an out-of-hospital cardiac arrest, we investigated how communication between caller and call-taker influenced the call-taker's interpretation of back pain descriptions and decision-making about choice of response.Method: The study was conducted using 20 recorded phone calls from 17 patients who contacted the Copenhagen Emergency Medical Services (Denmark) reporting back pain up to 24 hours before an out-of-hospital cardiac arrest. Qualitative content analysis was applied.Results: Two main categories emerged: (1) reasons, including subcategories: reported conditions, descriptions of conditions, patient's interpretation of condition and patient's own remedial actions; and (2) considerations, including subcategories: assessment of the severity, call-taker's interpretation of the condition, arguments for chosen response and conditions not facilitating further communication by the call-taker.Conclusion: In telephone consultations regarding patients with back pain preceding an out-of-hospital cardiac arrest the communication was influenced by the communicative preconditions of the call-taker. Communication in consultations where ambulances were not dispatched was characterized by complex descriptions of symptoms not easily fitting into the health system's interpretations of conditions warranting an urgent response.
AB - Introduction: Cardiac arrest patients presenting with back pain are at risk of not receiving the appropriate help when calling emergency medical services. In telephone consultations regarding patients with back pain pre-ceding an out-of-hospital cardiac arrest, we investigated how communication between caller and call-taker influenced the call-taker's interpretation of back pain descriptions and decision-making about choice of response.Method: The study was conducted using 20 recorded phone calls from 17 patients who contacted the Copenhagen Emergency Medical Services (Denmark) reporting back pain up to 24 hours before an out-of-hospital cardiac arrest. Qualitative content analysis was applied.Results: Two main categories emerged: (1) reasons, including subcategories: reported conditions, descriptions of conditions, patient's interpretation of condition and patient's own remedial actions; and (2) considerations, including subcategories: assessment of the severity, call-taker's interpretation of the condition, arguments for chosen response and conditions not facilitating further communication by the call-taker.Conclusion: In telephone consultations regarding patients with back pain preceding an out-of-hospital cardiac arrest the communication was influenced by the communicative preconditions of the call-taker. Communication in consultations where ambulances were not dispatched was characterized by complex descriptions of symptoms not easily fitting into the health system's interpretations of conditions warranting an urgent response.
KW - Out -of -hospital cardiac arrest
KW - Back pain
KW - Early warning signs
KW - Symptoms
KW - Emergency medical services
KW - Communication
KW - Qualitative content analysis
KW - Systems theory
KW - CARE
U2 - 10.1016/j.ienj.2022.101200
DO - 10.1016/j.ienj.2022.101200
M3 - Journal article
C2 - 35926318
VL - 64
JO - International Emergency Nursing
JF - International Emergency Nursing
SN - 1755-599X
M1 - 101200
ER -
ID: 317930596