Fundamental care in the emergency room: insights from patients with life-threatening conditions in the emergency room.

Background: Persons who become life-threateningly ill or injured (due to for example trauma or cardiac arrest) are cared for in hospitals' designated emergency rooms at the emergency department (ED). In these rooms, the life-threatening condition and biomedical focus may reinforce a culture that value the medical-technical care. Meeting patients fundamental care needs (integrating physical, psychosocial and relational care needs) in a person-centred way might hence be challenging in emergency rooms.

Guidelines for patient care used by registered nurses in the emergency room: Mapping of Swedish governing documents.

Introduction: Guidelines are important for guiding clinical practice and governing registered nurses' work in an emergency room to enable them to secure quality of care and patient safety in a life-saving situation. However, guidelines are not always systematically prepared, or evidence based. This study aimed to map and describe the content of Swedish guidelines governing the registered nurses' work in emergency rooms.

Factors predictive of hospital admission for children via emergency departments in Australia and Sweden: an observational cross-sectional study.

Background: Identifying factors predictive of hospital admission can be useful to prospectively inform bed management and patient flow strategies and decrease emergency department (ED) crowding. It is largely unknown if admission rate or factors predictive of admission vary based on the population to which the ED served (i.e.

Prevalence of frailty and associated factors in older adults seeking care at Swedish emergency departments.

Background: Internationally, prolonged length of stay for older adults in the emergency department (ED) is associated with increased risk of in-hospital adverse events. In Sweden patients 65 years and older account for 35% of emergency visits, and according to consensus from an international expert group, all persons over 70 should be screened for frailty. This is not routinely done in Swedish EDs, and therefore, knowledge about prevalence, characteristics and clinical outcomes associated with frailty is limited.

Bedside nurses' perspective on the Fundamentals of Care framework and its application in clinical practice: A multi-site focus group interview study.

Background: A changing nursing workforce and an increase in demands for care together with more complex care, raise arguments that leading and guiding nursing practice is more challenging than ever. Therefore, nurses need to have a shared agenda and a common language to show the importance of nursing care and the consequences of not addressing this in an appropriate way. In response to this the Fundamentals of Care framework was developed to also contribute to the delivery of person-centred care in an integrated way.

Testing a model for person-centred pain management: A systematic review and synthesis guided by the Fundamentals of Care framework.

Aims: To test a model for person-centred pain management using qualitative evidence in the literature and refine it based on the results.

Design: A qualitative systematic review with thematic synthesis using the Fundamentals of Care framework.

Methods And Data Sources: A literature search in February 2021 in six scientific databases: CINAHL, PsycInfo, Pubmed, Scopus, Social Science Premium Collection and Web of Science, reported using ENTREQ and PRISMA.

Measuring person-centred pain management: Development of a questionnaire using the fundamentals of care framework.

Aim: To develop and test a questionnaire using the Fundamentals of Care framework to measure person-centred pain management.

Design: Cross-sectional exploratory descriptive design.

Methods: Development in three phases: (a) literature search for questionnaires measuring person-centred pain management, (b) seven-step process developing items using thematic analysis, (c) initial feasibility and validity testing.

Fundamental nursing actions for frail older people in the emergency department: A national cross-sectional survey and a qualitative analysis of practice guidelines.

Aims: To map how frailty among older people is assessed at Swedish emergency departments and to describe fundamental nursing care actions for these patients.

Design: Descriptive national survey and a qualitative analysis of text.

Methods: A majority (82%, n = 54) of the Swedish hospital-based emergency departments for adults were included, representing all six healthcare regions.

'No more heroes': The ILC Oxford Statement on fundamental care in times of crises.

Aim: To outline the International Learning Collaborative (ILC) Oxford Statement, explicating our commitment to ensuring health and care systems are equipped to meet patients' fundamental care needs during times of unprecedented crisis.

Design/method: Discussion paper. The content was developed via a co-design process with participants during the ILC's international conference.

Translation and cultural adaptation of the fundamentals of care framework: Are we there yet?

Aim: This paper aims to explore and describe the translation and cultural adaptation of the Fundamentals of Care framework to a Swedish context, and highlight the need for a translated version.

Design: An exploratory, descriptive approach was adopted.

Methods: A structured forward-backward translation process and cultural adaptation were used, considering situation and recipient as recommended for such process.

Prioritizing and meeting life-threateningly ill patients' fundamental care needs in the emergency room-An interview study with registered nurses.

Aim: To explore how registered nurses in the emergency room describe their work approach and prerequisites for meeting life-threateningly ill patients' care needs from the perspective of a person-centred fundamental care framework.

Design: A descriptive, qualitative interview study.

Method: Individual interviews were carried out with 14 registered nurses with experience of working in an emergency room in Sweden, during 2019.

Fundamentals of care in the emergency room - An ethnographic observational study.

Background: There is a strong biomedical focus within emergency care. However, while failure to meet patients' fundamental care needs has severe consequences for the patient, there is limited knowledge on how nursing care is provided in emergency rooms and the related implications for patients.

Aim: This study aims to explore how fundamental care needs of critically ill patients are met in emergency rooms.

Nursing staff ratio and skill mix in Swedish emergency departments: A national cross-sectional benchmark study.

Aim: The aim of this study is to describe ratio and skill mix for nursing staff in Swedish emergency departments over a specific 24-h period.

Background: The link between number of patients per nursing staff and missed nursing care is well described within the in-hospital setting, showing association with negative outcomes such as increased mortality. Potential association within the emergency department setting is still unexplored.

Flourishing at work: Nurses' motivation through daily communication - An ethnographic approach.

Shortage and turnover of registered nurses are worldwide challenges, and work motivation is one factor in retaining staff in the healthcare sector. The aim of this study was to explore registered nurses' motivation expressed in daily communication, using the basic needs in self-determination theory as a framework. A secondary analysis of ethnographic data, collected through participant observations, informal interviews during observations, and individual interviews, was used.

Engagement under difficult conditions: Caring for patients with acute abdominal pain across the acute-care chain: A qualitative study.

Background: Studies report that patients with acute abdominal pain do not always receive optimal care and can experience poor pain management, safety failures, and emotional harm. Deeper understanding of how health professionals experience care delivery is needed to improve care to patients with acute abdominal pain.

Aim: To explore, from the perspective of registered nurses and physicians, how care is provided for patients with acute abdominal pain in the acute care chain, and to identify barriers that they describe in the delivery of care.

Barriers to change hindering quality improvement: the reality of emergency care.

Purpose: The aim of this study was to investigate physicians' and nurses' perspectives and prerequisites for quality improvement in the emergency department based on results from a previous patient survey.

Method: The study used an explorative design with a qualitative approach and was conducted at the main emergency department of a Swedish university hospital. Interviews were conducted with 5 focus groups.

Outcomes of a nurse-initiated intravenous analgesic protocol for abdominal pain in an emergency department: A quasi-experimental study.

Background: Abdominal pain is one of the most frequent reasons for seeking care in an emergency department. Surveys have shown that patients are not satisfied with the pain management they receive. Reasons for giving inadequate pain management may include poor knowledge about pain assessment, myths concerning pain, lack of communication between the patient and healthcare professional, and organizational limitations.

Different patient groups request different emergency care - a survey in a Swedish emergency department.

Aim: This study investigates possible differences in the perception of quality of care at an emergency department, as related to patient background and visit characteristics.

Methods: The study uses a prospective, descriptive survey design with data collected in May 2002 from the emergency department of a Swedish university hospital. It included 200 patients with an average age of 51 yr (range 18-91 yr).

Patients' perceptions of quality of care at an emergency department and identification of areas for quality improvement.

Aims: This paper reports a study to identify patient's perceptions of quality of care at an emergency department and areas for quality improvement.

Background: Patients are not always satisfied with the care received at emergency departments. More attention needs to be paid to the specific needs and expectations of the non-urgent group of patients, who make up the majority of attenders at many emergency departments.